{"reference":"30-year-old patient with a history of inferior wall MI, post right coronary artery and circumflex stent, has been feeling well. No symptoms of chest pain. No symptoms of dyspnea, orthopnea, dizziness, lightheadedness. No syncope.\n\nWeighs 244 pounds. Blood pressure 120/82. Heart rate is 68, regular. HEENT: Pupils are equal. JVP is normal. No carotid bruit. Neck is soft. Thyroid not enlarged. Trachea midline. No cervical lymphadenopathy. Respiratory: Equal expansion, normal breath sounds. Heart: PMI in the 5th intercostal space. S1, S2 normal. No rub, no gallop, no murmurs. Abdomen soft, nontender. No bruits. Bowel sounds present. Extremities: Equal pulses. No leg edema.\n\nAssessment: Stable. Assessment: CAD. 2. LV dysfunction.\n\nPlan: Increase Coreg to 25 mg b.i.d. Increase Vasotec to 20 mg daily. Continue with aspirin 325 mg daily, Plavix 25 mg daily. Return in 3 months.","products":{"hanah":[{"label":"Run 1","wer":3.2679738562091507,"text":"30-year-old patient with a history of inferior wall MI, post right coronary artery and circumflex stent, has been feeling well, no symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness, lightheadedness, no syncope. Next paragraph weighs 244 pounds, blood pressure 120/82, heart rate is 68, regular. HEENT: Pupils are equal. JVP is normal, no carotid bruit. Neck is soft. Thyroid is not enlarged. Trachea is midline. No cervical lymphadenopathy. Respiratory: Equal expansion, normal breath sounds. Heart: BMI in the 5th intercostal space, S1, S2 normal. No rub, no gallop, no murmurs. Abdomen is soft, nontender, no bruits. Bowel sounds present. Extremities: Equal pulses, no leg edema. Assessment: Stable CAD. 2. LV dysfunction. Plan: Increase Coreg to 25 mg b.i.d. Increase Vasotec to 20 mg daily. Continue with aspirin 325 mg daily, Plavix 25 mg daily. Return in three months.","marks":[[519,522,"PMI",true],[719,719,"Assessment",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","Captures inferior wall MI s/p RCA and circumflex stents."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","States feeling well and denies chest pain, dyspnea, orthopnea, dizziness, lightheadedness and syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Weight 244 lb, BP 120/82, HR 68 regular all recorded."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruit, no cervical lymphadenopathy, thyroid not enlarged, trachea midline."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","partial","Lung and heart sounds captured, but PMI is garbled as 'BMI in 5th intercostal space' in the 5th ICS."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","yes","Abdomen soft, nontender, bowel sounds present, no bruits; equal pulses, no leg edema."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","Assessment lists CAD and LV dysfunction."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","Coreg increased to 25 mg BID and Vasotec to 20 mg daily."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","Continue aspirin 325 mg daily and Plavix 25 mg daily, matching the transcript."],["The note captures: Return in three months.","yes","Follow-up in 3 months documented."]],"claims":[],"note":"Subjective\n30-year-old with hx inferior wall MI, s/p RCA and circumflex stents.\nFeeling well. Denies CP, dyspnea, orthopnea, dizziness, lightheadedness, or syncope.\nObjective\nWt 244 lb. BP 120/82 mmHg. HR 68 bpm, regular.\nHEENT: Pupils equal. JVP normal. No carotid bruit. Neck soft; thyroid not enlarged; trachea midline; no cervical LAD.\nResp: Equal expansion; normal breath sounds.\nCV: BMI in 5th intercostal space. S1/S2 normal; no rub, gallop, or murmur.\nAbd: Soft, nontender; bowel sounds present; no bruits.\nExt: Equal pulses; no LE edema.\nAssessment\nStable CAD: Asymptomatic with normal CV exam findings.\nLV dysfunction.\nPlan\n↑ Coreg to 25 mg BID.\n↑ Vasotec to 20 mg daily.\nContinue ASA 325 mg daily and Plavix 25 mg daily.\nRTC 3 months.","review":57.65789473684211,"saved":185.8421052631579,"clean":false,"effort":5.0,"sig":[]},{"label":"Run 2","wer":1.3071895424836601,"text":"30-year-old patient with a history of inferior wall MI, post right coronary artery and circumflex stent, has been feeling well, no symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness, lightheadedness, no syncope. Next paragraph weighs 244 pounds, blood pressure 120/82, heart rate is 68, regular. HEENT: Pupils are equal. JVP is normal, no carotid bruit. Neck is soft. Thyroid not enlarged. Trachea midline. No cervical lymphadenopathy. Respiratory: Equal expansion, normal breath sounds. Heart: BMI in the 5th intercostal space, S1, S2 normal. No rub, no gallop, no murmurs. Abdomen soft, nontender, no bruits. Bowel sounds present. Extremities: Equal pulses, no leg edema. Assessment: Stable CAD. 2. LV dysfunction. Plan: Increase Coreg to 25 mg b.i.d., increase Vasotec to 20 mg daily, continue with aspirin 325 mg daily, Plavix 25 mg daily, return in three months.","marks":[[513,516,"PMI",true],[710,710,"Assessment",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","Captures inferior wall MI s/p RCA and circumflex stents."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","States feeling well and denies chest pain, dyspnea, orthopnea, dizziness, lightheadedness and syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Weight 244 lb, BP 120/82, HR 68 regular all recorded."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruit, no cervical lymphadenopathy, thyroid not enlarged, trachea midline."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","partial","Lung and heart sounds captured, but PMI is garbled as 'BMI in 5th ICS' in the 5th ICS."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","yes","Abdomen soft, nontender, bowel sounds present, no bruits; equal pulses, no leg edema."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","Assessment lists CAD and LV dysfunction."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","Coreg increased to 25 mg BID and Vasotec to 20 mg daily."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","Continue aspirin 325 mg daily and Plavix 25 mg daily, matching the transcript."],["The note captures: Return in three months.","yes","Follow-up in 3 months documented."]],"claims":[],"note":"Subjective\nHx inferior wall MI, s/p RCA and circumflex stents.\nFeeling well.\nDenies CP, dyspnea, orthopnea, dizziness, lightheadedness, syncope.\nObjective\nWt 244 lb. BP 120/82 mmHg. HR 68, regular.\nHEENT: Pupils equal.\nNeck: JVP normal; no carotid bruit. Neck soft. Thyroid not enlarged. Trachea midline. No cervical LAD.\nRespiratory: Equal expansion; normal breath sounds.\nCV: BMI in 5th ICS. S1/S2 normal. No rub, gallop, or murmurs.\nAbd: Soft, nontender; no bruits. Bowel sounds present.\nExtremities: Equal pulses; no LE edema.\nAssessment\nStable CAD; asymptomatic with normal CV exam.\nLV dysfunction.\nPlan\n↑ Coreg to 25 mg BID.\n↑ Vasotec to 20 mg daily.\nContinue ASA 325 mg daily.\nContinue Plavix 25 mg daily.\nRTC 3 months.","review":55.44736842105263,"saved":188.05263157894737,"clean":false,"effort":5.0,"sig":[],"mb":3.033042,"latency":10.175,"signable":65.62236842105263},{"label":"Run 3","wer":1.3071895424836601,"text":"30-year-old patient with a history of inferior wall MI, post right coronary artery and circumflex stent, has been feeling well, no symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness, lightheadedness, no syncope. Next paragraph weighs 244 pounds, blood pressure 120/82, heart rate is 68, regular. HEENT: Pupils are equal. JVP is normal, no carotid bruit. Neck is soft. Thyroid not enlarged. Trachea midline. No cervical lymphadenopathy. Respiratory: Equal expansion, normal breath sounds. Heart: BMI in the 5th intercostal space, S1, S2 normal. No rub, no gallop, no murmurs. Abdomen soft, nontender, no bruits. Bowel sounds present. Extremities: Equal pulses, no leg edema. Assessment: Stable CAD. 2. LV dysfunction. Plan: Increase Coreg to 25 mg b.i.d. Increase Vasotec to 20 mg daily. Continue with aspirin 325 mg daily, Plavix 25 mg daily. Return in three months.","marks":[[513,516,"PMI",true],[710,710,"Assessment",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","Captures inferior wall MI with RCA and circumflex stent(s)."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Feeling well; denies CP, dyspnea, orthopnea, dizziness, lightheadedness, syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Wt 244 lb, BP 120/82, HR 68 regular all captured."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruit, thyroid not enlarged, trachea midline, no cervical LAD."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","partial","Expansion, breath sounds, heart sounds captured, but apex recorded as \"BMI in 5th intercostal space\" instead of PMI."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","yes","Abdomen soft, NT, bowel sounds present, no bruits; equal pulses, no leg edema."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","Assessment lists CAD and LV dysfunction."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","Coreg increased to 25 mg BID and Vasotec to 20 mg daily."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","Continue ASA 325 mg daily and Plavix 25 mg daily, matching the key."],["The note captures: Return in three months.","yes","Return in 3 months captured."]],"claims":[],"note":"Subjective\n30-year-old with hx inferior wall MI, s/p RCA and circumflex stents.\nFeeling well.\nDenies CP, dyspnea, orthopnea, dizziness, lightheadedness, or syncope.\nObjective\nWt 244 lb. BP 120/82. HR 68, regular.\nHEENT: Pupils equal.\nJVP normal; no carotid bruit. Neck soft; thyroid not enlarged; trachea midline; no cervical LAD.\nResp: Equal expansion; normal breath sounds.\nCV: BMI in 5th intercostal space. S1/S2 normal; no rub, gallop, or murmurs.\nAbd: Soft, NT; bowel sounds present; no bruits.\nExt: Equal pulses; no LE edema.\nAssessment\nStable CAD: Asymptomatic; normal CV exam without murmur, gallop, or edema.\nLV dysfunction.\nPlan\n↑ Coreg to 25 mg BID.\n↑ Vasotec to 20 mg daily.\nContinue ASA 325 mg daily and Plavix 25 mg daily.\nRTC 3 months.","review":57.973684210526315,"saved":185.5263157894737,"clean":false,"effort":5.0,"sig":[],"mb":3.025193,"latency":12.191,"signable":70.16468421052632},{"label":"Run 4","wer":3.9215686274509802,"text":"30-year-old patient with a history of inferior wall MI, post right coronary artery and circumflex stent, has been feeling well, no symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness, lightheadedness, no syncope. Next paragraph weighs 244 pounds, blood pressure 120/82, heart rate is 68, regular. HEENT: Pupils are equal. JVP is normal, no carotid bruit. Neck is soft. Thyroid is not enlarged. Trachea is midline. No cervical lymphadenopathy. Respiratory: Equal expiration, normal breath sounds. Heart: BMI in the 5th intercostal space, S1, S2 normal. No rub, no gallop, no murmurs. Abdomen is soft, nontender, no bruits. Bowel sounds present. Extremities: Equal pulses, no leg edema. Assessment: Stable CAD. 2. LV dysfunction. Plan: Increase Coreg to 25 mg b.i.d. Increase Vasotec to 20 mg daily. Continue with aspirin 325 mg daily, Plavix 25 mg daily. Return in three months.","marks":[[479,489,"expansion",false],[520,523,"PMI",true],[720,720,"Assessment",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","Captures inferior wall MI with RCA and circumflex stent(s)."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Feeling well; denies CP, dyspnea, orthopnea, dizziness, lightheadedness, syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Wt 244 lb, BP 120/82, HR 68 regular all captured."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruit, thyroid not enlarged, trachea midline, no cervical LAD."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","partial","Heart sounds captured, but \"Equal expiration\" instead of expansion and \"BMI in 5th ICS\" instead of PMI."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","yes","Abdomen soft, NT, bowel sounds present, no bruits; equal pulses, no leg edema."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","Assessment lists CAD and LV dysfunction."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","Coreg increased to 25 mg BID and Vasotec to 20 mg daily."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","Continue ASA 325 mg daily and Plavix 25 mg daily, matching the key."],["The note captures: Return in three months.","yes","Return in 3 months captured."]],"claims":[],"note":"Subjective\nHx inferior wall MI; s/p RCA and circumflex stents.\nFeeling well.\nDenies CP, dyspnea, orthopnea, dizziness, lightheadedness, syncope.\nObjective\nWt 244 lb. BP 120/82. HR 68, regular.\nHEENT: Pupils equal.\nNeck: JVP normal; no carotid bruit. Neck soft. Thyroid not enlarged. Trachea midline. No cervical LAD.\nResp: Equal expiration; normal breath sounds.\nCV: BMI in 5th ICS. S1/S2 normal; no rub, gallop, or murmurs.\nAbd: Soft, NT; no bruits. BS present.\nExt: Equal pulses; no LE edema.\nAssessment\nStable CAD; asymptomatic with normal CV exam.\nLV dysfunction.\nPlan\n↑ Coreg to 25 mg BID.\n↑ Vasotec to 20 mg daily.\nContinue ASA 325 mg daily and Plavix 25 mg daily.\nRTC 3 months.","review":54.81578947368421,"saved":188.68421052631578,"clean":false,"effort":5.0,"sig":[],"mb":3.024707,"latency":10.45,"signable":65.26578947368421},{"label":"Run 5","wer":3.2679738562091507,"text":"30-year-old patient with a history of inferior wall MI, post right coronary artery and circumflex stent, has been feeling well, no symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness, lightheadedness, no syncope. Next paragraph weighs 244 pounds, blood pressure 120/82, heart rate is 68, regular. HEENT: Pupils are equal. JVP is normal, no carotid bruit. Neck is soft. Thyroid is not enlarged. Trachea is midline. No cervical lymphadenopathy. Respiratory: Equal expansion, normal breath sounds. Heart: BMI in the 5th intercostal space, S1, S2 normal. No rub, no gallop, no murmurs. Abdomen is soft, nontender, no bruits. Bowel sounds present. Extremities: Equal pulses, no leg edema. Assessment: Stable CAD. 2. LV dysfunction. Plan: Increase Coreg to 25 mg b.i.d. Increase Vasotec to 20 mg daily. Continue with aspirin 325 mg daily, Plavix 25 mg daily. Return in three months.","marks":[[519,522,"PMI",true],[719,719,"Assessment",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","Captures inferior wall MI with RCA and circumflex stent(s)."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Feeling well; denies CP, dyspnea, orthopnea, dizziness, lightheadedness, syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Wt 244 lb, BP 120/82, HR 68 regular all captured."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruit, thyroid not enlarged, trachea midline, no cervical LAD."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","partial","Expansion, breath sounds, heart sounds captured, but apex recorded as \"BMI in 5th intercostal space\" instead of PMI."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","yes","Abdomen soft, NT, bowel sounds present, no bruits; equal pulses, no leg edema."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","Assessment lists CAD and LV dysfunction."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","Coreg increased to 25 mg BID and Vasotec to 20 mg daily."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","Continue ASA 325 mg daily and Plavix 25 mg daily, matching the key."],["The note captures: Return in three months.","yes","Return in 3 months captured."]],"claims":[],"note":"Subjective\nHx inferior wall MI, s/p RCA and circumflex stent.\nFeeling well.\nDenies CP, dyspnea, orthopnea, dizziness, lightheadedness, syncope.\nObjective\nWt 244 lb. BP 120/82 mmHg. HR 68, regular.\nHEENT: Pupils equal.\nJVP normal; no carotid bruit.\nNeck soft; thyroid not enlarged; trachea midline; no cervical LAD.\nRespiratory: Equal expansion; normal breath sounds.\nCV: BMI in 5th intercostal space. S1/S2 normal; no rub, gallop, or murmur.\nAbd: Soft, NT; bowel sounds present; no bruits.\nExtremities: Equal pulses; no leg edema.\nAssessment\nStable CAD: Asymptomatic without CP or dyspnea; normal CV exam.\nLV dysfunction.\nPlan\n↑ Coreg to 25 mg BID.\n↑ Vasotec to 20 mg daily.\nContinue ASA 325 mg daily.\nContinue Plavix 25 mg daily.\nRTC 3 months.","review":56.39473684210526,"saved":187.10526315789474,"clean":false,"effort":5.0,"sig":[],"mb":3.003142,"latency":11.486,"signable":67.88073684210526}],"heidi":[{"label":"Run 1","wer":18.954248366013072,"text":"Thirty year old patient with a history of inferior OMI post right coronary artery and circumplex stent.\n\nHas, uh, been feeling well. No symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness, dizziness, lightheadedness, no syncope. Next para weighs two hundred and forty-four pounds, blood pressure one twenty over eighty-two. Heart rate is sixty-eight, regular, period. HENT, pupils are equals, JVP is normal, no carotid broovy, neck is off, thyroid, not enlarged, trachea, midline, no cervical fadenopathy.\n\nRespiratory equal expansion, normal breath sounds, heart BMI in the fifth center causal space S1 S2 normal. No rub, no gallop, no murmurs. Abdomen, soft, nontender, no bruvies, pulse sounds, present extremities, sequel pulses, no leg edema, period. Assessment stable. Assessment CAD. Number two, LV dysfunction. Plan, increase Corec to twenty five milligram BAD. Increase Vasotec to twenty milligrams daily. Continue with aspirin three twenty five milligrams daily. Plavix twenty five milligrams daily. Return in three months period.","marks":[[51,54,"wall MI",false],[86,96,"circumflex",false],[206,215,"",false],[246,255,"",false],[313,340,"120/82.",false],[385,389,"HEENT",false],[402,408,"equal.",false],[436,442,"bruit.",true],[452,455,"soft.",true],[510,522,"lymphadenopathy.",false],[581,584,"PMI",true],[592,611,"5th intercostal",false],[692,706,"bruits. Bowel",true],[736,742,"Equal",true],[851,856,"Coreg",false],[860,886,"25 mg b.i.d.",true],[914,924,"mg",false],[954,982,"325 mg",false],[997,1019,"25 mg",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","\"hx of inferior OMI post RCA and circumflex stent\"."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Feels well; no chest pain, dyspnoea, orthopnoea, dizziness, lightheadedness or syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","\"Weight: 244 pounds\", \"BP: 120/82\", \"HR: 68, regular\"."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruits, thyroid not enlarged, trachea midline, no cervical lymphadenopathy."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds; PMI 5th ICS, S1 S2 normal, no rubs/gallops/murmurs."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen soft, non-tender, no bruits, equal pulses, no oedema, but bowel sounds omitted."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","\"Stable CAD\", \"LV dysfunction\"."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","\"Increase Coreg to 25mg BD\", \"Increase Vasotec to 20mg daily\"."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","\"Continue aspirin 325mg daily\", \"Continue Plavix 25mg daily\"."],["The note captures: Return in three months.","yes","\"Return in 3 months\"."]],"claims":[],"note":"Subjective:\n\n- 30yo with hx of inferior OMI post RCA and circumflex stent.\n\n- Currently feels well.\n\n- No chest pain, dyspnoea, orthopnoea, dizziness, lightheadedness or syncope.\n\n\n\n\nObjective:\n\n- Weight: 244 pounds.\n\n- BP: 120/82.\n\n- HR: 68, regular.\n\n- HENT: pupils equal, JVP normal, no carotid bruits, neck supple, thyroid not enlarged, trachea midline, no cervical lymphadenopathy.\n\n- Resp: equal expansion, normal breath sounds.\n\n- Cardiac: PMI in 5th ICS, S1 S2 normal, no rubs, no gallops, no murmurs.\n\n- Abdomen: soft, non-tender, no bruits.\n\n- Pulses: present.\n\n- Extremities: equal pulses, no leg oedema.\n\n\n\n\nAssessment:\n\n- Stable CAD.\n\n- LV dysfunction.\n\n\n\n\nPlan:\n\n- Increase Coreg to 25mg BD.\n\n- Increase Vasotec to 20mg daily.\n\n- Continue aspirin 325mg daily.\n\n- Continue Plavix 25mg daily.\n\n- Return in 3 months.","review":52.25,"saved":191.25,"clean":false,"effort":5.0,"sig":[],"mb":20.496843,"latency":26.056,"signable":78.306},{"label":"Run 2","wer":17.647058823529413,"text":"Thirty year old patient with a history of inferior olive MI post right coronary artery and circumplex stent.\n\nHas, uh, been feeling well. No ch- symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness, dizziness, lightheadedness, no syncope. Next pair of weights, two hundred and forty-four pounds, blood pressure one twenty over eighty-two. Heart rate is sixty-eight, regular, period. HENT, pupils are equal, JVP is normal, no carotid brewy, neck is soft, thyroid, not enlarged, trachea, midline, no cervical nephrolenopathy.\n\nRespiratory equal expansion, normal breath sounds, heart BMI in the fifth endococcusal space S1 S2 normal. No rub, no gallop, no murmurs. Abdomen soft, nontender, no bruvies, pulse sounds present. Extremities equal pulses, no leg edema, period. Assessment stable. Assessment CAD. Number two, LV dysfunction. Plan, increase Corec to twenty five milligram BAD. Increase Vasotec to twenty milligrams daily. Continue with aspirin three twenty five milligrams daily. Plavix twenty five milligrams daily. Return in three months period.","marks":[[51,56,"wall",false],[91,101,"circumflex",false],[141,144,"",false],[215,224,"",false],[255,303,"Weighs 244",false],[327,354,"120/82.",false],[399,403,"HEENT",false],[449,454,"bruit.",false],[523,539,"lymphadenopathy.",true],[598,601,"PMI",true],[609,627,"5th intercostal",false],[707,721,"bruits. Bowel",true],[864,869,"Coreg",false],[873,899,"25 mg b.i.d.",true],[927,937,"mg",false],[967,995,"325 mg",false],[1010,1032,"25 mg",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","\"hx inferior wall MI post RCA and circumflex stent\"."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness, light-headedness, syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","244 lbs, BP 120/82, HR 68 regular."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruits, thyroid not enlarged, trachea midline, no cervical lymphadenopathy."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds, PMI 5th ICS, S1 S2 normal, no rub/gallop/murmurs."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","yes","Abdomen soft, non-tender, no bruits, bowel sounds present; equal pulses, no oedema."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","CAD and LV dysfunction."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","Carvedilol (Coreg) 25 mg BD and enalapril (Vasotec) 20 mg daily."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","Aspirin 325 mg daily, clopidogrel 25 mg daily."],["The note captures: Return in three months.","yes","\"Return in 3 months\"."]],"claims":[],"note":"Subjective\n\n- 30yo, hx inferior wall MI post RCA and circumflex stent\n\n- Feeling well\n\n- Denies chest pain, dyspnoea, orthopnoea, dizziness, light-headedness, syncope\n\n\n\n\nObjective\n\n- Weight: 110.68 kg (244 lbs)\n\n- BP: 120/82 mmHg\n\n- HR: 68 bpm, regular\n\n- HENT: pupils equal, JVP normal, no carotid bruits, neck soft, thyroid not enlarged, trachea midline, no cervical lymphadenopathy\n\n- Resp: equal expansion, normal breath sounds\n\n- Cardiac: PMI 5th ICS, S1 S2 normal, no rub/gallop/murmurs\n\n- Abdomen: soft, non-tender, no bruits, bowel sounds present\n\n- Extremities: equal pulses, no leg oedema\n\n\n\n\nAssessment\n\n- Stable\n\n- CAD\n\n- LV dysfunction\n\n\n\n\nPlan\n\n- Increase Carvedilol to 25 mg BD\n\n- Increase Enalapril to 20 mg daily\n\n- Continue Aspirin 325 mg daily\n\n- Continue Clopidogrel 25 mg daily\n\n- Return in 3 months","review":37.57894736842105,"saved":205.92105263157896,"clean":true,"effort":0.0,"sig":[],"mb":20.091763,"latency":25.949,"signable":63.52794736842105},{"label":"Run 3","wer":17.647058823529413,"text":"Thirty year old patient with a history of inferior RMI post right coronary artery and circumplex stent has been feeling well. No symptoms of chest pain. No symptoms of dyspnea orthopnea dizziness. Lightheadedness. No syncope. Next pair of weights, two hundred and forty four pounds. Blood pressure one twenty over eighty two. Heart rate is sixty eight. Regular period.\n\nHENT pupils are equal. JVP is normal. No carotid broovy. Neck is soft. Thyroid, not enlarged right midline. No cervical lymphadenopathy. Respiratory equal. Expansion. Normal. Breath sounds heart BMI in the fifth and acoccal space S1, S2 normal. No rub, no gallop, no murmurs. Abdomen, soft, nontender, no broovies, bulk sounds. Present extremities equal pulses. No leg edema period.\n\nAssessment stable. Assessment CAD. Number two LV dysfunction. Plan increase Corec to twenty five milligram BAD. Increase Vasotec to twenty milligrams daily. Continue with aspirin twenty five milligrams daily. Plavix twenty five milligrams daily. Return in three months period.","marks":[[51,54,"wall MI",false],[86,96,"circumflex",false],[226,274,"Weighs 244",false],[298,325,"120/82.",false],[370,374,"HEENT",false],[419,426,"bruit.",true],[463,468,"Trachea",true],[565,568,"PMI",true],[576,593,"5th intercostal",false],[675,689,"bruits. Bowel",true],[830,835,"Coreg",false],[839,865,"25 mg b.i.d.",true],[893,903,"mg",false],[933,955,"325 mg",true],[970,992,"25 mg",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","\"hx inferior MI post RCA and circumflex stent\"."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","\"Feeling well\"; \"No chest pain, dyspnoea, orthopnoea, dizziness, lightheadedness or syncope\"."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","\"Weight: 244 lbs\", \"BP: 120/82\", \"HR: 68, regular\"."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","partial","JVP, carotid, thyroid and lymph nodes captured, but trachea is garbled as \"right midline\"."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds, \"PMI 5th ICS. S1, S2 normal. No rub, gallop or murmurs\"."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","yes","Abdomen soft, non-tender, no bruits, bowel sounds present; equal pulses, no leg oedema."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","\"Stable CAD\" and \"LV dysfunction\"."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","no","Carvedilol 25 mg BD is right, but Vasotec is rendered as \"Ramipril to 20 mg daily\", a wrong medication."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","no","\"Continue Aspirin 25 mg daily\" is the wrong dose (325 mg stated); clopidogrel 25 mg correct."],["The note captures: Return in three months.","yes","\"Return in 3 months\"."]],"claims":[["Increase Ramipril to 20 mg daily","Transcript says Vasotec (enalapril); ramipril was never mentioned."],["Continue Aspirin 25 mg daily","Transcript states aspirin 325 mg daily; 25 mg is a wrong dose."]],"note":"Subjective:\n\n- 30yo, hx inferior MI post RCA and circumflex stent.\n\n- Feeling well.\n\n- No chest pain, dyspnoea, orthopnoea, dizziness, lightheadedness or syncope.\n\n\n\n\nObjective:\n\n- Weight: 244 lbs.\n\n- BP: 120/82.\n\n- HR: 68, regular.\n\n- HENT: Pupils equal. JVP normal. No carotid bruits. Neck soft. Thyroid not enlarged, right midline. No cervical lymphadenopathy.\n\n- Resp: Equal expansion. Normal breath sounds.\n\n- Cardiac: PMI 5th ICS. S1, S2 normal. No rub, gallop or murmurs.\n\n- Abdomen: Soft, non-tender. No bruits. Bowel sounds present.\n\n- Extremities: Equal pulses. No leg oedema.\n\n\n\n\nAssessment:\n\n- Stable CAD.\n\n- LV dysfunction.\n\n\n\n\nPlan:\n\n- Increase Carvedilol to 25 mg BD.\n\n- Increase Ramipril to 20 mg daily.\n\n- Continue Aspirin 25 mg daily.\n\n- Continue Clopidogrel 25 mg daily.\n\n- Return in 3 months.","review":139.5,"saved":104.0,"clean":false,"effort":45.0,"sig":[["missing","Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","Vasotec (enalapril) recorded as ramipril 20 mg, a wrong drug that at that dose exceeds ramipril's usual maximum."],["missing","Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","Aspirin recorded as 25 mg instead of 325 mg, a wrong antiplatelet dose."]],"mb":24.67504,"latency":21.464,"signable":160.964},{"label":"Run 4","wer":20.26143790849673,"text":"Thirty year old patient with a history of inferior OMI posterior coronary artery and circuits stent.\n\nHas, uh, been feeling well. No symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness, dizziness, lightheadedness, no syncope. Next paragraph weighs two hundred and forty-four pounds, blood pressure one twenty over eighty-two. Heart rate is sixty-eight, regular, period. HENT, pupils are equal, JVP is normal, no carotid broovy, neck is soft, thyroid, not enlarged, right? Midline, no cervical nephadenopathy. Respiratory, equal expansion, normal, breath sounds, heart BMI in the fifth and acostal space S1, S2, normal.\n\nNo rub, no gallop, no murmurs. Abdomen, soft, nontender, no bruvous pulse sounds present. Extremity sequel pulses, no leg edema, period. Assessment stable, uh, assessment CAD, number two, LV dysfunction. Plan: Increase Corec to twenty-five milligram BAD. Increase Vasotec to twenty milligrams daily. Uh, continue with aspirin three twenty-five milligrams daily, Plavix twenty-five milligrams daily, return in three months, period.","marks":[[51,64,"wall MI post right",true],[85,93,"circumflex",true],[203,212,"",false],[315,342,"120/82.",false],[387,391,"HEENT",false],[437,443,"bruit.",true],[482,487,"Trachea",true],[510,525,"lymphadenopathy.",false],[585,588,"PMI",true],[596,613,"5th intercostal",false],[697,710,"bruits. Bowel",true],[727,743,"Extremities Equal",false],[856,861,"Coreg",false],[865,891,"25 mg b.i.d.",true],[919,929,"mg",false],[963,991,"325 mg",false],[1006,1028,"25 mg",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","no","\"hx inferior OMI, posterior coronary artery, stent\" misstates the right coronary and circumflex stents."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Feeling well; no chest pain, dyspnoea, orthopnoea, dizziness, lightheadedness or syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","244 lbs, BP 120/82, HR 68 regular."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruits, thyroid not enlarged, midline, no cervical lymphadenopathy."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds, PMI 5th ICS, S1/S2 normal, no rub/gallop/murmurs."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen soft, non-tender, no bruits and equal pulses/no oedema, but bowel sounds omitted."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","\"Stable CAD\", \"LV dysfunction\"."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","\"Increase Coreg to 25mg BD\", \"Increase Vasotec to 20mg daily\"."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","no","Aspirin 325 mg correct but \"Plavix 75mg daily\" is wrong (source 25 mg)."],["The note captures: Return in three months.","yes","\"Return in 3 months\"."]],"claims":[["posterior coronary artery, stent","Source states right coronary artery and circumflex stents; 'posterior coronary artery' is not mentioned."],["Continue Plavix 75mg daily","Source states Plavix 25 mg daily."]],"note":"Subjective:\n\n- 30yo, hx inferior OMI, posterior coronary artery, stent\n\n- Feeling well\n\n- No chest pain, dyspnoea, orthopnoea, dizziness, lightheadedness or syncope\n\n\n\n\nObjective:\n\n- Weight: 244 lbs\n\n- BP: 120/82\n\n- HR: 68, regular\n\n- HENT: pupils equal, JVP normal, no carotid bruits. Neck soft, thyroid not enlarged, midline. No cervical lymphadenopathy\n\n- Resp: equal expansion, normal breath sounds\n\n- CVS: PMI 5th ICS, S1/S2 normal, no rub, no gallop, no murmurs\n\n- Abdo: soft, non-tender, no bruits\n\n- Extremities: equal pulses, no leg oedema\n\n\n\n\nAssessment:\n\n- Stable CAD\n\n- LV dysfunction\n\n\n\n\nPlan:\n\n- Increase Coreg to 25mg BD\n\n- Increase Vasotec to 20mg daily\n\n- Continue aspirin 325mg daily\n\n- Continue Plavix 75mg daily\n\n- Return in 3 months","review":137.7236842105263,"saved":105.7763157894737,"clean":false,"effort":45.0,"sig":[["missing","History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","Wrong stented vessel (posterior instead of RCA) and circumflex stent lost."],["missing","Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","Plavix recorded as 75 mg instead of the stated 25 mg."]],"mb":20.367218,"latency":24.852,"signable":162.5756842105263},{"label":"Run 5","wer":20.915032679738562,"text":"Thirty year old patient with a history of inferior OMI post right coronary artery and circumflex stent.\n\nHas, uh, been feeling well. No ch- symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness, dizziness, lightheadedness, no syncope. Next pill of weight is two hundred and forty-four pounds, blood pressure one twenty over eighty-two. Heart rate is sixty-eight regular, period. HENT, pupils are equal, JVP is normal, no corrected bruvy. Neck is arthritic, not enlarged, trachea, midline, no cervical-\n\nRespiratory equal expansion normal. Breath sounds hard. PMI in the fifth center causal space S1 S2 normal. No rub. No gallop. No murmurs. Abdomen soft. Nontender. No bruvies. Pulse sounds present. Extremities equal pulses. No leg edema. Period. Assessment. Stable. Assessment CAD. Number two LV dysfunction. Plan. Increase Corec to twenty five milligram BAD. Increase Vasotec to twenty milligrams daily. Continue with aspirin three twenty five milligrams daily. Plavix twenty five milligrams daily. Return in three months period.","marks":[[51,54,"wall MI",false],[136,139,"",false],[210,219,"",false],[250,299,"Weighs 244",false],[323,350,"120/82.",false],[394,398,"HEENT",false],[436,452,"carotid bruit.",false],[461,470,"soft. Thyroid",true],[507,516,"cervical lymphadenopathy.",true],[568,573,"Heart",false],[585,604,"5th intercostal",false],[684,698,"bruits. Bowel",true],[841,846,"Coreg",false],[850,876,"25 mg b.i.d.",true],[904,914,"mg",false],[944,972,"325 mg",false],[987,1009,"25 mg",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","'hx of inferior OMI post RCA and circumflex stent'."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","'Feeling well' and denies chest pain, dyspnoea, orthopnoea, dizziness, lightheadedness, syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Weight 244 lbs, BP 120/82, HR 68 regular."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","partial","JVP normal, no carotid bruit, no lymphadenopathy, trachea midline, but thyroid replaced by 'Neck: Arthritic, not enlarged'."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds, PMI 5th ICS, S1 S2 normal, no rub/gallop/murmur."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen soft, non-tender, no bruits and equal pulses without oedema, but bowel sounds present omitted."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","'Stable CAD' and 'LV dysfunction'."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","'Increase Coreg to 25 mg BD' and 'Increase Vasotec to 20 mg daily'."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","'Continue aspirin 325 mg daily' and 'Continue Plavix 25 mg daily'."],["The note captures: Return in three months.","yes","'Return in 3 months'."]],"claims":[["Neck: Arthritic","Source says 'Neck is soft, thyroid not enlarged'; no arthritic neck finding exists."]],"note":"Subjective\n\n- 30-year-old with hx of inferior OMI post RCA and circumflex stent.\n\n- Feeling well.\n\n- No chest pain, dyspnoea, orthopnoea, dizziness, lightheadedness or syncope.\n\n\n\n\nObjective\n\n- Weight: 244 lbs.\n\n- BP: 120/82 mmHg.\n\n- HR: 68 bpm, regular.\n\n- HEENT: Pupils equal, JVP normal, no carotid bruit.\n\n- Neck: Arthritic, not enlarged, trachea midline, no cervical lymphadenopathy.\n\n- Resp: Equal expansion, normal breath sounds.\n\n- CVS: PMI 5th ICS, S1 S2 normal, no rub, no gallop, no murmurs.\n\n- Abdomen: Soft, non-tender, no bruits.\n\n- Extremities: Equal pulses, no leg oedema.\n\n\n\n\nAssessment\n\n- Stable CAD.\n\n- LV dysfunction.\n\n\n\n\nPlan\n\n- Increase Coreg to 25 mg BD.\n\n- Increase Vasotec to 20 mg daily.\n\n- Continue aspirin 325 mg daily.\n\n- Continue Plavix 25 mg daily.\n\n- Return in 3 months.","review":79.19736842105263,"saved":164.30263157894737,"clean":false,"effort":20.0,"sig":[["partial","Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","Neck examination replaced with an invented \"arthritic\" finding; thyroid finding lost."]],"mb":25.697597,"latency":23.821,"signable":103.01836842105263},{"label":"Run 6","wer":21.568627450980394,"text":"Thirty year old patient with a history of inferior OMI posterior coronary artery and circumplex stent.\n\nHas, uh, been feeling well. No ch- symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness, dizziness, lightheadedness, no syncope. Next para weighs two hundred and forty-four pounds, blood pressure one twenty over eighty-two. Heart rate is sixty-eight, regular, period. HENT, pupils are equal, JVP is normal, no carotid broovy. Neck is arthrodead, not enlarged, right? Midline, no cervical-\n\nRespiratory equal expansion. Normal breath sounds heart BMI in the fifth center causal space S1 S2 normal. No rub. No gallop. No murmurs. Abdomen soft. Nontender. No bruvies. Pulse sounds. Present extremities. Sequel pulses. No leg edema. Period. Assessment. Stable. Assessment CAD. Number two LV dysfunction. Plan. Increase Corec to twenty five milligram BAD. Increase Vasotec to twenty milligrams daily. Continue with aspirin three twenty five milligrams daily. Plavix twenty five milligrams daily. Return in three months period.","marks":[[51,64,"wall MI post right",true],[85,95,"circumflex",false],[135,138,"",false],[209,218,"",false],[249,258,"",false],[316,343,"120/82.",false],[388,392,"HEENT",false],[438,445,"bruit.",true],[454,464,"soft. Thyroid",true],[480,485,"Trachea",true],[499,508,"cervical lymphadenopathy.",true],[566,569,"PMI",true],[577,596,"5th intercostal",false],[676,690,"bruits. Bowel",true],[720,726,"Equal",true],[835,840,"Coreg",false],[844,870,"25 mg b.i.d.",true],[898,908,"mg",false],[938,966,"325 mg",false],[981,1003,"25 mg",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","partial","Inferior MI and circumflex stent recorded but RCA rendered as \"posterior coronary artery\"."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Feels well; denies CP, dyspnoea, orthopnoea, dizziness/lightheadedness, syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Wt 244 lb, BP 120/82, HR 68 regular."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","partial","JVP, bruits, midline and LAD recorded, but neck described as \"arthritic\" instead of soft and thyroid not named."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","partial","Resp and heart sounds correct but \"BMI at 5th ICS\" instead of PMI."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen soft NT no bruits, no oedema; bowel sounds omitted and pulses \"present\" not equal."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","CAD and LV dysfunction."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","Coreg 25 mg BID and Vasotec 20 mg daily."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","Continue aspirin 325 mg and Plavix 25 mg daily."],["The note captures: Return in three months.","yes","Return in 3 months."]],"claims":[["Neck: arthritic","Transcript says \"Neck is soft\"; no arthritic finding stated."],["posterior coronary artery stent","Transcript says right coronary artery stent, not posterior."]],"note":"Subjective\n\n- 30yo, hx inferior OMI, posterior coronary artery, circumflex stent\n\n- Feeling well\n\n- No chest pain, dyspnoea, orthopnoea, dizziness, light-headedness, syncope\n\n\n\n\nObjective\n\n- Weight: 244 lbs\n\n- BP: 120/82\n\n- HR: 68, regular\n\n- HEENT: pupils equal, JVP normal, no carotid bruits\n\n- Neck: arthritic, not enlarged, midline, no cervical lymphadenopathy\n\n- Resp: equal expansion, normal breath sounds\n\n- Heart: BMI at 5th ICS, S1 S2 normal, no rub, no gallop, no murmurs\n\n- Abdomen: soft, non-tender, no bruits\n\n- Extremities: pulses present, no leg oedema\n\n\n\n\nAssessment\n\n- Stable\n\n- CAD\n\n- LV dysfunction\n\n\n\n\nPlan\n\n- Increase Coreg to 25mg b.i.d.\n\n- Increase Vasotec to 20mg daily\n\n- Continue aspirin 325mg daily\n\n- Continue Plavix 25mg daily\n\n- Return in 3 months","review":121.17105263157895,"saved":122.32894736842105,"clean":false,"effort":40.0,"sig":[["partial","History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","Stented vessel recorded as posterior coronary artery instead of RCA (wrong site)."],["partial","Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","Neck recorded as 'arthritic' instead of soft."]],"mb":24.791179,"latency":26.122,"signable":147.29305263157895}],"freed":[{"label":"Run 1","wer":17.647058823529413,"text":"30-year-old patient with a history of inferior alveolar postright coronary artery and complex stent has been feeling well, no symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness, lightheadedness, no syncopy.\nExpected weight is 244 pounds, blood pressure 120 over 82, heart rate is 68, regular period HGN2, pupils are equal, JVP is normal, no carotid bruin, neck is hard, thyroid not enlarged, trachea midline, no cervix and lymphadenopathy.\nRespiratory equal expansion normal breath sounds, heart BMI in the 5th intercostal space, S1-S2 normal.\nNo rub, no gallop, no murmurs, abdominals soft, non-tender, no groovies, pulse sounds present, extremities equal, pulses, no leg edema, period.\nAssessments stable.\nAssessments CAD, number 2, LV dysfunction, plan increase, correct to 25 mg, BAD.\nIncrease vasotec to 20 mg, daily.\nContinue with aspirin, 325 mg, daily.\nPlavix, 25 mg, daily.\nReturn in 3 months, period.","marks":[[47,65,"wall MI post right",true],[86,93,"circumflex",true],[216,243,"syncope. Weighs",true],[271,282,"120/82.",false],[317,321,"HEENT",false],[367,372,"bruit.",true],[382,386,"soft.",true],[430,440,"cervical",true],[514,517,"PMI",true],[593,603,"Abdomen",false],[610,620,"nontender.",false],[625,640,"bruits. Bowel",true],[706,717,"Assessment",false],[726,737,"Assessment",false],[784,791,"Coreg",true],[802,806,"b.i.d.",true]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","partial","Stent history present but garbled (\"inferior alveolar postright coronary artery and complex stent\"); MI not stated and circumflex rendered as \"complex\"."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","\"feeling well overall, with no symptoms of chest pain, dyspnea, orthopnea, dizziness, lightheadedness, or syncope\"."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Weight 244 lbs, BP 120/82 and \"heart rate 68 regular\" all captured."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","partial","Only normal JVP captured (in assessment); no carotid bruit, no lymphadenopathy, thyroid and trachea findings omitted."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds, PMI 5th intercostal space, S1/S2 normal, no rub, gallop or murmurs."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen soft, non-tender and equal pulses/no leg edema captured; bowel sounds and abdominal no bruits omitted."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","Coronary artery disease and LV dysfunction both listed."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","partial","Vasotec 20 mg daily correct, but Coreg rendered as \"correct\"/\"Corrector\" to 25 mg with b.i.d. frequency omitted."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","\"Continue aspirin 325 mg daily\" and \"Continue Plavix 25 mg daily\"."],["The note captures: Return in three months.","yes","Follow-up/return in 3 months stated."]],"claims":[],"note":"Subjective\nA 30-year-old patient with a history of coronary artery disease and left ventricular dysfunction, presents for follow-up. The patient reports feeling well overall, with no symptoms of chest pain, dyspnea, orthopnea, dizziness, lightheadedness, or syncope.\n\nMedical History  \n- Coronary artery disease  \n- Left ventricular dysfunction\n\nSurgical History  \n- Complex stent placement\n\nMedications and Supplements  \n- Aspirin 325 mg PO daily  \n- Plavix 25 mg PO daily  \n- Vasotec 20 mg PO daily  \n- Correct 25 mg PO\n\nObjective\nVital Signs  \n- Blood Pressure: 120/82 mmHg  \n- Heart Rate: 68 bpm  \n- Weight: 244 lbs\n\nPhysical Examination  \n- HEENT: Pupils equal  \n- Cardiovascular: PMI in the 5th intercostal space. S1 and S2 normal. No rub, no gallop, no murmurs  \n- Respiratory: Equal expansion. Normal breath sounds  \n- Abdomen: Soft, non-tender  \n- Extremities: Equal pulses. No leg edema\n\nAssessment & Plan\n30-year-old patient with coronary artery disease status post complex stent, presenting for routine follow-up.\n\nCoronary Artery Disease with LV Dysfunction\nAssessment: Currently asymptomatic with no chest pain, dyspnea, orthopnea, dizziness, lightheadedness, or syncope. History of inferior alveolar postright coronary artery and complex stent placement. Physical examination reveals stable vital signs with blood pressure 120/82 mmHg, heart rate 68 regular, normal heart sounds without rubs, gallops, or murmurs. No signs of heart failure on examination with normal JVP and no lower extremity edema. Patient demonstrates good clinical stability with current medical management.\nPlan:\n- Increase correct to 25 mg\n- Increase Vasotec to 20 mg daily\n- Continue aspirin 325 mg daily\n- Continue Plavix 25 mg daily\n- Return in 3 months\n","review":137.94736842105263,"saved":105.55263157894737,"clean":false,"effort":20.0,"sig":[["partial","History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","Prior inferior MI not stated and circumflex stent garbled/missing, losing key cardiac history."],["partial","Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","Coreg misnamed and b.i.d. frequency lost, risking wrong beta-blocker dosing."]],"mb":7.409577,"latency":33.309,"signable":159.66536842105262},{"label":"Run 2","wer":17.647058823529413,"text":"30-year-old patient with a history of inferior alveolar postright coronary artery and complex stent has been feeling well, no symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness, lightheadedness, no syncopy.\nExpected weight is 244 pounds, blood pressure 120 over 82, heart rate is 68, regular period HGN2, pupils are equal, JVP is normal, no carotid bruin, neck is hard, thyroid not enlarged, trachea midline, no cervix and lymphadenopathy.\nRespiratory equal expansion normal breath sounds, heart BMI in the 5th intercostal space, S1-S2 normal.\nNo rub, no gallop, no murmurs, abdominals soft, non-tender, no groovies, pulse sounds present, extremities equal, pulses, no leg edema, period.\nAssessments stable.\nAssessments CAD, number 2, LV dysfunction, plan increase, correct to 25 mg, BAD.\nIncrease vasotec to 20 mg, daily.\nContinue with aspirin, 325 mg, daily.\nPlavix, 25 mg, daily.\nReturn in 3 months, period.","marks":[[47,65,"wall MI post right",true],[86,93,"circumflex",true],[216,243,"syncope. Weighs",true],[271,282,"120/82.",false],[317,321,"HEENT",false],[367,372,"bruit.",true],[382,386,"soft.",true],[430,440,"cervical",true],[514,517,"PMI",true],[593,603,"Abdomen",false],[610,620,"nontender.",false],[625,640,"bruits. Bowel",true],[706,717,"Assessment",false],[726,737,"Assessment",false],[784,791,"Coreg",true],[802,806,"b.i.d.",true]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","partial","\"status post stent to right coronary artery\" and \"inferior involvement with complex stent placement\"; MI not stated and circumflex stent missing."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Feeling well; denies chest pain, dyspnea, orthopnea, dizziness, lightheadedness, or syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Weight 244 lbs, BP 120/82, \"heart rate 68 regular\"."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","partial","No carotid bruits and no JVD captured; cervical lymphadenopathy, thyroid and trachea findings omitted."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds, PMI 5th intercostal space, normal S1/S2, no murmurs, gallops, or rubs."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen soft, non-tender and equal pulses/no edema captured; bowel sounds and abdominal no bruits omitted."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","CAD and \"complicated by left ventricular dysfunction\" both captured."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","partial","Vasotec 20 mg daily correct, but Coreg rendered as \"correct\"/\"Corrector\" to 25 mg with b.i.d. frequency omitted."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","\"Continue aspirin 325 mg daily\" and \"Continue Plavix 25 mg daily\"."],["The note captures: Return in three months.","yes","Follow-up/return in 3 months stated."]],"claims":[],"note":"Subjective\nCliniTech Benchmark be8a8db0, a 30-year-old patient with a history of coronary artery disease and left ventricular dysfunction, presents for follow-up. The patient reports feeling well overall. The patient denies chest pain, dyspnea, orthopnea, dizziness, lightheadedness, or syncope.\n\nMedical History  \n- Coronary artery disease  \n- Left ventricular dysfunction\n\nSurgical History  \n- Complex stent placement\n\nMedications and Supplements  \n- Aspirin 325 mg PO daily  \n- Plavix 25 mg PO daily  \n- Vasotec 20 mg PO daily  \n- Corrector 25 mg PO\n\nObjective\nVital Signs  \n- Blood Pressure: 120/82 mmHg  \n- Heart Rate: 68 bpm  \n- Weight: 244 lbs\n\nPhysical Examination  \n- HEENT: Pupils equal. No carotid bruits  \n- Cardiovascular: PMI in the 5th intercostal space. Regular rate and rhythm. Normal S1, S2. No murmurs, gallops, or rubs. No JVD  \n- Respiratory: Equal expansion. Normal breath sounds  \n- Abdomen: Soft, non-tender  \n- Extremities: No edema. Pulses equal bilaterally\n\nAssessment & Plan\n30-year-old patient with coronary artery disease status post stent to right coronary artery, presenting for routine follow-up.\n\nCoronary Artery Disease  \nAssessment: Currently asymptomatic with no chest pain, dyspnea, orthopnea, dizziness, lightheadedness, or syncope. Blood pressure today is 120/82 mmHg with heart rate 68 regular. Physical examination reveals normal heart sounds without rubs, gallops, or murmurs. No evidence of heart failure with normal JVP and no lower extremity edema. Patient has history of inferior involvement with complex stent placement, complicated by left ventricular dysfunction.  \nPlan:  \n- Continue aspirin 325 mg daily  \n- Continue Plavix 25 mg daily  \n- Increase Vasotec to 20 mg daily  \n- Increase correct to 25 mg  \n- Follow up in 3 months\n","review":138.57894736842104,"saved":104.92105263157896,"clean":false,"effort":20.0,"sig":[["partial","History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","Prior inferior MI not stated and circumflex stent garbled/missing, losing key cardiac history."],["partial","Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","Coreg misnamed and b.i.d. frequency lost, risking wrong beta-blocker dosing."]],"mb":4.912704,"latency":36.143,"signable":163.16194736842104},{"label":"Run 3","wer":17.647058823529413,"text":"30-year-old patient with a history of inferior alveolar postright coronary artery and complex stent has been feeling well, no symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness, lightheadedness, no syncopy.\nExpected weight is 244 pounds, blood pressure 120 over 82, heart rate is 68, regular period HGN2, pupils are equal, JVP is normal, no carotid bruin, neck is hard, thyroid not enlarged, trachea midline, no cervix and lymphadenopathy.\nRespiratory equal expansion normal breath sounds, heart BMI in the 5th intercostal space, S1-S2 normal.\nNo rub, no gallop, no murmurs, abdominals soft, non-tender, no groovies, pulse sounds present, extremities equal, pulses, no leg edema, period.\nAssessments stable.\nAssessments CAD, number 2, LV dysfunction, plan increase, correct to 25 mg, BAD.\nIncrease vasotec to 20 mg, daily.\nContinue with aspirin, 325 mg, daily.\nPlavix, 25 mg, daily.\nReturn in 3 months, period.","marks":[[47,65,"wall MI post right",true],[86,93,"circumflex",true],[216,243,"syncope. Weighs",true],[271,282,"120/82.",false],[317,321,"HEENT",false],[367,372,"bruit.",true],[382,386,"soft.",true],[430,440,"cervical",true],[514,517,"PMI",true],[593,603,"Abdomen",false],[610,620,"nontender.",false],[625,640,"bruits. Bowel",true],[706,717,"Assessment",false],[726,737,"Assessment",false],[784,791,"Coreg",true],[802,806,"b.i.d.",true]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","partial","Mentions RCA involvement and \"Complex stent placement of the right coronary artery\" but omits the inferior-wall MI and the circumflex stent."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","\"Reports feeling well overall. Denies chest pain, dyspnea, orthopnea, dizziness, lightheadedness, or syncope.\""],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Weight 244 lbs, BP 120/82, and \"heart rate 68 regular\" in the assessment."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","partial","Notes \"No JVD\"/normal JVP but omits carotid bruit, cervical lymphadenopathy, thyroid and trachea findings."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds, PMI 5th intercostal space, S1/S2 normal, no rub, gallop or murmur."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen soft, non-tender, no bruits and equal pulses without edema, but bowel sounds are omitted."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","\"Coronary Artery Disease with LV Dysfunction\"."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","partial","Vasotec 20 mg daily correct, but \"Increase coreg to 25 mg\" omits twice daily and med list names it \"Corrector 25 mg PO\"."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","Continue aspirin 325 mg daily and Plavix 25 mg daily."],["The note captures: Return in three months.","yes","\"Follow up in 3 months\"."]],"claims":[["Complex stent placement of the right coronary artery","Transcript says RCA and circumflex stent; nothing describes the stent procedure as \"complex\"."],["Corrector 25 mg PO","No medication named \"Corrector\" in the transcript; the drug stated is Coreg 25 mg b.i.d."]],"note":"Subjective\nA 30-year-old patient with a history of coronary artery disease involving the right coronary artery and left ventricular dysfunction presents for follow-up. Reports feeling well overall. Denies chest pain, dyspnea, orthopnea, dizziness, lightheadedness, or syncope.\n\nMedical History  \n- Coronary artery disease involving the right coronary artery  \n- Left ventricular dysfunction\n\nSurgical History  \n- Complex stent placement of the right coronary artery\n\nMedications and Supplements  \n- Aspirin 325 mg PO daily  \n- Plavix 25 mg PO daily  \n- Vasotec 20 mg PO daily  \n- Corrector 25 mg PO\n\nObjective\nVital Signs  \n- Blood Pressure: 120/82 mmHg  \n- Heart Rate: 68 bpm  \n- Weight: 244 lbs\n\nPhysical Examination  \n- HEENT: Pupils equal  \n- Cardiovascular: PMI in the 5th intercostal space. S1 and S2 normal. No rub, no gallop, no murmurs. Pulses present and equal. No JVD  \n- Respiratory: Equal expansion. Normal breath sounds  \n- Abdomen: Soft, non-tender. No bruits  \n- Extremities: No edema. Pulses equal\n\nAssessment & Plan\n30-year-old patient with coronary artery disease status post complex stent to right coronary artery, presenting for routine follow-up.\n\nCoronary Artery Disease with LV Dysfunction\nAssessment: Currently asymptomatic with no chest pain, dyspnea, orthopnea, dizziness, lightheadedness, or syncope. Physical examination reveals stable vital signs with blood pressure 120/82 mmHg and heart rate 68 regular. Normal heart sounds without rubs, gallops, or murmurs. No evidence of heart failure on examination with normal JVP and no peripheral edema.\nPlan:\n- Increase Vasotec to 20 mg daily\n- Increase coreg to 25 mg\n- Continue aspirin 325 mg daily\n- Continue Plavix 25 mg daily\n- Follow up in 3 months\n","review":162.57894736842104,"saved":80.92105263157896,"clean":false,"effort":40.0,"sig":[["partial","History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","Omits the prior inferior-wall MI and the circumflex stent, key cardiac history for a CAD/LV dysfunction patient."],["partial","Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","Coreg increase lacks b.i.d. frequency and the med list names a nonexistent drug \"Corrector\"."]],"mb":7.273923,"latency":35.613,"signable":187.63894736842104},{"label":"Run 4","wer":17.647058823529413,"text":"30-year-old patient with a history of inferior alveolar postright coronary artery and complex stent has been feeling well, no symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness, lightheadedness, no syncopy.\nExpected weight is 244 pounds, blood pressure 120 over 82, heart rate is 68, regular period HGN2, pupils are equal, JVP is normal, no carotid bruin, neck is hard, thyroid not enlarged, trachea midline, no cervix and lymphadenopathy.\nRespiratory equal expansion normal breath sounds, heart BMI in the 5th intercostal space, S1-S2 normal.\nNo rub, no gallop, no murmurs, abdominals soft, non-tender, no groovies, pulse sounds present, extremities equal, pulses, no leg edema, period.\nAssessments stable.\nAssessments CAD, number 2, LV dysfunction, plan increase, correct to 25 mg, BAD.\nIncrease vasotec to 20 mg, daily.\nContinue with aspirin, 325 mg, daily.\nPlavix, 25 mg, daily.\nReturn in 3 months, period.","marks":[[47,65,"wall MI post right",true],[86,93,"circumflex",true],[216,243,"syncope. Weighs",true],[271,282,"120/82.",false],[317,321,"HEENT",false],[367,372,"bruit.",true],[382,386,"soft.",true],[430,440,"cervical",true],[514,517,"PMI",true],[593,603,"Abdomen",false],[610,620,"nontender.",false],[625,640,"bruits. Bowel",true],[706,717,"Assessment",false],[726,737,"Assessment",false],[784,791,"Coreg",true],[802,806,"b.i.d.",true]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","partial","Stent history present but garbled (\"inferior alveolar postright coronary artery and complex stent\"); MI not stated and circumflex rendered as \"complex\"."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","\"feeling well overall, with no symptoms of chest pain, dyspnea, orthopnea, dizziness, lightheadedness, or syncope\"."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Weight 244 lbs, BP 120/82 and \"heart rate 68 regular\" all captured."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","partial","Only normal JVP captured (in assessment); no carotid bruit, no lymphadenopathy, thyroid and trachea findings omitted."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds, PMI 5th intercostal space, S1/S2 normal, no rub, gallop or murmurs."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen soft, non-tender, bowel sounds present, equal pulses, no leg edema; abdominal \"no bruits\" omitted."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","Coronary artery disease and LV dysfunction both listed."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","no","Coreg given as \"Corrector 25 mg PO daily\" (transcript: 25 mg b.i.d.) and misnamed; Vasotec 20 mg daily correct."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","\"Continue aspirin 325 mg daily\" and \"Continue Plavix 25 mg daily\"."],["The note captures: Return in three months.","yes","Follow-up/return in 3 months stated."]],"claims":[["Corrector 25 mg PO daily","Transcript states Coreg 25 mg b.i.d.; once-daily frequency is not supported anywhere in the transcript."]],"note":"Subjective\nA 30-year-old patient with a history of coronary artery disease and left ventricular dysfunction, presents for follow-up. The patient reports feeling well overall, with no symptoms of chest pain, dyspnea, orthopnea, dizziness, lightheadedness, or syncope.\n\nMedical History  \n- Coronary artery disease  \n- Left ventricular dysfunction\n\nSurgical History  \n- Complex stent placement\n\nMedications and Supplements  \n- Aspirin 325 mg PO daily  \n- Plavix 25 mg PO daily  \n- Vasotec 20 mg PO daily  \n- Corrector 25 mg PO daily\n\nObjective\nVital Signs  \n- Blood Pressure: 120/82 mmHg  \n- Heart Rate: 68 bpm  \n- Weight: 244 lbs\n\nPhysical Examination  \n- HEENT: Pupils equal  \n- Cardiovascular: PMI in the 5th intercostal space. S1 and S2 normal. No rub, no gallop, no murmurs. Pulses present  \n- Respiratory: Equal expansion. Normal breath sounds  \n- Abdomen: Soft, non-tender. Bowel sounds present  \n- Extremities: Equal pulses. No leg edema\n\nAssessment & Plan\n30-year-old patient with coronary artery disease status post complex stent, presenting for routine follow-up.\n\nCoronary Artery Disease with LV Dysfunction\nAssessment: Currently asymptomatic with no chest pain, dyspnea, orthopnea, dizziness, lightheadedness, or syncope. History of inferior alveolar postright coronary artery and complex stent placement. Physical examination reveals stable vital signs with blood pressure 120/82 mmHg and heart rate 68 regular. Normal heart sounds without rubs, gallops, or murmurs. No evidence of heart failure on examination with normal JVP and no lower extremity edema. Patient demonstrates good clinical stability with current medical management.\nPlan:\n- Increase correct to 25 mg\n- Increase Vasotec to 20 mg daily\n- Continue aspirin 325 mg daily\n- Continue Plavix 25 mg daily\n- Follow up in 3 months\n","review":162.2236842105263,"saved":81.2763157894737,"clean":false,"effort":35.0,"sig":[["partial","History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","Prior inferior MI not stated and circumflex stent garbled/missing, losing key cardiac history."],["missing","Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","Coreg misnamed as Corrector and given daily instead of b.i.d."]],"mb":7.252605,"latency":34.5,"signable":185.9536842105263},{"label":"Run 5","wer":17.647058823529413,"text":"30-year-old patient with a history of inferior alveolar postright coronary artery and complex stent has been feeling well, no symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness, lightheadedness, no syncopy.\nExpected weight is 244 pounds, blood pressure 120 over 82, heart rate is 68, regular period HGN2, pupils are equal, JVP is normal, no carotid bruin, neck is hard, thyroid not enlarged, trachea midline, no cervix and lymphadenopathy.\nRespiratory equal expansion normal breath sounds, heart BMI in the 5th intercostal space, S1-S2 normal.\nNo rub, no gallop, no murmurs, abdominals soft, non-tender, no groovies, pulse sounds present, extremities equal, pulses, no leg edema, period.\nAssessments stable.\nAssessments CAD, number 2, LV dysfunction, plan increase, correct to 25 mg, BAD.\nIncrease vasotec to 20 mg, daily.\nContinue with aspirin, 325 mg, daily.\nPlavix, 25 mg, daily.\nReturn in 3 months, period.","marks":[[47,65,"wall MI post right",true],[86,93,"circumflex",true],[216,243,"syncope. Weighs",true],[271,282,"120/82.",false],[317,321,"HEENT",false],[367,372,"bruit.",true],[382,386,"soft.",true],[430,440,"cervical",true],[514,517,"PMI",true],[593,603,"Abdomen",false],[610,620,"nontender.",false],[625,640,"bruits. Bowel",true],[706,717,"Assessment",false],[726,737,"Assessment",false],[784,791,"Coreg",true],[802,806,"b.i.d.",true]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","partial","Stent history present but garbled (\"inferior alveolar postright coronary artery and complex stent\"); MI not stated and circumflex rendered as \"complex\"."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","\"feeling well overall, with no symptoms of chest pain, dyspnea, orthopnea, dizziness, lightheadedness, or syncope\"."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Weight 244 lbs, BP 120/82 and \"heart rate 68 regular\" all captured."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","partial","Only normal JVP captured (in assessment); no carotid bruit, no lymphadenopathy, thyroid and trachea findings omitted."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds, PMI 5th intercostal space, S1/S2 normal, no rub, gallop or murmurs."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen soft, non-tender, bowel sounds present, equal pulses, no leg edema; abdominal \"no bruits\" omitted."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","Coronary artery disease and LV dysfunction both listed."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","partial","Vasotec 20 mg daily correct, but Coreg rendered as \"correct\"/\"Corrector\" to 25 mg with b.i.d. frequency omitted."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","\"Continue aspirin 325 mg daily\" and \"Continue Plavix 25 mg daily\"."],["The note captures: Return in three months.","yes","Follow-up/return in 3 months stated."]],"claims":[],"note":"Subjective\nCliniTech Benchmark fdd279f2, a 30-year-old patient with a history of coronary artery disease and left ventricular dysfunction, presents for follow-up. The patient reports feeling well overall, with no symptoms of chest pain, dyspnea, orthopnea, dizziness, lightheadedness, or syncope.\n\nMedical History  \n- Coronary artery disease  \n- Left ventricular dysfunction\n\nSurgical History  \n- Complex stent placement\n\nMedications and Supplements  \n- Aspirin 325 mg PO daily  \n- Plavix 25 mg PO daily  \n- Vasotec  \n- Correct\n\nObjective\nVital Signs  \n- Blood Pressure: 120/82 mmHg  \n- Heart Rate: 68 bpm  \n- Weight: 244 lbs\n\nPhysical Examination  \n- HEENT: Pupils equal  \n- Cardiovascular: PMI in the 5th intercostal space. S1 and S2 normal. No rub, no gallop, no murmurs  \n- Respiratory: Equal expansion. Normal breath sounds  \n- Abdomen: Soft, non-tender. Bowel sounds present  \n- Extremities: Equal pulses. No leg edema\n\nAssessment & Plan\n30-year-old patient with coronary artery disease status post complex stent, presenting for routine follow-up.\n\nCoronary Artery Disease with LV Dysfunction\nAssessment: Patient has stable coronary artery disease with history of inferior alveolar postright coronary artery and complex stent placement. Currently asymptomatic with no chest pain, dyspnea, orthopnea, dizziness, lightheadedness, or syncope. Physical examination reveals stable vital signs with blood pressure 120/82 mmHg, heart rate 68 regular, normal heart sounds without rubs, gallops, or murmurs. No evidence of heart failure on examination with normal JVP and no lower extremity edema. Patient demonstrates good clinical stability.\nPlan:\n- Increase correct to 25 mg\n- Increase Vasotec to 20 mg daily\n- Continue aspirin 325 mg daily\n- Continue Plavix 25 mg daily\n- Follow up in 3 months\n","review":138.89473684210526,"saved":104.60526315789474,"clean":false,"effort":20.0,"sig":[["partial","History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","Prior inferior MI not stated and circumflex stent garbled/missing, losing key cardiac history."],["partial","Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","Coreg misnamed as correct with b.i.d. frequency omitted; med list also lacks doses."]],"mb":7.248461,"latency":36.764,"signable":165.00173684210526}],"cliniscripts":[{"label":"Run 1","wer":1.9607843137254901,"text":"Uh, 30-year-old patient with a history of inferior wall MI, post right coronary artery and circumflex stent, has been feeling well, no symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness, lightheadedness, no syncope.\nNext paragraph weighs 244 pounds, blood pressure 120/82, heart rate is 68, regular.\nHEENT: Pupils are equal. JVP is normal. No carotid bruit. Neck is soft. Thyroid not enlarged. Trachea midline. No cervical lymphadenopathy. Respiratory: Equal expansion, normal breath sounds. Heart: BMI in the 5th intercostal space, S1, S2 normal. No rub, no gallop, no murmurs. Abdomen soft, nontender. No bruits. Bowel sounds present. Extremities: Equal pulses, no leg edema.\nAssessment: Stable CAD. 2.\nLV dysfunction. Plan: Increase Coreg to 25 mg b.i.d. Increase Vasotec to 20 mg daily. Continue with aspirin 325 mg daily, Plavix 25 mg daily. Return in 3 months.","marks":[[517,520,"PMI",true],[714,714,"Assessment",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","Inferior wall MI with right coronary artery and circumflex stent placement."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Feeling well; denies chest pain, dyspnea, orthopnea, dizziness, lightheadedness, or syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Weight 244 pounds, BP 120/82, heart rate 68 bpm regular rhythm."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruit, thyroid not enlarged, trachea midline, no cervical lymphadenopathy."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds; PMI 5th intercostal space, S1/S2 normal, no rub, gallop or murmurs."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","yes","Abdomen soft, non-tender, no bruits, bowel sounds present; equal pulses, no leg edema."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","CAD and LV dysfunction listed in assessment."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","\"Increase Coreg to 25 mg b.i.d.\" and \"Increase Vasotec to 20 mg daily\"."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","Continue aspirin 325 mg daily and Plavix 25 mg daily."],["The note captures: Return in three months.","yes","\"Return in 3 months for follow-up.\""]],"claims":[],"note":"S (Subjective):\n- The patient is a 30-year-old individual with a history of inferior wall myocardial infarction (MI).\n- They have previously undergone right coronary artery and circumflex stent placement.\n- The patient reports feeling well with no current symptoms.\n- They deny experiencing chest pain, dyspnea, orthopnea, dizziness, lightheadedness, or syncope.\n\nO (Objective):\n- Weight: 244 pounds.\n- Blood Pressure: 120/82 mmHg.\n- Heart Rate: 68 bpm, regular rhythm.\n- HEENT: Pupils are equal, JVP is normal, no carotid bruit, neck is soft, thyroid not enlarged, trachea midline, no cervical lymphadenopathy.\n- Respiratory: Equal expansion, normal breath sounds.\n- Heart: PMI in the 5th intercostal space, S1, S2 normal, no rub, no gallop, no murmurs.\n- Abdomen: Soft, non-tender, no bruits, bowel sounds present.\n- Extremities: Equal pulses, no leg edema.\n\nA (Assessment):\n- Stable Coronary Artery Disease (CAD).\n- Left Ventricular (LV) dysfunction.\n\nP (Plan):\n- Increase Coreg to 25 mg b.i.d.\n- Increase Vasotec to 20 mg daily.\n- Continue Aspirin 325 mg daily.\n- Continue Plavix 25 mg daily.\n- Return in 3 months for follow-up.\n","review":53.05263157894737,"saved":190.44736842105263,"clean":true,"effort":0.0,"sig":[],"mb":5.977345,"latency":25.982,"signable":65.06463157894737},{"label":"Run 2","wer":1.3071895424836601,"text":"Uh, 30-year-old patient with a history of inferior wall MI, post right coronary artery and circumflex stent, has been feeling well, no symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness, lightheadedness, no syncope.\nNext paragraph weighs 244 pounds, blood pressure 120/82, heart rate is 68, regular.\nHEENT: Pupils are equal. JVP is normal, no carotid bruit. Neck is soft. Thyroid not enlarged. Trachea midline. No cervical lymphadenopathy. Respiratory: Equal expansion, normal breath sounds. Heart: BMI in the 5th intercostal space, S1, S2 normal. No rub, no gallop, no murmurs. Abdomen soft, nontender, no bruits. Bowel sounds present. Extremities: Equal pulses, no leg edema.\nAssessment: Stable. Assessment: CAD. 2. LV dysfunction. Plan: Increase Coreg to 25 mg b.i.d. Increase Vasotec to 20 mg daily. Continue with aspirin 325 mg daily, Plavix 25 mg daily. Return in 3 months.","marks":[[517,520,"PMI",true]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","\"history of inferior wall MI, post right coronary artery and circumflex stent placement\"."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Feeling well, no chest pain; denies dyspnea, orthopnea, dizziness, lightheadedness, or syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Weight 244 pounds, BP 120/82, HR 68 regular."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruit, thyroid not enlarged, trachea midline, no cervical lymphadenopathy."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","partial","Equal expansion and heart sounds correct, but \"BMI in the 5th intercostal space\" misstates PMI."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","yes","Abdomen soft, nontender, no bruits, bowel sounds present; equal pulses, no leg edema."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","Assessment lists CAD and LV dysfunction."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","\"Increase Coreg to 25 mg b.i.d.\" and \"Increase Vasotec to 20 mg daily\"."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","Continue aspirin 325 mg daily and Plavix 25 mg daily."],["The note captures: Return in three months.","yes","\"Return in 3 months.\""]],"claims":[],"note":"S (Subjective):\n- The patient is a 30-year-old individual with a history of inferior wall MI, post right coronary artery and circumflex stent placement.\n- The patient reports feeling well with no symptoms of chest pain.\n- They deny symptoms of dyspnea, orthopnea, dizziness, lightheadedness, or syncope.\n\nO (Objective):\n- Weight: 244 pounds.\n- Blood pressure: 120/82.\n- Heart rate: 68, regular.\n- HEENT: Pupils are equal, JVP is normal, no carotid bruit, neck is soft, thyroid not enlarged, trachea midline, no cervical lymphadenopathy.\n- Respiratory: Equal expansion, normal breath sounds.\n- Heart: BMI in the 5th intercostal space, S1, S2 normal, no rub, no gallop, no murmurs.\n- Abdomen: Soft, nontender, no bruits, bowel sounds present.\n- Extremities: Equal pulses, no leg edema.\n\nA (Assessment):\n- Stable condition.\n- Coronary Artery Disease (CAD).\n- Left Ventricular (LV) dysfunction.\n\nP (Plan):\n- Increase Coreg to 25 mg b.i.d.\n- Increase Vasotec to 20 mg daily.\n- Continue aspirin 325 mg daily.\n- Continue Plavix 25 mg daily.\n- Return in 3 months.\n","review":68.39473684210526,"saved":175.10526315789474,"clean":false,"effort":5.0,"sig":[],"mb":5.839544,"latency":37.037,"signable":91.43773684210527},{"label":"Run 3","wer":1.9607843137254901,"text":"30-year-old patient with a history of inferior wall MI, post right coronary artery and circumflex stent, has been feeling well, no symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness, lightheadedness, no syncope.\nNext paragraph weighs 244 pounds, blood pressure 120/82, heart rate is 68, regular.\nHEENT: Pupils are equal. JVP is normal. No carotid bruit. Neck is soft. Thyroid not enlarged. Trachea midline. No cervical lymphadenopathy. Respiratory: Equal expansion, normal breath sounds. Heart: BMI in the 5th intercostal space. S1, S2 normal. No rub, no gallop, no murmurs. Abdomen soft, nontender. No bruits. Bowel sounds present. Extremities: Equal pulses. No leg edema.\nStable. CAD. 2.\nLV dysfunction. Plan: Increase Coreg to 25 mg b.i.d. Increase Vasotec to 20 mg daily. Continue with aspirin 325 mg daily, Plavix 25 mg daily. Return in 3 months.","marks":[[513,516,"PMI",true],[691,691,"Assessment",false],[699,699,"Assessment",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","\"history of inferior wall MI, post right coronary artery and circumflex stent\"."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Feeling well, no chest pain; denies dyspnea, orthopnea, dizziness, lightheadedness, or syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Weight 244 pounds, BP 120/82, heart rate 68 regular."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruit, thyroid not enlarged, trachea midline, no cervical lymphadenopathy."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","partial","Respiratory and heart sounds correct, but PMI written as \"BMI in the 5th intercostal space\"."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","yes","Abdomen soft, nontender, no bruits, bowel sounds present; equal pulses, no leg edema."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","CAD and LV dysfunction listed in assessment."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","\"Increase Coreg to 25 mg b.i.d.\" and \"Increase Vasotec to 20 mg daily\"."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","Continue aspirin 325 mg daily and Plavix 25 mg daily."],["The note captures: Return in three months.","yes","\"Return in 3 months.\""]],"claims":[],"note":"S (Subjective):\n- The patient is a 30-year-old individual with a history of inferior wall MI, post right coronary artery and circumflex stent.\n- The patient reports feeling well with no symptoms of chest pain.\n- They deny symptoms of dyspnea, orthopnea, dizziness, lightheadedness, or syncope.\n\nO (Objective):\n- Weight: 244 pounds.\n- Blood pressure: 120/82.\n- Heart rate: 68, regular.\n- HEENT: Pupils equal, JVP normal, no carotid bruit, neck soft, thyroid not enlarged, trachea midline, no cervical lymphadenopathy.\n- Respiratory: Equal expansion, normal breath sounds.\n- Heart: BMI in the 5th intercostal space, S1, S2 normal, no rub, gallop, or murmurs.\n- Abdomen: Soft, nontender, no bruits, bowel sounds present.\n- Extremities: Equal pulses, no leg edema.\n\nA (Assessment):\n- Coronary Artery Disease (CAD).\n- Left Ventricular (LV) dysfunction.\n\nP (Plan):\n- Increase Coreg to 25 mg b.i.d.\n- Increase Vasotec to 20 mg daily.\n- Continue aspirin 325 mg daily.\n- Continue Plavix 25 mg daily.\n- Return in 3 months.\n","review":66.1842105263158,"saved":177.31578947368422,"clean":false,"effort":5.0,"sig":[],"mb":5.85161,"latency":23.533,"signable":75.1552105263158},{"label":"Run 4","wer":2.6143790849673203,"text":"30-year-old patient with a history of inferior wall MI, post right coronary artery and circumflex stent, has been feeling well, no symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness, lightheadedness, no syncope.\nNext paragraph weighs 244 pounds, blood pressure 120/82, heart rate is 68, regular.\nHEENT: Pupils are equal. JVP is normal. No carotid bruit. Neck is soft. Thyroid not enlarged. Trachea midline. No cervical lymphadenopathy. Respiratory: Equal expiration, normal breath sounds. Heart: BMI in the 5th intercostal space. S1, S2 normal. No rub, no gallop, no murmurs. Abdomen soft, nontender. No bruits. Bowel sounds present. Extremities: Equal pulses. No leg edema.\nStable. CAD. 2. LV dysfunction. Plan: Increase Coreg to 25 mg b.i.d. Increase Vasotec to 20 mg daily. Continue with aspirin 325 mg daily, Plavix 25 mg daily. Return in 3 months.","marks":[[473,483,"expansion",false],[514,517,"PMI",true],[692,692,"Assessment",false],[700,700,"Assessment",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","\"history of inferior wall MI, post right coronary artery and circumflex stent\"."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Feeling well; denies chest pain, dyspnea, orthopnea, dizziness, lightheadedness, and syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Weight 244 pounds, BP 120/82, heart rate 68 bpm regular."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruit, thyroid not enlarged, trachea midline, no cervical lymphadenopathy."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","partial","\"Equal expiration\" instead of expansion and \"BMI in the 5th intercostal space\" instead of PMI; heart sounds otherwise correct."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","yes","Abdomen soft, non-tender, no bruits, bowel sounds present; equal pulses, no leg edema."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","CAD and LV dysfunction listed in assessment."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","\"Increase Coreg to 25 mg b.i.d.\" and \"Increase Vasotec to 20 mg daily\"."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","Continue aspirin 325 mg daily and Plavix 25 mg daily."],["The note captures: Return in three months.","yes","\"Return in 3 months.\""]],"claims":[],"note":"S (Subjective):\n- The patient is a 30-year-old individual with a history of inferior wall MI, post right coronary artery and circumflex stent.\n- The patient reports feeling well with no current symptoms.\n- The patient denies chest pain, dyspnea, orthopnea, dizziness, lightheadedness, and syncope.\n\nO (Objective):\n- Weight: 244 pounds.\n- Blood Pressure: 120/82 mmHg.\n- Heart Rate: 68 bpm, regular.\n- HEENT: Pupils equal, JVP normal, no carotid bruit, neck soft, thyroid not enlarged, trachea midline, no cervical lymphadenopathy.\n- Respiratory: Equal expiration, normal breath sounds.\n- Heart: BMI in the 5th intercostal space, S1, S2 normal, no rub, no gallop, no murmurs.\n- Abdomen: Soft, non-tender, no bruits, bowel sounds present.\n- Extremities: Equal pulses, no leg edema.\n\nA (Assessment):\n- Stable Coronary Artery Disease (CAD).\n- Left Ventricular (LV) dysfunction.\n\nP (Plan):\n- Increase Coreg to 25 mg b.i.d.\n- Increase Vasotec to 20 mg daily.\n- Continue Aspirin 325 mg daily.\n- Continue Plavix 25 mg daily.\n- Return in 3 months.\n","review":67.44736842105263,"saved":176.05263157894737,"clean":false,"effort":5.0,"sig":[],"mb":5.927849,"latency":29.333,"signable":76.42336842105263},{"label":"Run 5","wer":1.9607843137254901,"text":"30-year-old patient with a history of inferior wall MI, post right coronary artery and circumflex stent, has been feeling well, no symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness, lightheadedness, no syncope.\nNext paragraph weighs 244 pounds, blood pressure 120/82, heart rate is 68, regular.\nHEENT: Pupils are equal. JVP is normal. No carotid bruit. Neck is soft. Thyroid not enlarged. Trachea midline. No cervical lymphadenopathy. Respiratory: Equal expiration, normal breath sounds. Heart: BMI in the 5th intercostal space. S1, S2 normal. No rub, no gallop, no murmurs. Abdomen soft, nontender. No bruits. Bowel sounds present. Extremities: Equal pulses. No leg edema.\nAssessment: Stable CAD. 2. LV dysfunction. Plan: Increase Coreg to 25 mg b.i.d. Increase Vasotec to 20 mg daily. Continue with aspirin 325 mg daily, Plavix 25 mg daily. Return in 3 months.","marks":[[473,483,"expansion",false],[514,517,"PMI",true],[711,711,"Assessment",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","\"history of inferior wall myocardial infarction (MI) and post right coronary artery (RCA) and circumflex stent placement\"."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Reports feeling well; denies chest pain, dyspnea, orthopnea, dizziness, lightheadedness, or syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Weight 244 pounds, BP 120/82, HR 68 regular all recorded."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","\"JVP is normal, no carotid bruit... thyroid not enlarged, trachea midline, no cervical lymphadenopathy\"."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","partial","Heart sounds captured, but \"Equal expiration\" replaces equal expansion and \"BMI in the 5th intercostal space\" replaces PMI."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","yes","Abdomen soft, non-tender, no bruits, bowel sounds present; equal pulses, no leg edema."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","Assessment lists CAD (\"Stable\") and LV dysfunction."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","\"Increase Coreg to 25 mg b.i.d.\" and \"Increase Vasotec to 20 mg daily\"."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","Continue Aspirin 325 mg daily and Plavix 25 mg daily, doses as stated."],["The note captures: Return in three months.","yes","\"Return for follow-up in 3 months\"."]],"claims":[],"note":"S (Subjective):\n- The patient is a 30-year-old individual with a history of inferior wall myocardial infarction (MI) and post right coronary artery (RCA) and circumflex stent placement.\n- The patient reports feeling well with no current symptoms.\n- The patient denies experiencing chest pain, dyspnea, orthopnea, dizziness, lightheadedness, or syncope.\n\nO (Objective):\n- Weight: 244 pounds.\n- Blood Pressure: 120/82 mmHg.\n- Heart Rate: 68 beats per minute, regular.\n- HEENT: Pupils are equal, JVP is normal, no carotid bruit, neck is soft, thyroid not enlarged, trachea midline, no cervical lymphadenopathy.\n- Respiratory: Equal expiration, normal breath sounds.\n- Heart: BMI in the 5th intercostal space, S1 and S2 normal, no rub, no gallop, no murmurs.\n- Abdomen: Soft, non-tender, no bruits, bowel sounds present.\n- Extremities: Equal pulses, no leg edema.\n\nA (Assessment):\n- Stable Coronary Artery Disease (CAD).\n- Left Ventricular (LV) dysfunction.\n\nP (Plan):\n- Increase Coreg to 25 mg b.i.d.\n- Increase Vasotec to 20 mg daily.\n- Continue Aspirin 325 mg daily.\n- Continue Plavix 25 mg daily.\n- Return for follow-up in 3 months.\n","review":72.18421052631578,"saved":171.31578947368422,"clean":false,"effort":5.0,"sig":[],"mb":5.924886,"latency":32.349,"signable":82.16321052631578}],"lyrebird":[{"label":"Run 1","wer":20.915032679738562,"text":"30 year old patient with a history of inferior OMI post right coronary artery and circumflex stent has been feeling well. No symptoms of chest pain. No symptoms of dyspnea or orthopnea, dizziness, lightheadedness. No syncope. Next paragraph. 244 pounds. Blood pressure, 1 20 over 82. Heart rate is 68 regular, period. HEENT, pupils, equal. JVP,\n\nNormal. No carotid bruit. Neck is soft. Thyroid not enlarged. Trachea midline. No cervical lymphadenopathy. Respiratory, equal. Expansion, normal. Breath sounds. Heart BMI in the fifth intercostal space. S 1 s 2 normal. No rub. No gallop. No murmurs. Abdomen, soft. No tenderness. No bruit. Spell sounds. Eczema, pulses. No leg edema, period. Assessment, stable. Assessment, CAD. Number 2, LV dysfunction. Plan, increase Coreg to 25 milligram BID. Increase Vasotec to 20 milligrams daily. Continue with aspirin 3\n\n25 milligrams, Cetiplavix, 25 milligrams, Cetirizine in 3 months, period.","marks":[[47,50,"wall MI",false],[172,174,"",false],[225,225,"Weighs",false],[270,283,"120/82.",false],[514,517,"PMI",true],[525,530,"5th",false],[550,557,"S1 S2",false],[611,611,"nontender.",true],[615,642,"bruits. Bowel",false],[651,657,"present. Extremities Equal",true],[779,793,"mg b.i.d.",false],[817,827,"mg",false],[857,858,"325 mg daily Plavix",true],[863,912,"mg daily. Return",true]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","\"history of inferior OMI post right coronary artery and circumflex stent\"."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness, lightheadedness, syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","\"Weight: 244 lbs\", \"BP: 120/82 mmHg\", \"HR: 68 bpm, regular\"."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruit, thyroid not enlarged, trachea midline, no cervical lymphadenopathy."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds; \"PMI in 5th intercostal space, S1 S2 normal, no rub, no gallop, no murmurs\"."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen fully captured, but \"Pulses present\" rather than equal pulses."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","\"Stable coronary artery disease\", \"Left ventricular dysfunction\"."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","Carvedilol 25 mg BD and enalapril 20 mg daily increases."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","no","\"Continue clopidogrel 75 mg daily\" is the wrong dose (25 mg stated); aspirin correct."],["The note captures: Return in three months.","yes","\"Review in 3 months\"."]],"claims":[["Continue clopidogrel 75 mg daily","Transcript says \"Plavix 25 mg daily\"; dose silently changed to 75 mg."]],"note":"SOAP Notes\n\n\n\n\nSubjective:\n\n30-year-old patient with history of inferior OMI post right coronary artery and circumflex stent\n\nCardiology follow-up\n\nFeeling well\n\nDenies chest pain\n\nDenies dyspnoea or orthopnoea\n\nDenies dizziness or lightheadedness\n\nDenies syncope\n\n\n\n\nObjective:\n\nWeight: 244 lbs\n\nBP: 120/82 mmHg\n\nHR: 68 bpm, regular\n\nHEENT: Pupils equal, JVP normal, no carotid bruit, neck soft, thyroid not enlarged, trachea midline, no cervical lymphadenopathy\n\nRespiratory: Equal expansion, normal breath sounds\n\nCardiovascular: PMI in 5th intercostal space, S1 S2 normal, no rub, no gallop, no murmurs\n\nAbdomen: Soft, non-tender, no bruit, normal bowel sounds\n\nExtremities: Pulses present, no leg oedema\n\n\n\n\nAssessment:\n\nStable coronary artery disease\n\nLeft ventricular dysfunction\n\n\n\n\nPlan:\n\nIncrease carvedilol to 25 mg BD\n\nIncrease enalapril to 20 mg daily\n\nContinue aspirin 325 mg daily\n\nContinue clopidogrel 75 mg daily\n\nReview in 3 months","review":112.82894736842105,"saved":130.67105263157896,"clean":false,"effort":25.0,"sig":[["missing","Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","Clopidogrel dose written as 75 mg instead of the stated 25 mg."]],"mb":9.688085,"latency":18.756,"signable":131.58494736842107},{"label":"Run 2","wer":18.954248366013072,"text":"30 year old patient with a history of inferior OMI post right coronary artery and circumflex stent has been feeling well. No symptoms of chest pain. No symptoms of dyspnea or orthopnea, dizziness, lightheadedness. No syncope. Next paragraph. 244 pounds. Blood pressure, 1 20 over 82. Heart rate is 68 regular, period. HEENT, pupils are equal. JVP,\n\nIs normal. No carotid bruit. Neck is soft. Thyroid not enlarged. Trachea midline. No cervical lymphadenopathy. Respiratory, equal. Expansion, normal. Breath sounds. Heart BMI in the fifth intercostal space. S 1 s 2, normal. No rub. No gallop. No murmurs. Abdominal, soft. No tendon. No bruised bowel sounds present. Extremity, sequal pulses. No leg edema, period. Assessment, stable. Assessment, CAD. Number 2, LV dysfunction. Plan, increase Corec to 25 milligram BAD. Increase Vasotec to 20 milligrams daily. Continue with aspirin 3\n\n25 milligrams, Celeplavix, 25 milligrams daily routine in 3 months, period.","marks":[[47,50,"wall MI",false],[172,174,"",false],[225,225,"Weighs",false],[270,283,"120/82.",false],[520,523,"PMI",true],[531,536,"5th",false],[556,563,"S1 S2",false],[604,613,"Abdomen",false],[620,620,"nontender.",true],[624,642,"bruits.",false],[665,682,"Extremities Equal",false],[791,796,"Coreg",false],[803,817,"mg b.i.d.",true],[841,851,"mg",false],[881,924,"325 mg",true],[931,938,"Plavix 25 mg daily. Return",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","\"history of inferior OMI post right coronary artery and circumflex stent\"."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Feeling well; no chest pain, dyspnoea, orthopnoea, dizziness, lightheadedness or syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","244 lbs, 120/82, HR 68 regular."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruit, thyroid not enlarged, trachea midline, no cervical lymphadenopathy."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds, PMI 5th ICS, S1 S2 normal, no rub/gallop/murmurs."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen and extremities captured but abdominal \"no bruits\" omitted."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","CAD and left ventricular dysfunction."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","\"Increase Coreg to 25 mg BD\", \"Increase Vasotec to 20 mg daily\"."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","no","Aspirin correct but \"Continue clopidogrel 75 mg daily\" contradicts the stated 25 mg."],["The note captures: Return in three months.","yes","\"Routine review in 3 months\"."]],"claims":[["Continue clopidogrel 75 mg daily","Source states \"Plavix 25 mg daily\"; 75 mg is a silently corrected dose."]],"note":"Subjective:\n\n30-year-old patient with history of inferior OMI post right coronary artery and circumflex stent\n\nFeeling well\n\nNo chest pain\n\nNo dyspnoea or orthopnoea\n\nNo dizziness or lightheadedness\n\nNo syncope\n\n\n\n\nObjective:\n\nWeight: 244 lbs\n\nBlood pressure: 120/82 mmHg\n\nHeart rate: 68 bpm, regular\n\nHEENT: Pupils equal\n\nCardiovascular: JVP normal, no carotid bruit, PMI 5th intercostal space, S1 S2 normal, no rub, no gallop, no murmurs\n\nNeck: Soft, thyroid not enlarged, trachea midline, no cervical lymphadenopathy\n\nRespiratory: Equal expansion, normal breath sounds\n\nAbdomen: Soft, no tenderness, bowel sounds present\n\nExtremities: Equal pulses, no leg oedema\n\n\n\n\nAssessment:\n\nStable coronary artery disease\n\nLeft ventricular dysfunction\n\n\n\n\nPlan:\n\nIncrease Coreg to 25 mg BD\n\nIncrease Vasotec to 20 mg daily\n\nContinue aspirin 325 mg daily\n\nContinue clopidogrel 75 mg daily\n\nRoutine review in 3 months","review":111.25,"saved":132.25,"clean":false,"effort":25.0,"sig":[["missing","Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","Clopidogrel dose recorded as 75 mg when 25 mg was dictated."]],"mb":6.182153,"latency":20.676,"signable":131.926},{"label":"Run 3","wer":20.915032679738562,"text":"30 year old patient with a history of inferior OMI post right coronary artery and circumflex stent has been feeling well. No symptoms of chest pain. No symptoms of dyspnea or orthopnea, dizziness, lightheadedness. No syncope. Next paragraph. 244 pounds. Blood pressure, 1 20 over 82. Heart rate is 68 regular, period. HEENT, pupils, equal. JVP,\n\nNormal. No carotid bruit. Neck is soft. Thyroid not enlarged. Trachea midline. No cervical lymphadenopathy. Respiratory, equal. Expansion, normal. Breath sounds. Heart BMI in the fifth intercostal space. S 1 s 2 normal. No rub. No gallop. No murmurs. Abdomen, soft. No tenderness. No bruit. Spell sounds. Eczema, pulses. No leg edema, period. Assessment, stable. Assessment, CAD. Number 2, LV dysfunction. Plan, increase Coreg to 25 milligram BID. Increase Vasotec to 20 milligrams daily. Continue with aspirin 3\n\n25 milligrams, Cetiplavix, 25 milligrams, Cetirizine in 3 months, period.","marks":[[47,50,"wall MI",false],[172,174,"",false],[225,225,"Weighs",false],[270,283,"120/82.",false],[514,517,"PMI",true],[525,530,"5th",false],[550,557,"S1 S2",false],[611,611,"nontender.",true],[615,642,"bruits. Bowel",false],[651,657,"present. Extremities Equal",true],[779,793,"mg b.i.d.",false],[817,827,"mg",false],[857,858,"325 mg daily Plavix",true],[863,912,"mg daily. Return",true]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","\"history of inferior OMI post RCA and circumflex stent\"."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Feeling well; no chest pain, dyspnoea, orthopnoea, dizziness, lightheadedness or syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","\"Weight: 244 lbs\", \"BP: 120/82 mmHg\", \"HR: 68 bpm, regular\"."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruit, thyroid not enlarged, trachea midline, no cervical lymphadenopathy."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds, PMI 5th ICS, S1 S2 normal, no rub/gallop/murmurs."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdominal findings and no oedema captured, but pulses recorded as \"present\" rather than equal."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","\"Stable coronary artery disease\", \"Left ventricular dysfunction\"."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","\"Increase Coreg to 25 mg BD\", \"Increase Vasotec to 20 mg daily\"."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","no","\"Continue clopidogrel 75 mg daily\" silently corrects the stated 25 mg dose."],["The note captures: Return in three months.","yes","\"Review in 3 months\"."]],"claims":[["Continue clopidogrel 75 mg daily","Transcript states Plavix 25 mg daily; 75 mg is a wrong dose."]],"note":"SOAP Notes\n\n\n\n\nConsultation Date: 22/09/2026 at 4:53 pm\n\n\n\n\nSubjective:\n\n30-year-old patient with history of inferior OMI post RCA and circumflex stent\n\nFeeling well\n\nNo chest pain\n\nNo dyspnoea or orthopnoea\n\nNo dizziness or lightheadedness\n\nNo syncope\n\n\n\n\nObjective:\n\nWeight: 244 lbs\n\nBP: 120/82 mmHg\n\nHR: 68 bpm, regular\n\nHEENT: Pupils equal, JVP normal, no carotid bruit, neck soft, thyroid not enlarged, trachea midline, no cervical lymphadenopathy\n\nRespiratory: Equal expansion, normal breath sounds\n\nCardiovascular: PMI in 5th intercostal space, S1 S2 normal, no rub, no gallop, no murmurs\n\nAbdomen: Soft, no tenderness, no bruit, normal bowel sounds\n\nExtremities: Pulses present, no leg oedema\n\n\n\n\nAssessment:\n\nStable coronary artery disease\n\nLeft ventricular dysfunction\n\n\n\n\nPlan:\n\nIncrease Coreg to 25 mg BD\n\nIncrease Vasotec to 20 mg daily\n\nContinue aspirin 325 mg daily\n\nContinue clopidogrel 75 mg daily\n\nReview in 3 months","review":114.09210526315789,"saved":129.4078947368421,"clean":false,"effort":25.0,"sig":[["missing","Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","Clopidogrel recorded as 75 mg when 25 mg was dictated; silently changes the prescribed dose."]],"mb":9.78654,"latency":18.779,"signable":132.8711052631579},{"label":"Run 4","wer":20.915032679738562,"text":"30 year old patient with a history of inferior OMI with post right coronary artery and circumflex stent has been feeling well. No symptoms of chest pain. No symptoms of dyspnea or orthopnea, dizziness, lightheadedness. No syncope. Next paragraph. 244 pounds. Blood pressure, 1 20 over 82. Heart rate is 68 regular, period. HEENT, pupils, are equal. JVP,\n\nIs normal. No carotid bruit. Neck is soft. Thyroid, not enlarged. Trachea midline. No cervical lymphadenopathy. Respiratory, equal. Expansion, normal. Breath sounds. Heart BMI in fifth intercostal space. S 1 s 2, normal. No rub. No gallop. No murmurs. Abdomen, soft. No tenderness. No bruitous bowel sounds present. Pulses, leg edema, period. Assessment, stable. Assessment, CAD. Number 2, LV dysfunction. Plan, increase Corec to 25 milligram BID. Increase Vasotec to 20 milligrams daily. Continue with aspirin 3\n\n25 milligrams, Cinaplavix, 25 milligrams, dilator 10 and 3 months, period.","marks":[[47,55,"wall MI",false],[177,179,"",false],[230,230,"Weighs",false],[275,288,"120/82.",false],[527,530,"PMI",true],[534,539,"the 5th",false],[559,566,"S1 S2",false],[621,621,"nontender.",true],[625,648,"bruits.",false],[670,670,"Extremities Equal",false],[677,677,"No",true],[776,781,"Coreg",false],[788,802,"mg b.i.d.",false],[826,836,"mg",false],[866,867,"325 mg daily Plavix",true],[872,925,"mg daily. Return in",true]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","\"inferior OMI with post-RCA and circumflex stents\"."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","\"Denies chest pain, dyspnoea, orthopnoea, dizziness, lightheadedness, or syncope\"."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","244 pounds, BP 120/82, HR 68 regular."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruit, thyroid not enlarged, trachea midline, no cervical lymphadenopathy."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds, PMI 5th ICS, S1 S2 normal, no rub/gallop/murmurs."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen fully captured, but pulses \"present\" rather than equal."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","\"Stable coronary artery disease\", \"Left ventricular dysfunction\"."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","\"Increase Carvedilol to 25 mg BD\", \"Increase Enalapril to 20 mg daily\"."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","no","Aspirin 325 mg correct but \"clopidogrel 75 mg daily\" is wrong (source 25 mg)."],["The note captures: Return in three months.","yes","\"Review in 3 months\"."]],"claims":[["Continue clopidogrel 75 mg daily","Source states Plavix 25 mg daily."],["Continue diltiazem 10 mg daily","Diltiazem is never mentioned in the source."]],"note":"SOAP Notes\n\n\n\n\nSubjective:\n\n30-year-old patient with history of inferior OMI with post-RCA and circumflex stents\n\nReports feeling well\n\nDenies chest pain, dyspnoea, orthopnoea, dizziness, lightheadedness, or syncope\n\n\n\n\nObjective:\n\nWeight: 244 pounds\n\nBP: 120/82 mmHg\n\nHR: 68 bpm, regular\n\nHEENT: Pupils equal, JVP normal, no carotid bruit, thyroid not enlarged, trachea midline, no cervical lymphadenopathy\n\nRespiratory: Equal expansion, normal breath sounds\n\nCardiovascular: PMI 5th intercostal space, S1 S2 normal, no rub, gallop, or murmurs\n\nAbdomen: Soft, non-tender, bowel sounds present, no bruits\n\nExtremities: Pulses present, no leg oedema\n\n\n\n\nAssessment:\n\nStable coronary artery disease\n\nLeft ventricular dysfunction\n\n\n\n\nPlan:\n\nIncrease Carvedilol to 25 mg BD\n\nIncrease Enalapril to 20 mg daily\n\nContinue aspirin 325 mg daily\n\nContinue clopidogrel 75 mg daily\n\nContinue diltiazem 10 mg daily\n\nReview in 3 months","review":122.9342105263158,"saved":120.5657894736842,"clean":false,"effort":40.0,"sig":[["missing","Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","Clopidogrel recorded as 75 mg instead of the stated 25 mg."],["fabrication","Continue diltiazem 10 mg daily","Invented diltiazem, a rate-limiting drug with interactions alongside a beta-blocker."]],"mb":9.807403,"latency":20.901,"signable":143.8352105263158},{"label":"Run 5","wer":22.22222222222222,"text":"30 year old patient with a history of inferior OMI with post right coronary artery and circumflex stent has been feeling well. No symptoms of chest pain. No symptoms of dyspnea or orthopnea, dizziness, lightheadedness. No syncope. Next paragraph. 244 pounds. Blood pressure, 1 20 over 82. Heart rate is 68 regular, period. HEENT, pupils, equal. JVP,\n\nNormal. No carotid bruit. Neck is soft. Thyroid, not enlarged. Trachea midline. No cervical lymphadenopathy. Respiratory, equal. Expansion, normal. Breath sounds. Heart BMI in fifth intercostal space. S 1 s 2, normal. No rub. No gallop. No murmurs. Abdomen, soft. No tenderness. No bruit. Spell sounds. Eczema, pulses. No leg edema, period. Assessment, stable. Assessment, CAD. Number 2, LV dysfunction. Plan, increase Coreg to 25 milligram BID. Increase Vasotec to 20 milligrams daily. Continue with aspirin 3\n\nMilligrams, Celebrate 25 milligrams daily routine in 3 months, period.","marks":[[47,55,"wall MI",false],[177,179,"",false],[230,230,"Weighs",false],[275,288,"120/82.",false],[520,523,"PMI",true],[527,532,"the 5th",false],[552,559,"S1 S2",false],[614,614,"nontender.",true],[618,645,"bruits. Bowel",false],[654,660,"present. Extremities Equal",true],[782,796,"mg b.i.d.",false],[820,830,"mg",false],[860,898,"325 mg",true],[905,912,"Plavix 25 mg daily. Return",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","\"history of inferior OMI with post-RCA and circumflex stent\"."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Feeling well; no chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness or syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","\"Weight: 244 pounds\", \"BP: 120/82\", \"HR: 68 bpm, regular\"."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruit, thyroid not enlarged, trachea midline, no cervical lymphadenopathy."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds; PMI fifth ICS; S1 S2 normal, no rub, gallop or murmurs."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen fully captured, but extremities say \"Pulses present\" rather than equal pulses."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","\"Stable CAD\" and \"LV dysfunction\"."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","\"Increase carvedilol to 25 mg BD\", \"Increase enalapril to 20 mg daily\"."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","no","Wrong doses: \"aspirin 300 mg\" and \"clopidogrel 75 mg\" vs stated 325 mg and 25 mg."],["The note captures: Return in three months.","yes","\"Routine review in 3 months\"."]],"claims":[["Continue aspirin 300 mg daily","Source states aspirin 325 mg daily."],["Continue clopidogrel 75 mg daily","Source states Plavix 25 mg daily; 75 mg is a silent correction."]],"note":"SOAP Notes\n\n\n\n\nSubjective:\n\n30-year-old patient with history of inferior OMI with post-RCA and circumflex stent\n\nFeeling well\n\nNo chest pain\n\nNo dyspnoea or orthopnoea\n\nNo dizziness or lightheadedness\n\nNo syncope\n\n\n\n\nObjective:\n\nWeight: 244 pounds\n\nBP: 120/82 mmHg\n\nHR: 68 bpm, regular\n\nHEENT: Pupils equal, JVP normal, no carotid bruit, neck soft, thyroid not enlarged, trachea midline, no cervical lymphadenopathy\n\nRespiratory: Equal expansion, normal breath sounds\n\nCardiovascular: PMI fifth intercostal space, S1 S2 normal, no rub, gallop or murmurs\n\nAbdomen: Soft, no tenderness, no bruit, normal bowel sounds\n\nExtremities: Pulses present, no leg oedema\n\n\n\n\nAssessment:\n\nStable CAD\n\nLV dysfunction\n\n\n\n\nPlan:\n\nIncrease carvedilol to 25 mg BD\n\nIncrease enalapril to 20 mg daily\n\nContinue aspirin 300 mg daily\n\nContinue clopidogrel 75 mg daily\n\nRoutine review in 3 months","review":122.30263157894737,"saved":121.19736842105263,"clean":false,"effort":35.0,"sig":[["missing","Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","Both antiplatelet doses differ from the source (aspirin 300 vs 325, clopidogrel 75 vs 25)."]],"mb":9.809052,"latency":16.703,"signable":139.00563157894737}],"preve":[{"label":"Run 1","wer":25.49019607843137,"text":"30 year old location\n\nwith a history of, inferior OMI post right\n\ncoronary artery and circumflex stent. Has\n\nbeen feeling well. No symptoms of chest pain. No symptoms of dyspnea or\n\northopnea, dizziness, lightheadedness. No syncope. Next paragraph, two hundred and forty four pounds. Blood pressure, one twenty over 82. Heart rate is 68 regular, period.\n\nHE and two people say equal. JVP is normal. No carotid\n\nbruit. Neck is soft, thyroid not enlarged. Okay. Midline. No cervical lymph\n\nadenopathy. Respiratory, equal expansion, normal. Blood sounds. Heart pain, minor\n\nfifth intercostal spaces. One s two, normal. No rub\n\nNo gallop. No murmurs. Abdomen, soft. Not tender. No bruised bowel sounds present. Exterior\n\nsequel pulses, leg edema, period.\n\nAssessment, stable. Assessment, CAD, number two, LV dysfunction.\n\nIncrease Corec to twenty five milligram BAT. Increase Vasotec to twenty milligrams daily.\n\nContinue with aspirin, three twenty five milligrams daily. Plavix, twenty five milligrams daily. Return in three months,\n\nperiod.","marks":[[0,20,"30-year-old patient",false],[50,53,"wall MI",false],[178,180,"",false],[249,275,"Weighs 244",false],[300,319,"120/82.",false],[355,376,"HEENT Pupils are",true],[454,459,"Trachea",true],[481,499,"lymphadenopathy.",false],[538,543,"breath",true],[558,576,"PMI in the 5th",true],[589,606,"space. S1 S2",false],[662,673,"nontender.",false],[677,684,"bruits.",true],[707,723,"Extremities Equal",true],[730,730,"No",true],[816,816,"Plan",false],[827,832,"Coreg",false],[836,862,"25 mg b.i.d.",true],[890,900,"mg",false],[932,960,"325 mg",false],[976,998,"25 mg",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","\"prior inferior MI post right coronary artery and circumflex stents\"."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness, light-headedness, syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","\"244 lb; BP 120/82 mmHg; HR 68 bpm regular\"."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruit, thyroid not enlarged, midline, no cervical lymphadenopathy."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds; \"PMI mid-5th ICS; S1/S2 normal; no rub; no gallop; no murmurs\"."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen fully captured, but pulses recorded as \"distal pulses present\" rather than equal."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","\"Stable CAD\" and \"LV dysfunction\"."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","Coreg 25 mg BID and Vasotec 20 mg daily increases captured."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","\"Continue aspirin 325 mg daily\" and \"clopidogrel (Plavix) 25 mg daily\"."],["The note captures: Return in three months.","yes","\"Return in 3 months\"."]],"claims":[["HEENT: PERRLA and EOMI","Transcript says only \"Pupils are equal\"; reactivity, accommodation and extraocular movements were never examined or stated."],["(Consent obtained)","No mention of consent anywhere in the transcript."]],"note":"Presenting Condition\n\n30-year-old with prior inferior MI post right coronary artery and circumflex stents\n\nCurrently feeling well\n\nDenies chest pain\n\nDenies dyspnoea, orthopnoea, dizziness, light‑headedness, syncope\n\n\n\n\nRadiology\n\nHEENT: PERRLA and EOMI (eyes equal per report)\n\n\n\n\nPast Medical History\n\nCoronary artery disease (post RCA and circumflex stents)\n\nLeft ventricular dysfunction\n\n\n\n\nMedications\n\nPlan to increase carvedilol (Coreg) to 25 mg BID\n\nPlan to increase enalapril (Vasotec) to 20 mg daily\n\nContinue aspirin 325 mg daily\n\nContinue clopidogrel (Plavix) 25 mg daily\n\n\n\n\nObjective\n\n(Consent obtained)\n\nVitals: 244 lb; BP 120/82 mmHg; HR 68 bpm regular\n\nJVP normal\n\nNo carotid bruit\n\nNeck soft; thyroid not enlarged; midline; no cervical lymphadenopathy\n\nRespiratory: equal expansion; normal breath sounds\n\nCardiac: PMI mid‑5th ICS; S1/S2 normal; no rub; no gallop; no murmurs\n\nAbdomen: soft; non‑tender; bowel sounds present; no bruit\n\nPeripheral: distal pulses present; no leg oedema\n\n\n\n\nDiagnosis\n\nStable CAD\n\nLV dysfunction\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nMedications adjusted as above\n\n// Patient currently asymptomatic; exam stable\n\n\n\n\nPlan\n\nReturn in 3 months\n","review":93.30263157894737,"saved":150.19736842105263,"clean":false,"effort":35.0,"sig":[["fabrication","HEENT: PERRLA and EOMI","Pupil reactivity, accommodation and EOMI were never examined; only pupils equal stated."],["fabrication","(Consent obtained)","Invented consent statement alters the legal record of what happened."]],"mb":4.70003,"signable":112.70363157894737},{"label":"Run 2","wer":27.450980392156865,"text":"30 year old patient\n\nwith a history of, inferior OMI post right\n\ncoronary artery and circumflex stent. Has\n\nbeen feeling well. No symptoms of chest pain. No symptoms of dyspnea or\n\northopnea, dizziness, lightheadedness. No syncope. Next by the way, two hundred and forty four pounds. Blood pressure, one twenty over 82. Heart rate is 68 regular, period.\n\nHE and two people say equal. JVP is normal. No\n\ncarotid bruit. Neck is soft, thyroid, not enlarged. Okay. Midline. No cervical,\n\nadenopathy. Respiratory, equal expansion. Normal. Blood sounds. Heart pain, minor\n\nfifth intercostal space. S one s two, normal. No rub\n\nNo gallop. No murmurs. Abdomen, soft. Not tender. No bruised bowel sounds present.\n\nXMT, sequel pulses, leg edema, period.\n\nAssessment, stable. Assessment, CAD, number two, LV dysfunction.\n\nPlan, increase core act to twenty five milligram BAT. Increase\n\nto twenty milligrams daily. Continue with aspirin three five milligrams daily. Plavix twenty five milligrams daily. Return in three months, period.","marks":[[49,52,"wall MI",false],[177,179,"",false],[232,275,"Weighs 244",false],[300,319,"120/82.",false],[355,376,"HEENT Pupils are",true],[455,460,"Trachea",true],[484,495,"lymphadenopathy.",false],[534,539,"breath",true],[554,572,"PMI in the 5th",true],[592,603,"S1 S2",false],[659,670,"nontender.",false],[674,681,"bruits.",true],[705,716,"Extremities Equal",false],[723,723,"No",true],[826,834,"Coreg to 25 mg b.i.d. Increase Vasotec",true],[845,895,"mg",false],[925,946,"325 mg",true],[961,983,"25 mg",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","\"inferior MI post right coronary artery and circumflex stents\"."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Currently well; no chest pain, dyspnoea, orthopnoea, dizziness, light-headedness, syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Weight 244 lb; BP 120/82; HR 68 regular."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","partial","JVP, carotid bruit, thyroid, adenopathy captured; trachea midline omitted."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","partial","Most captured but PMI described as \"midline 5th ICS\", which is not what was stated."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","yes","Abdomen soft, non-tender, bowel sounds, no bruits; equal pulses, no oedema."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","Stable CAD and LV dysfunction."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","partial","Coreg 25 mg BID captured but Vasotec rendered as \"[Unspecified medication] increase to 20 mg daily\"."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","Aspirin 325 mg daily and clopidogrel 25 mg daily."],["The note captures: Return in three months.","yes","\"Review in 3 months\"."]],"claims":[["HEENT: PERRLA","Source says only \"Pupils are equal\"; reactivity to light and accommodation was never stated."],["PMI midline 5th ICS","Source gives \"PMI in the 5th intercostal space\" with no midline location."]],"note":"Presenting Condition\n\n30-year-old with history of inferior MI post right coronary artery and circumflex stents\n\nCurrently well; no chest pain, dyspnoea, orthopnoea, dizziness, light-headedness, or syncope\n\n\n\n\nRadiology\n\nStents in right coronary artery and circumflex (historical)\n\n\n\n\nPast Medical History\n\nCoronary artery disease (CAD)\n\nLeft ventricular dysfunction\n\nInferior myocardial infarction (post-PCI with RCA and circumflex stents)\n\n\n\n\nMedications\n\nAspirin 325 mg daily (continue)\n\nClopidogrel 25 mg daily (continue)\n\nCoreg (carvedilol) increase to 25 mg BID\n\n[Unspecified medication] increase to 20 mg daily\n\n\n\n\nObjective\n\n(Consent obtained)\n\nVitals: Weight 244 lb; BP 120/82 mmHg; HR 68 bpm, regular\n\nHEENT: PERRLA; JVP normal; no carotid bruit; neck soft; thyroid not enlarged; no cervical adenopathy\n\nRespiratory: Equal expansion; normal breath sounds\n\nCardiac: PMI midline 5th ICS; S1 S2 normal; no rub, gallop, or murmurs\n\nAbdomen: Soft, non-tender; bowel sounds present; no bruits\n\nExtremities: Equal pulses; no leg oedema\n\n\n\n\nDiagnosis\n\nStable CAD\n\nLV dysfunction\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nMedication adjustments per plan\n\n\n\n\nPlan\n\nIncrease Coreg to 25 mg BID\n\nIncrease [unspecified] to 20 mg daily\n\nContinue aspirin 325 mg daily\n\nContinue clopidogrel 25 mg daily\n\nReview in 3 months\n","review":129.98684210526315,"saved":113.51315789473685,"clean":false,"effort":40.0,"sig":[["partial","Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","PMI location altered to 'midline' in a patient with LV dysfunction where apex position matters."],["partial","Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","Vasotec dose increase recorded against an unnamed drug."]],"mb":4.679522,"signable":152.34284210526314},{"label":"Run 3","wer":25.49019607843137,"text":"30 year old location\n\nwith a history of, inferior OMI post right\n\ncoronary artery and circumflex stent. Has\n\nbeen feeling well. No symptoms of chest pain. No symptoms of dyspnea or\n\northopnea, dizziness, lightheadedness. No syncope. Next paragraph, two hundred and forty four pounds. Blood pressure, one twenty over 82. Heart rate is 68 regular, period.\n\nHE and two people say equal. JVP is normal. No carotid\n\nbruit. Neck is soft, thyroid not enlarged. Okay. Midline. No cervical lymph\n\nadenopathy. Respiratory, equal expansion, normal. Blood sounds. Heart pain, minor\n\nfifth intercostal spaces. One s two, normal. No rub\n\nNo gallop. No murmurs. Abdomen, soft. Not tender. No bruised bowel sounds present. Exterior\n\nsequel pulses, leg edema, period.\n\nAssessment, stable. Assessment, CAD, number two, LV dysfunction,\n\nincrease Corec to twenty five milligram BAT. Increase Vasotec to twenty milligrams daily.\n\nContinue with aspirin, three twenty five milligrams daily. Plavix, twenty five milligrams daily. Return in three months,\n\nperiod.","marks":[[0,20,"30-year-old patient",false],[50,53,"wall MI",false],[178,180,"",false],[249,275,"Weighs 244",false],[300,319,"120/82.",false],[355,376,"HEENT Pupils are",true],[454,459,"Trachea",true],[481,499,"lymphadenopathy.",false],[538,543,"breath",true],[558,576,"PMI in the 5th",true],[589,606,"space. S1 S2",false],[662,673,"nontender.",false],[677,684,"bruits.",true],[707,723,"Extremities Equal",true],[730,730,"No",true],[815,815,"Plan",false],[827,832,"Coreg",false],[836,862,"25 mg b.i.d.",true],[890,900,"mg",false],[932,960,"325 mg",false],[976,998,"25 mg",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","Inferior wall MI with RCA and circumflex stents."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","partial","Denials recorded but \"feeling well\" not stated."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Wt 244 lb, BP 120/82, HR 68 regular."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruit, thyroid not enlarged, trachea midline, no cervical LAD."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds; PMI 5th ICS, S1/S2 normal, no rub/gallop/murmur."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen soft, NT, bowel sounds present; abdominal bruits omitted and pulses \"present\" rather than equal."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","CAD and LV dysfunction."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","Coreg 25 mg BID and Vasotec 20 mg daily."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","Continue aspirin 325 mg and Plavix 25 mg daily."],["The note captures: Return in three months.","yes","Return in 3 months."]],"claims":[["HEENT: PERRLA","Transcript only says \"Pupils are equal\"; reactivity to light/accommodation was not stated."]],"note":"Past Medical History\n\nCAD with prior inferior MI; RCA and circumflex stents\n\nLV dysfunction\n\n\n\n\nMedications\n\nAspirin 325 mg daily (continue)\n\nClopidogrel (Plavix) 25 mg daily (continue)\n\nCarvedilol (Coreg) increased to 25 mg BID\n\nEnalapril (Vasotec) increased to 20 mg daily\n\n\n\n\nRed Flag/Screening Questions\n\nChest pain: denies\n\nDyspnoea/orthopnoea: denies\n\nDizziness/lightheadedness: denies\n\nSyncope: denies\n\n\n\n\nObjective\n\n(Consent obtained)\n\nVitals: BP 120/82 mmHg; HR 68 bpm regular; weight 244 lb\n\nObservation:\n\nHEENT: PERRLA; JVP normal; no carotid bruit; neck soft; thyroid not enlarged; midline; no cervical lymphadenopathy\n\nRespiratory:\n\nEqual expansion\n\nNormal breath sounds\n\nCardiac:\n\nPMI at 5th intercostal space\n\nS1, S2 normal\n\nNo rubs\n\nNo gallops\n\nNo murmurs\n\nAbdomen:\n\nSoft\n\nNon‑tender\n\nBowel sounds present\n\nPeripheral vascular:\n\nPeripheral pulses present\n\nNo leg oedema\n\n\n\n\nDiagnosis\n\nStable CAD\n\nLV dysfunction\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nMeds adjusted:\n\nIncrease Coreg to 25 mg BID\n\nIncrease Vasotec to 20 mg daily\n\nContinue aspirin 325 mg daily\n\nContinue Plavix 25 mg daily\n\n\n\n\nPlan\n\nReview in 3 months\n","review":92.77631578947368,"saved":150.7236842105263,"clean":false,"effort":25.0,"sig":[["fabrication","HEENT: PERRLA","PERRLA asserts pupil reactivity/accommodation never examined."]],"mb":4.764143,"signable":117.53031578947369},{"label":"Run 4","wer":25.49019607843137,"text":"30 year old location\n\nwith a history of, inferior OMI post right\n\ncoronary artery and circumflex stent. Has\n\nbeen feeling well. No symptoms of chest pain. No symptoms of dyspnea or\n\northopnea, dizziness, lightheadedness. No syncope. Next paragraph, two hundred and forty four pounds. Blood pressure, one twenty over 82. Heart rate is 68 regular, period.\n\nHE and two people say equal. JVP is normal. No carotid\n\nbruit. Neck is soft, thyroid not enlarged. Okay. Midline. No cervical lymph\n\nadenopathy. Respiratory, equal expansion, normal. Blood sounds. Heart pain, minor\n\nfifth intercostal spaces. One s two, normal. No rub\n\nNo gallop. No murmurs. Abdomen, soft. Not tender. No bruised bowel sounds present.\n\nSequel pulses, leg edema, period.\n\nAssessment, stable. Assessment, CAD, number two, LV dysfunction,\n\nincrease Corec to twenty five milligram BAT. Increase Vasotec to twenty milligrams daily.\n\nContinue with aspirin, three twenty five milligrams daily. Plavix, twenty five milligrams daily. Return in three months,\n\nperiod.","marks":[[0,20,"30-year-old patient",false],[50,53,"wall MI",false],[178,180,"",false],[249,275,"Weighs 244",false],[300,319,"120/82.",false],[355,376,"HEENT Pupils are",true],[454,459,"Trachea",true],[481,499,"lymphadenopathy.",false],[538,543,"breath",true],[558,576,"PMI in the 5th",true],[589,606,"space. S1 S2",false],[662,673,"nontender.",false],[677,684,"bruits.",true],[708,714,"Extremities Equal",false],[721,721,"No",true],[806,806,"Plan",false],[818,823,"Coreg",false],[827,853,"25 mg b.i.d.",true],[881,891,"mg",false],[923,951,"325 mg",false],[967,989,"25 mg",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","\"history of inferior MI post right coronary artery and circumflex stents\"."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","\"Currently well; no chest pain, dyspnoea, orthopnoea, dizziness, light-headedness, or syncope\"."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","\"110.7 kg (244 lb), BP 120/82 mmHg, HR 68 bpm, regular\"."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","Normal JVP, no carotid bruit, no cervical lymphadenopathy; thyroid not enlarged, trachea midline."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds, apical impulse 5th ICS, S1/S2 normal, no murmurs/rubs/gallops."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen soft, non-tender, bowel sounds, no leg oedema captured; no bruits and equal pulses omitted (\"pulses palpable\")."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","\"Stable CAD\", \"LV dysfunction\"."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","\"increase carvedilol to 25 mg BID; increase enalapril to 20 mg daily\"."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","\"Continue aspirin 325 mg daily\", \"Continue clopidogrel 25 mg daily\"."],["The note captures: Return in three months.","yes","\"Review in 3 months\"."]],"claims":[],"note":"Presenting Condition\n\n30-year-old with history of inferior MI post right coronary artery and circumflex stents\n\nCurrently well; no chest pain, dyspnoea, orthopnoea, dizziness, light‑headedness, or syncope\n\n\n\n\nPast Medical History\n\nCoronary artery disease\n\nLeft ventricular dysfunction\n\nInferior myocardial infarction with RCA and circumflex stents\n\nNo cervical lymphadenopathy, normal JVP, no carotid bruit\n\nAbdomen soft, non‑tender; normal bowel sounds\n\nNo leg oedema\n\nVitals: 110.7 kg (244 lb), BP 120/82 mmHg, HR 68 bpm, regular\n\nCardiopulmonary exam: normal breath sounds, equal expansion; heart sounds S1/S2 normal, no rub, gallop, or murmurs\n\n\n\n\nMedications\n\nCarvedilol (Coreg) increased to 25 mg twice daily\n\nEnalapril (Vasotec) increased to 20 mg daily\n\nAspirin 325 mg daily\n\nClopidogrel (Plavix) 25 mg daily\n\n\n\n\nObjective\n\n(Consent obtained)\n\nHEENT: Pupils equal; neck soft; thyroid not enlarged; trachea midline\n\nCardiovascular: Apical impulse 5th ICS; S1/S2 normal; no murmurs/rubs/gallops; peripheral pulses palpable\n\nRespiratory: Equal chest expansion; normal breath sounds\n\nAbdomen: Soft, non‑tender\n\nExtremities: No leg oedema\n\n\n\n\nDiagnosis\n\nStable CAD\n\nLV dysfunction\n\nPost‑stent status (RCA and circumflex)\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nMedication adjustment: increase carvedilol to 25 mg BID; increase enalapril to 20 mg daily\n\nContinue aspirin 325 mg daily\n\nContinue clopidogrel 25 mg daily\n\n\n\n\nPlan\n\nReview in 3 months\n","review":81.30263157894737,"saved":162.19736842105263,"clean":false,"effort":5.0,"sig":[],"mb":4.590002,"signable":102.83463157894737},{"label":"Run 5","wer":25.49019607843137,"text":"30 year old location\n\nwith a history of, inferior OMI post right\n\ncoronary artery and circumflex stent. Has\n\nbeen feeling well. No symptoms of chest pain. No symptoms of dyspnea or\n\northopnea, dizziness, lightheadedness. No syncope. Next paragraph, two hundred and forty four pounds. Blood pressure, one twenty over 82. Heart rate is 68 regular, period.\n\nHE and two people say equal. JVP is normal. No carotid\n\nbruit. Neck is soft, thyroid not enlarged. Okay. Midline. No cervical lymph\n\nadenopathy. Respiratory, equal expansion, normal. Blood sounds. Heart pain, minor\n\nfifth intercostal spaces. One s two, normal. No rub\n\nNo gallop. No murmurs. Abdomen, soft. Not tender. No bruised bowel sounds present.\n\nSequel pulses, leg edema, period.\n\nAssessment, stable. Assessment, CAD, number two, LV dysfunction.\n\nIncrease Corec to twenty five milligram BAT. Increase Vasotec to twenty milligrams daily.\n\nContinue with aspirin, three twenty five milligrams daily. Plavix, twenty five milligrams daily. Return in three months,\n\nperiod.","marks":[[0,20,"30-year-old patient",false],[50,53,"wall MI",false],[178,180,"",false],[249,275,"Weighs 244",false],[300,319,"120/82.",false],[355,376,"HEENT Pupils are",true],[454,459,"Trachea",true],[481,499,"lymphadenopathy.",false],[538,543,"breath",true],[558,576,"PMI in the 5th",true],[589,606,"space. S1 S2",false],[662,673,"nontender.",false],[677,684,"bruits.",true],[708,714,"Extremities Equal",false],[721,721,"No",true],[807,807,"Plan",false],[818,823,"Coreg",false],[827,853,"25 mg b.i.d.",true],[881,891,"mg",false],[923,951,"325 mg",false],[967,989,"25 mg",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","yes","\"post-inferior MI ... with prior right coronary artery and circumflex stents\"."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Denies chest pain, dyspnoea, orthopnoea, dizziness, lightheadedness, syncope; \"Well\"."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","no","BP recorded as \"110/82\" instead of 120/82."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","partial","JVP, bruit, thyroid and lymph nodes captured, but trachea midline omitted and PERRLA/EOMI added."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds, PMI 5th ICS, S1/S2 normal, no rub/gallop/murmurs."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","States \"no bruising\" instead of no bruits, and pulses \"present\" rather than equal."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","CAD and \"Left ventricular dysfunction\"."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","yes","\"Carvedilol increased to 25 mg BID\", \"Enalapril increased to 20 mg daily\"."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","yes","\"Aspirin 325 mg daily\", \"Clopidogrel 25 mg daily\"."],["The note captures: Return in three months.","yes","\"Return in 3 months\"."]],"claims":[["Vitals: 110/82 mmHg","Source BP is 120/82."],["HEENT: PERRLA, EOMI","Source only says 'Pupils are equal'; reactivity and extraocular movements were not examined/recorded."],["Abdomen: ... no bruising","Source says 'No bruits'; bruising is a different, unrecorded finding."]],"note":"Objective\n\n(Consent obtained)\n\nVitals: 110/82 mmHg, HR 68 regular, weight 244 lb\n\nGeneral: Well, no distress\n\nHEENT: PERRLA, EOMI; neck soft; thyroid not enlarged; no cervical lymphadenopathy; JVP normal; no carotid bruit\n\nRespiratory: Equal expansion; normal breath sounds\n\nCardiac: PMI at 5th ICS midclavicular line; S1/S2 normal; no rub; no gallop; no murmurs\n\nAbdomen: Soft; non-tender; bowel sounds present; no bruising\n\nPeripheral vascular: Distal pulses present; no leg oedema\n\n\n\n\nDiagnosis\n\nCoronary artery disease (post-inferior MI) with prior right coronary artery and circumflex stents; stable\n\nLeft ventricular dysfunction\n\n\n\n\nMedications\n\nAspirin 325 mg daily\n\nClopidogrel 25 mg daily\n\nCarvedilol increased to 25 mg BID\n\nEnalapril increased to 20 mg daily\n\n\n\n\nPlan\n\nReturn in 3 months\n\n\n\n\nRed Flag/Screening Questions\n\nDenies chest pain\n\nDenies dyspnoea, orthopnoea\n\nDenies dizziness, lightheadedness\n\nDenies syncope\n","review":129.43421052631578,"saved":114.06578947368422,"clean":false,"effort":50.0,"sig":[["missing","Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","Systolic BP recorded as 110 instead of 120, a wrong key vital sign in an antihypertensive titration visit."],["partial","Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","Adds PERRLA/EOMI findings that were not examined; trachea omission is minor."]],"mb":4.703095,"signable":150.1452105263158}],"patientnotes":[{"label":"Run 1","wer":21.568627450980394,"text":"A 30 year old patient with a history of inferior MI post right coronary artery and sickuplex stent has been feeling well. No symptoms of chest pain no symptoms of dyspnea, orthopnea, dizziness lightheadedness no syncope. Next pair of weights 244 lb blood pressure 120 over 82 heart rate is 68 regular period he&t people say equal JVPs normal no carotid bruits Neck is soft thyroid not enlarged trachea midline no cervical lymphadenopathy Respiratory equal expansion normal wet sounds Heart bmi in the fifth intercostal space S1 S2 normal no rub, no gallop, no murmurs Abdominal soft non tender no bruits pulse sounds present extremity equal pulses no leg edema period assessment stable assessment CAD number 2 LV dysfunction plan increase Coreg to 25 milligram bad increase Vasotec to 20 milligrams daily. Continue with.\n25 milligrams daily. Plavix 25 milligrams daily. Return in three months period.","marks":[[0,13,"30-year-old",false],[48,48,"wall",false],[83,92,"circumflex",true],[221,241,"Weighs",false],[246,248,"pounds.",false],[264,275,"120/82.",false],[308,323,"HEENT Pupils are",true],[330,334,"JVP is",false],[353,359,"bruit.",false],[473,476,"breath",true],[490,493,"PMI",true],[501,506,"5th",false],[568,577,"Abdomen",false],[583,593,"nontender.",false],[604,609,"Bowel",true],[625,634,"Extremities",false],[751,764,"mg b.i.d.",true],[788,798,"mg",false],[821,834,"aspirin 325 mg",true],[852,862,"mg",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","partial","Inferior MI captured but only \"right coronary artery stent\"; circumflex stent omitted."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","\"no chest pain, dyspnoea, orthopnoea, dizziness or syncope\", feeling well."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","\"Weight 244 lb, BP 120/82 mmHg, HR 68 bpm regular rhythm\"."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruits, thyroid not enlarged, trachea midline, no cervical lymphadenopathy."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","partial","Respiratory and heart sounds captured but PMI in 5th intercostal space omitted."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen soft, non-tender, no bruits and equal pulses/no oedema, but bowel sounds omitted."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","partial","CAD and LV dysfunction present but garbled as \"CAD classified as number 2\" and \"Stable assessment\"."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","no","\"Coreg increased to 25 mg daily\" is the wrong frequency (twice daily stated)."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","partial","\"Plavix 25 mg daily\" listed but aspirin 325 mg omitted entirely."],["The note captures: Return in three months.","yes","\"Return in three months for review.\""]],"claims":[["Coreg increased to 25 mg daily","Transcript says \"Increase Coreg to 25 mg b.i.d.\"; once-daily frequency is wrong."]],"note":"Subjective\n\nChief Complaint::\n\nPatient reports feeling well with no chest pain, dyspnoea, orthopnoea, dizziness or syncope.\n\nHistory of Presenting Complaint::\n\nHistory of inferior myocardial infarction with right coronary artery stent; currently asymptomatic.\n\nObjective\n\nWeight 244 lb, BP 120/82 mmHg, HR 68 bpm regular rhythm.\n\nJVPs equal and normal, no carotid bruits, neck soft, thyroid not enlarged, trachea midline, no cervical lymphadenopathy.\n\nRespiratory exam: equal chest expansion, normal breath sounds.\n\nCardiac exam: S1 S2 normal, no rub, gallop or murmurs.\n\nAbdomen soft, non‑tender, no bruits; peripheral pulses equal, no leg oedema.\n\nWeight: 244 lb.\n\nBlood pressure: 120/82 mmHg.\n\nHeart rate: 68 bpm.\n\nAssessment\n\nStable assessment.\n\nCoronary artery disease (CAD) classified as number 2.\n\nLeft ventricular dysfunction noted.\n\nPlan\n\nMedications::\n\nCoreg increased to 25 mg daily.\n\nVasotec increased to 20 mg daily.\n\nPlavix 25 mg daily.\n\nReturn in three months for review.","review":164.4078947368421,"saved":79.09210526315789,"clean":false,"effort":45.0,"sig":[["partial","History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","Circumflex stent omitted, understating the patient's coronary intervention history."],["missing","Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","Coreg frequency written as daily instead of b.i.d., halving the intended dose."],["partial","Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","Aspirin 325 mg daily omitted from the plan in a post-stent patient."]],"mb":6.787812,"latency":24.204,"signable":188.61189473684212},{"label":"Run 2","wer":21.568627450980394,"text":"30 year old patient with a history of inferior MI post right coronary artery and sacral plexus Stent has been feeling well no symptoms of chest pain no symptoms of dyspnea, orthopnea, dizziness lightheadedness no syncope next pair of weights 244 lb blood pressure 120 over 82 heart rate is 68 regular period he and T people say equal JVP is normal no carotid bruits Neck is soft Thyroid not enlarged trachea midline no cervical lymphadenopathy Respiratory equal expansion normal wet sounds Heart bmi in the fifth intercostal space S1 S2 normal no rub, no gallop no murmurs Abdominal soft non tender no bruits spell sounds present extremity sequential pulses no leg edema period assessment stable assessment CAD number 2 LV dysfunction plan increase Coreg to 25 milligrams. Increase Vasotec to 20 milligrams daily. Continue with Aspirin 320.\nPlavix 25mg daily written in 3 months period.","marks":[[46,46,"wall",false],[81,94,"circumflex",true],[221,241,"Weighs",false],[246,248,"pounds.",false],[264,275,"120/82.",false],[308,327,"HEENT Pupils are",true],[359,365,"bruit.",false],[479,482,"breath",true],[496,499,"PMI",true],[507,512,"5th",false],[573,582,"Abdomen",false],[588,598,"nontender.",false],[609,614,"Bowel",false],[630,650,"Extremities Equal",false],[761,772,"mg b.i.d.",true],[796,806,"mg",false],[836,852,"325 mg",true],[859,866,"Plavix 25 mg daily. Return",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","no","No mention of inferior MI or RCA/circumflex stents."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","no","History recorded as \"Not discussed\"; symptom denials absent."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Weight 244 lb, BP 120/82, HR 68 regular."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruits, thyroid not enlarged, trachea midline, no cervical lymphadenopathy."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","partial","Expansion, breath sounds and heart sounds captured; PMI 5th ICS omitted."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen fully captured but pulses written as \"sequential pulses\" rather than equal."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","partial","CAD and LV dysfunction captured but CAD given an unstated \"class 2\"."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","partial","Vasotec 20 mg daily correct; Coreg 25 mg lacks the twice-daily frequency."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","no","\"Continue Aspirin 320 mg\" is the wrong dose and Plavix given a \"for three months\" duration."],["The note captures: Return in three months.","no","Follow-up section says \"Not discussed\"; 3-month return not captured as a review."]],"claims":[["coronary artery disease (CAD) class 2","No class or grade of CAD is stated in the source."],["Continue Aspirin 320 mg","Source states aspirin 325 mg daily."],["Plavix 25 mg daily for three months","No Plavix duration was stated; three months was the return interval."]],"note":"Subjective\n\nChief Complaint::\n\nNot discussed\n\nHistory of Presenting Complaint::\n\nNot discussed\n\nObjective\n\nWeight 244 lb.\n\nBlood pressure 120/82 mmHg.\n\nHeart rate 68 bpm, regular.\n\nJugular venous pressure normal.\n\nNo carotid bruits heard.\n\nNeck soft, thyroid not enlarged, trachea midline, no cervical lymphadenopathy.\n\nRespiratory: equal chest expansion, normal vesicular breath sounds.\n\nCardiac: S1 S2 normal, no rub, gallop, or murmurs.\n\nAbdomen soft, non‑tender, no bruits, bowel sounds present.\n\nExtremities: sequential pulses, no leg edema.\n\nWeight: 244 lb.\n\nBlood pressure: 120/82 mmHg.\n\nHeart rate: 68 bpm.\n\nAge: 30 years.\n\nAssessment\n\nPatient assessed as stable.\n\nDiagnoses: coronary artery disease (CAD) class 2 and left ventricular dysfunction.\n\nPlan\n\nMedications::\n\nIncrease Coreg to 25 mg.\n\nIncrease Vasotec to 20 mg daily.\n\nContinue Aspirin 320 mg.\n\nPlavix 25 mg daily for three months.\n\nNot discussed","review":236.18421052631578,"saved":7.3157894736842195,"clean":false,"effort":90.0,"sig":[["missing","History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","Prior MI and stents entirely absent."],["missing","Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","History marked 'Not discussed'; documented cardiac symptom denials lost."],["partial","Assessment: coronary artery disease and left ventricular dysfunction.","Unstated 'class 2' grading added to CAD diagnosis."],["partial","Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","Carvedilol increase lacks twice-daily frequency."],["missing","Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","Wrong aspirin dose and an invented stop date for clopidogrel."],["missing","Return in three months.","3-month return appointment not recorded as follow-up."]],"mb":7.189002,"latency":31.343,"signable":267.5272105263158},{"label":"Run 3","wer":22.22222222222222,"text":"A 30 year old patient with a history of inferior or MI post right coronary artery and sickuplex stent has been feeling well. No symptoms of chest pain no symptoms of dyspnea, orthopnea, dizziness lightheadedness no syncope. Next pair of waist 244 lb blood pressure 120 over 82 heart rate is 68 regular period he&t people say equal jvps normal, no carotid bruits Neck is soft thyroid not enlarged trachea midline no cervical lymphadenopathy Respiratory equal expansion normal but sounds heart bmi in the fifth intercostal space S1, S2 normal no rub, no gallop, no murmurs Abdominal soft, non tender no bruits pulse sounds present extremity equal pulses no leg edema period assessment stable assessment CAD number 2 LV dysfunction plan increase Corec to 25 milligram VAD. Increase Vasotech to 20 milligrams daily. Continue with.\nAspirin 3.25 milligrams daily. Plavix 25 milligrams daily. Return in three months period.","marks":[[0,13,"30-year-old",false],[49,51,"wall",false],[86,95,"circumflex",true],[224,242,"Weighs",false],[247,249,"pounds.",false],[265,276,"120/82.",false],[309,324,"HEENT Pupils are",true],[331,335,"JVP is",false],[355,361,"bruit.",false],[475,478,"breath",false],[492,495,"PMI",true],[503,508,"5th",false],[571,580,"Abdomen",false],[587,597,"nontender.",false],[608,613,"Bowel",true],[629,638,"Extremities",false],[743,748,"Coreg",false],[755,769,"mg b.i.d.",true],[779,787,"Vasotec",false],[794,804,"mg",false],[835,850,"325 mg",true],[868,878,"mg",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","no","No mention of inferior MI or RCA/circumflex stents."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Feels well; denies CP, dyspnoea, orthopnoea, dizziness/lightheadedness, syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Wt 244 lb, BP 120/82, HR 68 regular."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruit, thyroid not enlarged, trachea midline, no cervical LAD."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds; PMI 5th ICS, S1/S2 normal, no rub/gallop/murmur."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen soft, NT, no bruits, pulses equal, no oedema; bowel sounds omitted."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","CAD and LV dysfunction."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","no","\"Corec increased to 25 mg daily\" is the wrong frequency (should be b.i.d.)."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","no","\"Aspirin 3.25 mg daily\" is the wrong dose (325 mg)."],["The note captures: Return in three months.","yes","Return in 3 months."]],"claims":[["Aspirin 3.25 mg daily","Transcript states aspirin 325 mg daily."],["Corec increased to 25 mg daily","Transcript states \"Increase Coreg to 25 mg b.i.d.\"; once-daily is the wrong frequency."]],"note":"Subjective\n\nChief Complaint::\n\nRoutine follow‑up; patient reports feeling well.\n\nHistory of Presenting Complaint::\n\nNo chest pain, dyspnoea, orthopnoea, dizziness, light‑headedness or syncope reported.\n\nObjective\n\nWeight 244 lb.\n\nBP 120/82 mmHg.\n\nHR 68 regular.\n\nJVP normal, no carotid bruits.\n\nNeck soft, thyroid not enlarged, trachea midline, no cervical lymphadenopathy.\n\nRespiratory: equal expansion, normal breath sounds.\n\nCardiac: apex at 5th intercostal space, S1/S2 normal, no rub, gallop or murmur.\n\nAbdomen soft, non‑tender, no bruits.\n\nPeripheral pulses equal, no leg oedema.\n\nWeight: 244 lb.\n\nBlood pressure: 120/82 mmHg.\n\nHeart rate: 68 bpm.\n\nAssessment\n\nAssessment: stable CAD #2 with LV dysfunction.\n\nPlan\n\nMedications::\n\nAspirin 3.25 mg daily.\n\nPlavix 25 mg daily.\n\nCorec increased to 25 mg daily.\n\nVasotech increased to 20 mg daily.\n\nIncrease Corec to 25 mg daily.\n\nIncrease Vasotech to 20 mg daily.\n\nContinue aspirin and Plavix as prescribed.\n\nReturn in 3 months for review.","review":176.1184210526316,"saved":67.38157894736841,"clean":false,"effort":55.00000000000001,"sig":[["missing","History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","Entire history of inferior MI and RCA/circumflex stents omitted."],["missing","Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","Coreg 25 mg recorded daily instead of b.i.d."],["missing","Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","Aspirin dose recorded as 3.25 mg instead of 325 mg."]],"mb":7.028704,"latency":24.143,"signable":200.2614210526316},{"label":"Run 4","wer":21.568627450980394,"text":"A 30 year old patient with a history of inferior or MI post right coronary artery and sickuplex stent has been feeling well. No symptoms of chest pain no symptoms of dyspnea, orthopnea, dizziness lightheadedness no syncope. Next pair of waist 244 lb blood pressure 120 over 82 heart rate is 68 regular period he&t people say equal jvps normal, no carotid bruits Neck is soft thyroid not enlarged trachea midline no cervical lymphadenopathy Respiratory equal expansion normal but sounds heart bmi in the fifth intercostal space S1, S2 normal no rub, no gallop, no murmurs Abdominal soft, non tender no bruits pulse sounds present extremity equal pulses no leg edema period assessment stable assessment CAD number 2 LV dysfunction plan increase Corec to 25 milligram VAD. Increase Vasotech to 20 milligrams daily. Continue with.\nAspirin 3. 25 milligrams daily. Plavix 25 milligrams daily. Return in three months period.","marks":[[0,13,"30-year-old",false],[49,51,"wall",false],[86,95,"circumflex",true],[224,242,"Weighs",false],[247,249,"pounds.",false],[265,276,"120/82.",false],[309,324,"HEENT Pupils are",true],[331,335,"JVP is",false],[355,361,"bruit.",false],[475,478,"breath",false],[492,495,"PMI",true],[503,508,"5th",false],[571,580,"Abdomen",false],[587,597,"nontender.",false],[608,613,"Bowel",true],[629,638,"Extremities",false],[743,748,"Coreg",false],[755,769,"mg b.i.d.",true],[779,787,"Vasotec",false],[794,804,"mg",false],[835,851,"325 mg",true],[869,879,"mg",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","no","No history of inferior MI or stents recorded."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","no","Subjective says \"Not discussed\"; feeling well and denied symptoms are omitted."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","Weight 244 lb, BP 120/82, HR 68 regular."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP, no carotid bruits, thyroid not enlarged, trachea midline, no cervical lymphadenopathy."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","yes","Equal expansion, normal breath sounds, apex 5th ICS, S1 S2 normal, no rub/gallop/murmurs."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen soft, non-tender, no bruits, equal pulses without oedema, but bowel sounds omitted."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","\"Stable CAD ... with LV dysfunction\"."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","no","\"Corec 25 mg daily\" has the wrong frequency (source b.i.d.)."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","no","\"Aspirin 25 mg daily\" is wrong (source 325 mg)."],["The note captures: Return in three months.","yes","\"Return for review in 3 months\"."]],"claims":[["Corec 25 mg daily increased.","Source says Coreg 25 mg b.i.d."],["Aspirin 25 mg daily continued.","Source says aspirin 325 mg daily."]],"note":"Subjective\n\nChief Complaint::\n\nNot discussed\n\nHistory of Presenting Complaint::\n\nNot discussed\n\nObjective\n\nWeight 244 lb.\n\nBP 120/82 mmHg.\n\nHR 68 regular.\n\nJVP equal, no carotid bruits.\n\nNeck soft, thyroid not enlarged, trachea midline, no cervical lymphadenopathy.\n\nRespiratory: equal expansion, normal breath sounds.\n\nCardiac: apex at 5th intercostal space, S1 S2 normal, no rub, gallop or murmurs.\n\nAbdomen soft, non‑tender, no bruits.\n\nPeripheral pulses equal, no leg edema.\n\nWeight: 244 lb.\n\nBlood pressure: 120/82 mmHg.\n\nHeart rate: 68 bpm.\n\nAssessment\n\nStable CAD (number 2) with LV dysfunction.\n\nPlan\n\nMedications::\n\nCorec 25 mg daily increased.\n\nVasotech 20 mg daily increased.\n\nAspirin 25 mg daily continued.\n\nPlavix 25 mg daily continued.\n\nIncrease Corec to 25 mg daily.\n\nIncrease Vasotech to 20 mg daily.\n\nContinue Aspirin 25 mg daily.\n\nContinue Plavix 25 mg daily.\n\nReturn for review in 3 months.","review":195.64473684210526,"saved":47.85526315789474,"clean":false,"effort":65.0,"sig":[["missing","History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","Prior MI and stent history are absent entirely."],["missing","Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","Symptom review marked 'Not discussed' although all key cardiac symptoms were denied."],["missing","Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","Carvedilol frequency is wrong (daily instead of b.i.d.)."],["missing","Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","Aspirin dose recorded as 25 mg instead of 325 mg."]],"mb":6.810189,"latency":25.137,"signable":220.78173684210526},{"label":"Run 5","wer":21.568627450980394,"text":"A 30 year old patient with a history of inferior or MI post right coronary artery and complex stent has been feeling well. No symptoms of chest pain, no symptoms of dyspnea, orthopnea, dizziness lightheadedness no syncope. Next pair of weighs 244lbs blood pressure 120 over 82 heart rate is 68 regular period he&t people say equal JVPs normal, no carotid bruits Neck is soft, thyroid not enlarged trachea midline no cervical lymphadenopathy Respiratory equal expansion normal but sounds heart bmi in the fifth intercostal space S1, S2 normal no rub, no gallop, no murmurs. Abdominal soft non tendon no bruits pulse sounds present extremity equal pulses no leg edema period assessment stable assessment CAD number 2 LV dysfunction plan increase Coreg to 25 milligram bad increase Vasotec to 20 milligrams daily. Continue that.\nAspirin 3. 25 milligrams daily. Plavix 25 milligrams daily. Return in three months period.","marks":[[0,13,"30-year-old",false],[49,51,"wall",false],[86,93,"circumflex",true],[223,235,"",false],[243,249,"244 pounds.",false],[265,276,"120/82.",false],[309,324,"HEENT Pupils are",true],[331,335,"JVP is",false],[355,361,"bruit.",false],[476,479,"breath",false],[493,496,"PMI",true],[504,509,"5th",false],[573,582,"Abdomen",false],[588,598,"nontender.",false],[609,614,"Bowel",true],[630,639,"Extremities",false],[756,769,"mg b.i.d.",true],[793,803,"mg",false],[834,850,"325 mg",true],[868,878,"mg",false]],"facts":[["The note captures: History of inferior-wall myocardial infarction and right coronary artery/circumflex stents.","partial","\"prior inferior MI post-right coronary artery stent\" omits the circumflex stent."],["The note captures: Currently feeling well; denies chest pain, dyspnoea, orthopnoea, dizziness/lightheadedness and syncope.","yes","Feeling well with no chest pain, dyspnoea, orthopnoea, dizziness, light-headedness or syncope."],["The note captures: Weight 244 pounds, blood pressure 120/82, regular heart rate 68.","yes","244 lbs, 120/82 mmHg, HR 68 regular."],["The note captures: Normal JVP, no carotid bruit or cervical lymphadenopathy; normal thyroid/tracheal examination.","yes","JVP normal, no carotid bruits, thyroid not enlarged, trachea midline, no cervical lymphadenopathy."],["The note captures: Equal respiratory expansion/normal breath sounds; PMI fifth intercostal space, normal S1/S2 without rub, gallop or murmur.","partial","Respiratory and heart sounds captured but PMI location omitted."],["The note captures: Abdomen soft and nontender, bowel sounds present, no bruits; equal extremity pulses without leg oedema.","partial","Abdomen soft, non-tender, no bruits and equal pulses without oedema, but bowel sounds omitted."],["The note captures: Assessment: coronary artery disease and left ventricular dysfunction.","yes","\"stable coronary artery disease ... with left ventricular dysfunction\"."],["The note captures: Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","no","\"Increase Coreg to 25 mg daily\" has the wrong frequency (source b.i.d.)."],["The note captures: Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","no","\"Aspirin 25 mg daily\" is wrong (source 325 mg); Plavix 25 mg correct."],["The note captures: Return in three months.","yes","\"Return in three months for review\"."]],"claims":[["Increase Coreg to 25 mg daily.","Source says 25 mg b.i.d.; daily frequency is wrong."],["Aspirin 25 mg daily.","Source says aspirin 325 mg daily."]],"note":"Subjective\n\nChief Complaint::\n\nPatient presents for routine follow‑up, reports feeling well with no chest pain, dyspnoea, orthopnoea, dizziness, light‑headedness or syncope.\n\nHistory of Presenting Complaint::\n\n30‑year‑old with prior inferior MI post‑right coronary artery stent; currently asymptomatic with no new symptoms since last review.\n\nObjective\n\nWeight is 244 lbs.\n\nBlood pressure is 120/82 mmHg.\n\nHeart rate is 68 beats per minute, regular.\n\nJVPs are equal and normal.\n\nNo carotid bruits detected.\n\nNeck is soft, thyroid not enlarged, trachea midline, no cervical lymphadenopathy.\n\nRespiratory examination shows equal expansion with normal breath sounds.\n\nCardiac examination reveals S1 and S2 normal, no rub, gallop, or murmurs.\n\nAbdomen is soft, non‑tender, no bruits.\n\nExtremity pulses are present and equal, no leg edema.\n\nWeight: 244 lbs.\n\nBlood pressure: 120/82 mmHg.\n\nHeart rate: 68 beats per minute, regular.\n\nAssessment\n\nAssessment: stable coronary artery disease (CAD) category 2 with left ventricular dysfunction.\n\nPlan\n\nMedications::\n\nIncrease Coreg to 25 mg daily.\n\nIncrease Vasotec to 20 mg daily.\n\nAspirin 25 mg daily.\n\nPlavix 25 mg daily.\n\nReturn in three months for review.","review":195.0921052631579,"saved":48.40789473684211,"clean":false,"effort":55.00000000000001,"sig":[["missing","Increase Coreg to 25 mg twice daily and Vasotec to 20 mg daily.","Carvedilol frequency is wrong (daily instead of b.i.d.), which halves the dose."],["missing","Continue aspirin 325 mg daily and Plavix 25 mg daily as stated in the published key; medication-dose item provisional pending direct audio validation.","Aspirin dose recorded as 25 mg instead of 325 mg."]],"mb":7.736909,"latency":24.105,"signable":219.19710526315788}]}}