{"reference":"Diagnosis: low back pain with left lower extremity numbness, lumbar disk herniation, lumbar foraminal stenosis. 55-year-old white female who underwent sacroiliac joint injection, right, with 80% improvement in right-sided low back pain. Patient now presents to the pain clinic with left lower extremity pain and numbness. Patient's MRI shows foraminal stenosis L4-5. As a result, we decided to proceed with a lumbar epidural steroid injection. In the end, plan: if patient is doing well, no further intervention will be done. Thanks.","products":{"hanah":[{"label":"Run 1","wer":8.13953488372093,"text":"Diagnosis: low back pain with left lower extremity numbness, lumbar disc herniation, lumbar foraminal stenosis. 55-year-old white female who underwent sacroiliac joint injection right with 80% improvement in right-sided low back pain. The patient now presents to the pain clinic with left lower extremity pain and numbness. The patient's MRI shows foraminal stenosis at L4-5 as a result, we decided to proceed with lumbar epidural steroid injection. In the end, the plan is if the patient is doing well, no further intervention will be done. End of dictation. Thanks.","marks":[],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","Subjective \"left LE pain and numbness\"; assessment lists LBP, disc herniation and foraminal stenosis."],["The note captures: 55-year-old female.","yes","\"55-year-old White female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","\"Prior right SIJ injection resulted in 80% improvement of right-sided low back pain\"."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"left LE pain and numbness\"."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Objective states \"Lumbar MRI: L4-5 foraminal stenosis.\""],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar ESI\", no drug/dose invented."],["The note captures: No further intervention if doing well.","yes","\"If doing well after injection, no further intervention planned\"."]],"claims":[],"note":"Subjective\n55-year-old White female with left LE pain and numbness.\nPrior right SIJ injection resulted in 80% improvement of right-sided low back pain.\nObjective\nLumbar MRI: L4-5 foraminal stenosis.\nAssessment\nLow back pain with left LE numbness.\nLumbar disc herniation.\nLumbar foraminal stenosis at L4-5, consistent with left LE symptoms.\nPlan\nProceed with lumbar ESI.\nIf doing well after injection, no further intervention planned.","review":21.789473684210527,"saved":124.21052631578948,"clean":true,"effort":0.0,"sig":[]},{"label":"Run 2","wer":8.13953488372093,"text":"Diagnosis: low back pain with left lower extremity numbness, lumbar disc herniation, lumbar foraminal stenosis. 55-year-old white female who underwent sacroiliac joint injection right with 80% improvement in right-sided low back pain. The patient now presents to the pain clinic with left lower extremity pain and numbness. The patient's MRI shows foraminal stenosis at L4-5 as a result, we decided to proceed with lumbar epidural steroid injection. In the end, the plan is if the patient is doing well, no further intervention will be done. End of dictation. Thanks.","marks":[],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","LBP with LLE numbness/pain, lumbar disc herniation, L4-5 foraminal stenosis."],["The note captures: 55-year-old female.","yes","\"55-year-old White female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","\"80% improvement in right-sided low back pain following right SIJ injection\"."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"LLE pain and numbness\"."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Objective states \"Lumbar MRI demonstrates L4-5 foraminal stenosis.\""],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar ESI\"."],["The note captures: No further intervention if doing well.","yes","\"If doing well following injection, no further intervention planned\"."]],"claims":[],"note":"Subjective\n55-year-old White female presents to pain clinic with LLE pain and numbness.\nReports 80% improvement in right-sided low back pain following right SIJ injection.\nObjective\nLumbar MRI demonstrates L4-5 foraminal stenosis.\nAssessment\nLow back pain with LLE numbness/pain.\nLumbar disc herniation.\nL4-5 lumbar foraminal stenosis, consistent with current LLE symptoms.\nRight-sided low back pain improved 80% s/p right SIJ injection.\nPlan\nProceed with lumbar ESI.\nIf doing well following injection, no further intervention planned.","review":26.210526315789476,"saved":119.78947368421052,"clean":true,"effort":0.0,"sig":[],"mb":2.477169,"latency":6.414,"signable":32.624526315789474},{"label":"Run 3","wer":6.976744186046512,"text":"Diagnosis: low back pain with left lower extremity numbness, lumbar disc herniation, lumbar foraminal stenosis. 55-year-old white female who underwent sacroiliac joint injection right with 80% improvement in right-sided low back pain. The patient now presents to the pain clinic with left lower extremity pain and numbness. The patient's MRI shows foraminal stenosis at L4-5 as a result. We decided to proceed with a lumbar epidural steroid injection. In the end, the plan is if the patient is doing well, no further intervention will be done. End of dictation. Thanks.","marks":[],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","LBP with LLE numbness/pain, lumbar disc herniation, foraminal stenosis."],["The note captures: 55-year-old female.","yes","\"55-year-old White female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","\"80% improvement in right-sided LBP following right SIJ injection\"."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"LLE pain and numbness\"."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Objective states \"Lumbar MRI: L4-5 foraminal stenosis\"; the added link to disc herniation does not alter the captured MRI finding."],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar ESI\"."],["The note captures: No further intervention if doing well.","yes","\"If doing well following injection, no further intervention planned\"."]],"claims":[],"note":"Subjective\n55-year-old White female presents to pain clinic with LLE pain and numbness.\nReports 80% improvement in right-sided LBP following right SIJ injection.\nObjective\nLumbar MRI: L4-5 foraminal stenosis, associated with lumbar disc herniation.\nAssessment\nLBP with LLE numbness/pain.\nLumbar disc herniation with L4-5 foraminal stenosis, correlating with LLE symptoms.\nRight-sided LBP improved 80% s/p right SIJ injection.\nPlan\nProceed with lumbar ESI.\nIf doing well following injection, no further intervention planned.","review":25.263157894736842,"saved":120.73684210526315,"clean":true,"effort":0.0,"sig":[],"mb":2.473838,"latency":7.18,"signable":32.44315789473684},{"label":"Run 4","wer":8.13953488372093,"text":"Diagnosis: low back pain with left lower extremity numbness, lumbar disc herniation, lumbar foraminal stenosis. 55-year-old white female who underwent sacroiliac joint injection right with 80% improvement in right-sided low back pain. The patient now presents to the pain clinic with left lower extremity pain and numbness. The patient's MRI shows foraminal stenosis at L4-5 as a result, we decided to proceed with lumbar epidural steroid injection. In the end, the plan is if the patient is doing well, no further intervention will be done. End of dictation. Thanks.","marks":[],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","LBP with LLE numbness/pain, lumbar disc herniation and foraminal stenosis listed."],["The note captures: 55-year-old female.","yes","55-year-old female."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","80% improvement in right-sided LBP after right SIJ injection."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","Current LLE pain and numbness, laterality correct."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Objective states \"Lumbar MRI: L4–5 foraminal stenosis.\""],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar ESI\" with no drug/dose invented."],["The note captures: No further intervention if doing well.","yes","No further intervention planned if doing well."]],"claims":[],"note":"Subjective\n55-year-old White female presents to pain clinic with LLE pain and numbness.\nReports 80% improvement in right-sided LBP following right SIJ injection.\nObjective\nLumbar MRI: L4–5 foraminal stenosis.\nAssessment\nLBP with LLE numbness/pain.\nLumbar disc herniation.\nLumbar foraminal stenosis at L4–5, correlating with current LLE symptoms.\nRight-sided LBP improved 80% s/p right SIJ injection.\nPlan\nProceed with lumbar ESI for LLE symptoms associated with L4–5 foraminal stenosis.\nIf doing well after injection, no further intervention planned.","review":27.157894736842106,"saved":118.84210526315789,"clean":true,"effort":0.0,"sig":[],"mb":2.490399,"latency":6.443,"signable":33.60089473684211},{"label":"Run 5","wer":8.13953488372093,"text":"Diagnosis: low back pain with left lower extremity numbness, lumbar disc herniation, lumbar foraminal stenosis. 55-year-old white female who underwent sacroiliac joint injection right with 80% improvement in right-sided low back pain. The patient now presents to the pain clinic with left lower extremity pain and numbness. The patient's MRI shows foraminal stenosis at L4-5 as a result. We decided to proceed with lumbar epidural steroid injection. In the end, the plan is if the patient is doing well, no further intervention will be done. End of dictation. Thanks.","marks":[],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","LBP with LLE numbness/pain, lumbar disc herniation and foraminal stenosis listed."],["The note captures: 55-year-old female.","yes","55-year-old female."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","80% improvement in right-sided LBP after right SIJ injection."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","Current LLE pain and numbness, laterality correct."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Objective states \"Lumbar MRI demonstrates L4-5 foraminal stenosis.\""],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar ESI\" with no drug/dose invented."],["The note captures: No further intervention if doing well.","yes","No further intervention planned if doing well."]],"claims":[],"note":"Subjective\n55-year-old White female presents to pain clinic with LLE pain and numbness.\nReports 80% improvement in right-sided LBP following right SIJ injection.\nObjective\nLumbar MRI demonstrates L4-5 foraminal stenosis.\nAssessment\nLBP with LLE numbness.\nLumbar disc herniation.\nLumbar foraminal stenosis at L4-5, correlating with current LLE pain/numbness.\nRight-sided LBP improved 80% s/p right SIJ injection.\nPlan\nProceed with lumbar ESI.\nIf doing well after injection, no further intervention planned.","review":24.63157894736842,"saved":121.36842105263158,"clean":true,"effort":0.0,"sig":[],"mb":2.525511,"latency":7.49,"signable":32.12157894736842}],"heidi":[{"label":"Run 1","wer":6.976744186046512,"text":"Diagnosis. Low back pain with left lower exemption. Numbness. Lumbar disc herniation. Lumbar foraminosis. Fifty five year old white female who underwent sacroili joint injection right with eighty percent improvement in right sided low back pain.\n\nPatient now presents to the pain clinic with left lower extremity pain and numbness. Patient's MRI shows foraminal stenosis L4 five. As a result, we decide to proceed with a lumbar epidural steroid injection. In the end plan, if patient is doing well, no further intervention will be done. End of dictation, thanks.","marks":[[41,51,"extremity",true],[93,125,"foraminal stenosis. 55-year-old",true],[153,161,"sacroiliac",false],[189,203,"80%",false],[396,402,"decided",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","partial","LBP with LLE numbness and disc herniation listed, but stenosis appears as the garbled \"Lumbar foraminosis\" in the assessment (stenosis only in MRI line)."],["The note captures: 55-year-old female.","yes","\"55yo female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","\"Prior right sacroiliac joint injection with 80% improvement in right-sided low back pain\"."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"left lower extremity pain and numbness\"; laterality preserved."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Objective states \"MRI: foraminal stenosis L4-L5\"."],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar epidural steroid injection\"; nothing invented."],["The note captures: No further intervention if doing well.","partial","\"If symptoms resolve, no further intervention planned\" shifts the condition from doing well to symptom resolution."]],"claims":[],"note":"Subjective:\n\n- 55yo female\n\n- Presents to pain clinic with left lower extremity pain and numbness\n\n- Prior right sacroiliac joint injection with 80% improvement in right-sided low back pain\n\n\n\n\nObjective:\n\n- MRI: foraminal stenosis L4-L5\n\n\n\n\nAssessment:\n\n- Low back pain with left lower extremity numbness\n\n- Lumbar disc herniation\n\n- Lumbar foraminosis\n\n\n\n\nPlan:\n\n- Proceed with lumbar epidural steroid injection\n\n- If symptoms resolve, no further intervention planned","review":46.078947368421055,"saved":99.92105263157895,"clean":false,"effort":14.285714285714285,"sig":[],"mb":23.796396,"latency":23.164,"signable":69.24294736842106},{"label":"Run 2","wer":9.30232558139535,"text":"Diagnosis. Low back pain with left lower extremity numbness, lumbar disconnection, lumbar foraminosis. Fifty five years old white female who underwent sacroilaric joint injection right with eighty percent improvement in right sided low back pain.\n\nPatient now presents to the pain clinic with left lower extremity pain and numbness. Patient's MRI shows foraminal stenosis L4 five. As a result, we decide to proceed with a lumbar epidural steroid injection. In the end plan, if patient is doing well, no further intervention will be done. End of dictation, thanks.","marks":[[68,81,"disk herniation",true],[90,123,"foraminal stenosis. 55-year-old",true],[151,162,"sacroiliac",false],[190,204,"80%",false],[397,403,"decided",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","partial","LBP with LLE numbness captured, but herniation and stenosis garbled as \"Lumbar discopathy\" and \"Lumbar foraminosis\"."],["The note captures: 55-year-old female.","yes","\"55yo female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","\"Prior right sacroiliac joint injection with 80% improvement in right-sided low back pain\"."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"left lower extremity pain and numbness\"."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Objective states \"MRI: foraminal stenosis L4/5\", matching the transcript."],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar epidural steroid injection\"."],["The note captures: No further intervention if doing well.","yes","\"If doing well ... no further intervention planned\"."]],"claims":[],"note":"Subjective\n\n- 55yo female, presents to pain clinic with left lower extremity pain and numbness\n\n- Prior right sacroiliac joint injection with 80% improvement in right-sided low back pain\n\n\n\n\nObjective\n\n- MRI: foraminal stenosis L4/5\n\n\n\n\nAssessment\n\n- Low back pain with left lower extremity numbness\n\n- Lumbar discopathy\n\n- Lumbar foraminosis\n\n\n\n\nPlan\n\n- Proceed with lumbar epidural steroid injection\n\n- If doing well post-procedure, no further intervention planned","review":36.89473684210526,"saved":109.10526315789474,"clean":false,"effort":7.142857142857142,"sig":[["partial","Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","Disc herniation and foraminal stenosis diagnoses replaced by vague/nonexistent terms."]],"mb":23.441481,"latency":23.789,"signable":60.68373684210526},{"label":"Run 3","wer":10.465116279069768,"text":"Diagnosis. Low back pain with left lower extremity numbness, lumbar disc herniation, lumbar foramen dysmosis. Fifty five years old white female who underwent sacroiliac joint injection right with eighty percent improvement in right sided low back pain.\n\nPatient now presents to the pain clinic with left lower extremity pain and numbness. Patient's MRI shows foraminal stenosis L4 five. As a result, we decide to proceed with a lumbar epidural steroid injection. In the end plan, if patient is doing well, no further intervention will be done. End of the patient, thanks.","marks":[[92,130,"foraminal stenosis. 55-year-old",true],[196,210,"80%",false],[403,409,"decided",false],[544,562,"",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","Assessment lists LBP with left LE numbness, disc herniation, foraminal stenosis."],["The note captures: 55-year-old female.","yes","\"55-year-old female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","Right SIJ injection with 80% improvement in right-sided LBP."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"left lower extremity pain and numbness\"."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Objective states \"MRI: foraminal stenosis L4-L5\"."],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar epidural steroid injection\"."],["The note captures: No further intervention if doing well.","yes","\"If good response, no further intervention planned\"."]],"claims":[],"note":"Subjective\n\n- 55-year-old female\n\n- Prior right sacroiliac joint injection with 80% improvement in right-sided low back pain\n\n- New onset left lower extremity pain and numbness\n\n\n\n\nObjective\n\n- MRI: foraminal stenosis L4-L5\n\n\n\n\nAssessment\n\n- Low back pain with left lower extremity numbness\n\n- Lumbar disc herniation\n\n- Lumbar foraminal stenosis\n\n\n\n\nPlan\n\n- Proceed with lumbar epidural steroid injection\n\n- If good response, no further intervention planned","review":19.578947368421055,"saved":126.42105263157895,"clean":true,"effort":0.0,"sig":[],"mb":22.970089,"latency":19.894,"signable":39.47294736842105},{"label":"Run 4","wer":10.465116279069768,"text":"Diagnosis. Low back pain with left lower extremity numbness, lumbar disc herniation, lumbar foramen dysmosis. Fifty five years old white female who underwent sacroiliac joint injection right with eighty percent improvement in right sided low back pain.\n\nPatient now presents to the pain clinic with left lower extremity pain and numbness. Patient's MRI shows foraminal stenosis L4 five. As a result, we decide to proceed with a lumbar epidural steroid injection. In the end plan, if patient is doing well, no further intervention will be done. End of the patient, thanks.","marks":[[92,130,"foraminal stenosis. 55-year-old",true],[196,210,"80%",false],[403,409,"decided",false],[544,562,"",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","LBP with left lower extremity numbness, disc herniation, foraminal stenosis; LLE pain also noted."],["The note captures: 55-year-old female.","yes","\"55yo female.\""],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","\"Prior right sacroiliac joint injection with 80% improvement in right-sided low back pain.\""],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"left lower extremity pain and numbness.\""],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Objective states 'MRI: foraminal stenosis L4-L5'."],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar epidural steroid injection.\""],["The note captures: No further intervention if doing well.","yes","\"If doing well post-procedure, no further intervention planned.\""]],"claims":[],"note":"Subjective:\n\n- 55yo female\n\n- Prior right sacroiliac joint injection with 80% improvement in right-sided low back pain\n\n- Now presents with left lower extremity pain and numbness\n\n\n\n\nObjective:\n\n- MRI: foraminal stenosis L4-L5\n\n\n\n\nAssessment:\n\n- Low back pain with left lower extremity numbness\n\n- Lumbar disc herniation\n\n- Lumbar foraminal stenosis\n\n\n\n\nPlan:\n\n- Proceed with lumbar epidural steroid injection\n\n- If doing well post-procedure, no further intervention planned","review":19.89473684210526,"saved":126.10526315789474,"clean":true,"effort":0.0,"sig":[],"mb":19.81428,"latency":22.365,"signable":42.259736842105255},{"label":"Run 5","wer":5.813953488372093,"text":"Diagnosis. Low back pain with left lower extremity numbness, lumbar disc herniation, lumbar foraminasmosis. Fifty five years old white female who underwent sacroiliac joint injection right with eighty percent improvement in right sided low back pain.\n\nPatient now presents to the pain clinic with left lower extremity pain and numbness. Patient's MRI shows foraminal stenosis L4 five. As a result, we decide to proceed with a lumbar epidural steroid injection. In the end plan, if patient is doing well, no further intervention will be done. End of dictation, thanks.","marks":[[92,128,"foraminal stenosis. 55-year-old",true],[194,208,"80%",false],[401,407,"decided",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","LBP with left lower extremity numbness, disc herniation, MRI foraminal stenosis (assessment garbled as \"foraminosis\")."],["The note captures: 55-year-old female.","yes","\"55yo female.\""],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","\"Prior right SIJ injection with 80% improvement in right-sided low back pain.\""],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"left lower extremity pain and numbness.\""],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Objective states 'MRI: foraminal stenosis L4-L5'."],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar epidural steroid injection.\""],["The note captures: No further intervention if doing well.","yes","\"If doing well, no further intervention.\""]],"claims":[],"note":"Subjective\n\n- 55yo female\n\n- Prior right SIJ injection with 80% improvement in right-sided low back pain\n\n- Now presents with left lower extremity pain and numbness\n\n\n\n\nObjective\n\n- MRI: foraminal stenosis L4-L5\n\n\n\n\nAssessment\n\n- Low back pain with left lower extremity numbness\n\n- Lumbar disc herniation\n\n- Lumbar foraminosis\n\n\n\n\nPlan\n\n- Proceed with lumbar epidural steroid injection\n\n- If doing well, no further intervention","review":18.315789473684212,"saved":127.68421052631578,"clean":true,"effort":0.0,"sig":[],"mb":19.719523,"latency":22.692,"signable":41.00778947368421},{"label":"Run 6","wer":12.790697674418606,"text":"Diagnosis. Low back pain with left lower extremity numbness, lumbar disc herniation, lumbar foramen cosmosis. Fifty five years old white female who underwent sacroiliary gland injection right with eighty percent improvement in right sided low back pain.\n\nPatient now presents to the pain clinic with left lower extremity pain and numbness. Patient's MRI shows foraminal stenosis L4 five. As a result, we decide to proceed with a lumbar epidural steroid injection. In the end plan, if patient is doing well, no further intervention will be done. End of the patient, thanks.","marks":[[92,130,"foraminal stenosis. 55-year-old",true],[158,175,"sacroiliac joint",true],[197,211,"80%",false],[404,410,"decided",false],[545,563,"",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","LBP with LLE numbness/pain, lumbar disc herniation, lumbar foraminal stenosis listed."],["The note captures: 55-year-old female.","yes","\"55yo white female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","\"Prior right sacroiliac joint injection with 80% improvement in right-sided low back pain\"."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"left lower extremity pain and numbness\"."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Objective states 'MRI: foraminal stenosis L4-L5'."],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Lumbar epidural steroid injection\" planned; no drug/dose invented."],["The note captures: No further intervention if doing well.","yes","\"No further intervention if pain resolves\"."]],"claims":[],"note":"Subjective\n\n- 55yo white female\n\n- Prior right sacroiliac joint injection with 80% improvement in right-sided low back pain\n\n- Now presents with left lower extremity pain and numbness\n\n\n\n\nObjective\n\n- MRI: foraminal stenosis L4-L5\n\n\n\n\nAssessment\n\n- Low back pain with left lower extremity numbness\n\n- Lumbar disc herniation\n\n- Lumbar foraminal stenosis\n\n\n\n\nPlan\n\n- Lumbar epidural steroid injection\n\n- No further intervention if pain resolves","review":18.63157894736842,"saved":127.36842105263158,"clean":true,"effort":0.0,"sig":[],"mb":23.425908,"latency":25.458,"signable":44.08957894736842}],"freed":[{"label":"Run 1","wer":13.953488372093023,"text":"Diagnosis, low back pain with left lower extremity numbness-lumbar disc herniation-lumbar foraminosis, 55-year-old white female who underwent sacroiliac joint injection right with 80 percent improvement in right-sided low back pain.\nPatient now presents to pain clinic with left lower extremity pain and numbness.\nPatients MRI shows foraminosis L4-5.\nAs a result, we decide to proceed with a lumbar epidural injection.\nIn the end plan.\nIf patient is doing well, no further intervention will be done.\nEnd of discussion, thanks.","marks":[[72,101,"herniation lumbar foraminal stenosis.",true],[180,190,"80%",false],[314,322,"Patient's",false],[333,344,"foraminal stenosis",true],[367,373,"decided",false],[407,407,"steroid",true],[500,517,"",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","partial","Captures LBP with LLE numbness and disc herniation, but foraminal stenosis is rendered as \"lumbar foraminosis\" and the history list drops the LLE numbness."],["The note captures: 55-year-old female.","yes","States \"55-year-old female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","Prior right SI joint injection with 80% improvement in right-sided low back pain."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","Current symptoms documented as left lower extremity pain and numbness."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Imaging lists \"MRI lumbar spine: Foraminal stenosis at L4-5\"; the assessment's garbled \"foraminosis at L4-5\" does not negate the correct imaging line."],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","partial","\"Proceed with lumbar epidural injection\" captures the decision but omits that it is a steroid injection."],["The note captures: No further intervention if doing well.","yes","States no further intervention if the patient does well."]],"claims":[],"note":"Subjective\nA 55-year-old female with a history of low back pain, lumbar disc herniation, and lumbar foraminosis, presents to the pain clinic with left lower extremity pain and numbness. She previously underwent a right sacroiliac joint injection, which resulted in 80 percent improvement in right-sided low back pain. She now reports left lower extremity pain and numbness.\n\nMedical History  \n- Low back pain  \n- Lumbar disc herniation  \n- Lumbar foraminosis\n\nSurgical History  \n- Right sacroiliac joint injection\n\nObjective\nLaboratory, Imaging, and Diagnostic Test Results  \n- MRI lumbar spine: Foraminal stenosis at L4-5\n\nAssessment & Plan\n55-year-old female with history of low back pain and recent sacroiliac joint injection, presenting with left lower extremity pain and numbness.\n\nLow Back Pain  \nAssessment: Patient has low back pain with left lower extremity numbness secondary to lumbar disc herniation and lumbar foraminosis. MRI demonstrates foraminosis at L4-5 level. Patient previously underwent right sacroiliac joint injection with 80% improvement in right-sided low back pain, but now presents with left-sided symptoms involving the lower extremity with pain and numbness.  \nPlan:  \n- Proceed with lumbar epidural injection for left lower extremity pain and numbness  \n- If patient responds well to injection, no further intervention will be performed\n","review":98.97368421052632,"saved":47.026315789473685,"clean":false,"effort":14.285714285714285,"sig":[],"mb":6.840744,"latency":29.598,"signable":119.02768421052632},{"label":"Run 2","wer":13.953488372093023,"text":"Diagnosis, low back pain with left lower extremity numbness-lumbar disc herniation-lumbar foraminosis, 55-year-old white female who underwent sacroiliac joint injection right with 80 percent improvement in right-sided low back pain.\nPatient now presents to pain clinic with left lower extremity pain and numbness.\nPatients MRI shows foraminosis L4-5.\nAs a result, we decide to proceed with a lumbar epidural injection.\nIn the end plan.\nIf patient is doing well, no further intervention will be done.\nEnd of discussion, thanks.","marks":[[72,101,"herniation lumbar foraminal stenosis.",true],[180,190,"80%",false],[314,322,"Patient's",false],[333,344,"foraminal stenosis",true],[367,373,"decided",false],[407,407,"steroid",true],[500,517,"",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","Medical history and assessment list low back pain with left LE numbness, lumbar disc herniation and lumbar foraminal stenosis, plus left LE pain."],["The note captures: 55-year-old female.","yes","\"A 55-year-old female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","\"right sacroiliac joint injection, which resulted in 80 percent improvement in right-sided low back pain.\""],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"now presents with contralateral left-sided symptoms\"; left LE pain and numbness stated correctly."],["The note captures: MRI shows L4–5 foraminal stenosis.","partial","Assessment correctly states 'MRI demonstrates foraminal stenosis at L4-5', but the dedicated imaging line garbles it as 'MRI lumbar spine: Foraminosis at L4-5'."],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","partial","\"Proceed with lumbar epidural injection\" drops \"steroid\", though no drug, dose or completion is invented."],["The note captures: No further intervention if doing well.","yes","\"If patient responds well to injection, no further intervention will be performed.\""]],"claims":[],"note":"Subjective\nA 55-year-old female with a history of low back pain with left lower extremity numbness, lumbar disc herniation, and lumbar foraminal stenosis, presents to the pain clinic with left lower extremity pain and numbness. She previously underwent a right sacroiliac joint injection, which resulted in 80 percent improvement in right-sided low back pain. She now reports left lower extremity pain and numbness.\n\nMedical History  \n- Low back pain with left lower extremity numbness  \n- Lumbar disc herniation  \n- Lumbar foraminal stenosis\n\nSurgical History  \n- Right sacroiliac joint injection\n\nObjective\nLaboratory, Imaging, and Diagnostic Test Results  \n- MRI lumbar spine: Foraminosis at L4-5\n\nAssessment & Plan\n55-year-old female with low back pain and lumbar disc herniation, presenting with left lower extremity pain and numbness.\n\nLow Back Pain  \nAssessment: Patient has low back pain with left lower extremity numbness secondary to lumbar disc herniation and lumbar foraminal stenosis. MRI demonstrates foraminal stenosis at L4-5 level. Patient previously underwent right sacroiliac joint injection with 80% improvement in right-sided low back pain, but now presents with contralateral left-sided symptoms.  \nPlan:  \n- Proceed with lumbar epidural injection for left lower extremity pain and numbness  \n- If patient responds well to injection, no further intervention will be performed\n","review":92.42105263157895,"saved":53.578947368421055,"clean":false,"effort":14.285714285714285,"sig":[],"mb":6.919202,"latency":30.297,"signable":112.11005263157895},{"label":"Run 3","wer":13.953488372093023,"text":"Diagnosis, low back pain with left lower extremity numbness-lumbar disc herniation-lumbar foraminosis, 55-year-old white female who underwent sacroiliac joint injection right with 80 percent improvement in right-sided low back pain.\nPatient now presents to pain clinic with left lower extremity pain and numbness.\nPatients MRI shows foraminosis L4-5.\nAs a result, we decide to proceed with a lumbar epidural injection.\nIn the end plan.\nIf patient is doing well, no further intervention will be done.\nEnd of discussion, thanks.","marks":[[72,101,"herniation lumbar foraminal stenosis.",true],[180,190,"80%",false],[314,322,"Patient's",false],[333,344,"foraminal stenosis",true],[367,373,"decided",false],[407,407,"steroid",true],[500,517,"",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","Lists low back pain with LLE numbness, lumbar disc herniation and lumbar foraminal stenosis, with LLE pain."],["The note captures: 55-year-old female.","yes","States \"55-year-old female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","Prior right SI joint injection with 80% improvement in right-sided low back pain."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","Current symptoms documented as left lower extremity pain and numbness."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Subjective states \"MRI demonstrates foraminal stenosis at L4-5\"; the imaging line's \"Foraminosis at L4-5\" is a wording variant of the same finding."],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","partial","\"Proceed with lumbar epidural injection\" captures the decision but omits that it is a steroid injection."],["The note captures: No further intervention if doing well.","yes","States no further intervention if the patient does well."]],"claims":[],"note":"Subjective\nA 55-year-old female with a history of low back pain with left lower extremity numbness, lumbar disc herniation, and lumbar foraminal stenosis, presents to the pain clinic with left lower extremity pain and numbness. She previously underwent a right sacroiliac joint injection, which resulted in 80 percent improvement in right-sided low back pain. She now reports left-sided symptoms. MRI demonstrates foraminal stenosis at L4-5.\n\nMedical History  \n- Low back pain with left lower extremity numbness  \n- Lumbar disc herniation  \n- Lumbar foraminal stenosis\n\nSurgical History  \n- Right sacroiliac joint injection\n\nObjective\nLaboratory, Imaging, and Diagnostic Test Results  \n- MRI lumbar spine: Foraminosis at L4-5\n\nAssessment & Plan\n55-year-old female with history of low back pain, presenting with left lower extremity pain and numbness.\n\nLow back pain with left lower extremity numbness  \nAssessment: Patient has low back pain with left lower extremity numbness secondary to lumbar disc herniation and lumbar foraminal stenosis at L4-5 as demonstrated on MRI. Previously underwent right sacroiliac joint injection with 80% improvement in right-sided low back pain. Now presenting with left-sided symptoms requiring targeted intervention.  \nPlan:  \n- Proceed with lumbar epidural injection for left lower extremity pain and numbness  \n- If patient responds well to injection, no further intervention will be performed\n","review":84.81578947368422,"saved":61.18421052631578,"clean":false,"effort":7.142857142857142,"sig":[],"mb":6.855463,"latency":31.438,"signable":105.67378947368422},{"label":"Run 4","wer":13.953488372093023,"text":"Diagnosis, low back pain with left lower extremity numbness-lumbar disc herniation-lumbar foraminosis, 55-year-old white female who underwent sacroiliac joint injection right with 80 percent improvement in right-sided low back pain.\nPatient now presents to pain clinic with left lower extremity pain and numbness.\nPatients MRI shows foraminosis L4-5.\nAs a result, we decide to proceed with a lumbar epidural injection.\nIn the end plan.\nIf patient is doing well, no further intervention will be done.\nEnd of discussion, thanks.","marks":[[72,101,"herniation lumbar foraminal stenosis.",true],[180,190,"80%",false],[314,322,"Patient's",false],[333,344,"foraminal stenosis",true],[367,373,"decided",false],[407,407,"steroid",true],[500,517,"",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","Lists low back pain with LLE numbness, lumbar disc herniation and lumbar foraminal stenosis, with LLE pain."],["The note captures: 55-year-old female.","yes","States \"55-year-old female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","Prior right SI joint injection with 80% improvement in right-sided low back pain."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","Current symptoms documented as left lower extremity pain and numbness."],["The note captures: MRI shows L4–5 foraminal stenosis.","partial","The imaging results entry reads a garbled \"Foraminosis at L4-5\"; the assessment does say \"MRI demonstrates foraminal stenosis at L4-5\" but adds unsupported \"causing nerve root compression\"."],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","partial","\"Proceed with lumbar epidural injection\" captures the decision but omits that it is a steroid injection."],["The note captures: No further intervention if doing well.","yes","States no further intervention if the patient does well."]],"claims":[["MRI demonstrates foraminal stenosis at L4-5 level causing nerve root compression.","Transcript MRI only reports \"foraminal stenosis, L4-5 left\"; nerve root compression is an imaging finding never stated."]],"note":"Subjective\nA 55-year-old female with a history of low back pain with left lower extremity numbness, lumbar disc herniation, and lumbar foraminal stenosis, presents to the pain clinic with left lower extremity pain and numbness. She previously underwent a right sacroiliac joint injection, which resulted in 80 percent improvement in right-sided low back pain. She now reports left lower extremity pain and numbness.\n\nMedical History  \n- Low back pain with left lower extremity numbness  \n- Lumbar disc herniation  \n- Lumbar foraminal stenosis\n\nSurgical History  \n- Right sacroiliac joint injection\n\nObjective\nLaboratory, Imaging, and Diagnostic Test Results  \n- MRI lumbar spine: Foraminosis at L4-5\n\nAssessment & Plan\n55-year-old female with history of low back pain and previous sacroiliac joint injection, presenting with left lower extremity pain and numbness.\n\nLow back pain with radiculopathy  \nAssessment: Patient presents with left lower extremity pain and numbness consistent with lumbar radiculopathy. MRI demonstrates foraminal stenosis at L4-5 level causing nerve root compression. Previous right sacroiliac joint injection provided 80% improvement in right-sided symptoms. Current left-sided symptoms represent a separate issue requiring targeted intervention.  \nPlan:  \n- Proceed with lumbar epidural injection for left lower extremity pain and numbness  \n- If patient responds well to injection, no further intervention will be performed  \n- Follow up as needed based on response to treatment\n","review":107.89473684210526,"saved":38.10526315789474,"clean":false,"effort":28.57142857142857,"sig":[["partial","MRI shows LEFT L4–5 foraminal stenosis.","Beyond the garbled 'Foraminosis' line, the note attributes 'nerve root compression' to the MRI, an imaging finding never reported."]],"mb":6.893361,"latency":32.39,"signable":128.59773684210526},{"label":"Run 5","wer":13.953488372093023,"text":"Diagnosis, low back pain with left lower extremity numbness-lumbar disc herniation-lumbar foraminosis, 55-year-old white female who underwent sacroiliac joint injection right with 80 percent improvement in right-sided low back pain.\nPatient now presents to pain clinic with left lower extremity pain and numbness.\nPatients MRI shows foraminosis L4-5.\nAs a result, we decide to proceed with a lumbar epidural injection.\nIn the end plan.\nIf patient is doing well, no further intervention will be done.\nEnd of discussion, thanks.","marks":[[72,101,"herniation lumbar foraminal stenosis.",true],[180,190,"80%",false],[314,322,"Patient's",false],[333,344,"foraminal stenosis",true],[367,373,"decided",false],[407,407,"steroid",true],[500,517,"",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","Lists low back pain with LLE numbness, lumbar disc herniation and lumbar foraminal stenosis, with LLE pain."],["The note captures: 55-year-old female.","yes","States \"55-year-old female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","Prior right SI joint injection with 80% improvement in right-sided low back pain."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","Current symptoms documented as left lower extremity pain and numbness."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Imaging lists \"MRI lumbar spine: Foraminal stenosis at L4-5.\""],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","partial","\"Proceed with lumbar epidural injection\" captures the decision but omits that it is a steroid injection."],["The note captures: No further intervention if doing well.","yes","States no further intervention if the patient does well."]],"claims":[],"note":"Subjective\nCliniTech Benchmark c9a864f9, a 55-year-old female with a history of low back pain with left lower extremity numbness, lumbar disc herniation, and lumbar foraminal stenosis, presents to the pain clinic with left lower extremity pain and numbness. She previously underwent a right sacroiliac joint injection, which resulted in an 80 percent improvement in her right-sided low back pain. She now reports left-sided symptoms.\n\nMedical History  \n- Low back pain with left lower extremity numbness  \n- Lumbar disc herniation  \n- Lumbar foraminal stenosis\n\nSurgical History  \n- Right sacroiliac joint injection\n\nObjective\nLaboratory, Imaging, and Diagnostic Test Results  \n- MRI lumbar spine: Foraminal stenosis at L4-5.\n\nAssessment & Plan\n55-year-old female with history of low back pain, presenting with left lower extremity pain and numbness.\n\nLow back pain with radiculopathy  \nAssessment: Patient has low back pain with left lower extremity numbness secondary to lumbar disc herniation and lumbar foraminal stenosis at L4-5 as demonstrated on MRI. Previously underwent right sacroiliac joint injection with 80% improvement in right-sided low back pain. Now presents with left-sided symptoms requiring targeted intervention.  \nPlan:  \n- Proceed with lumbar epidural injection for left lower extremity pain and numbness  \n- If patient responds well to injection, no further intervention will be performed\n","review":83.55263157894737,"saved":62.44736842105263,"clean":false,"effort":7.142857142857142,"sig":[],"mb":6.895985,"latency":31.39,"signable":105.26463157894737}],"cliniscripts":[{"label":"Run 1","wer":6.976744186046512,"text":"Diagnosis: low back pain with left lower extremity numbness, lumbar disc herniation, lumbar foraminal stenosis. 55-year-old white female who underwent sacroiliac joint injection right with 80% improvement in right-sided low back pain.\nThe patient now presents to the pain clinic with left lower extremity pain and numbness. The patient's MRI shows foraminal stenosis at L4-5 as a result.\nWe decided to proceed with lumbar epidural steroid injection. In the end, the plan if the patient is doing well, no further intervention will be done. End of dictation. Thanks.","marks":[],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","Assessment lists low back pain with left LE numbness, lumbar disc herniation and lumbar foraminal stenosis; subjective has left LE pain and numbness."],["The note captures: 55-year-old female.","yes","\"55-year-old white female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","\"sacroiliac joint injection on the right side with 80% improvement in right-sided low back pain.\""],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"now presents with left lower extremity pain and numbness\"."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Objective states \"The patient's MRI shows foraminal stenosis at L4-5.\""],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar epidural steroid injection.\" No invented drug, dose or completion."],["The note captures: No further intervention if doing well.","yes","\"If the patient is doing well, no further intervention will be done.\""]],"claims":[],"note":"S (Subjective):\n- The patient is a 55-year-old white female.\n- The patient previously underwent a sacroiliac joint injection on the right side with 80% improvement in right-sided low back pain.\n- The patient now presents with left lower extremity pain and numbness.\n\nO (Objective):\n- The patient's MRI shows foraminal stenosis at L4-5.\n\nA (Assessment):\n- Diagnosis: low back pain with left lower extremity numbness.\n- Diagnosis: lumbar disc herniation.\n- Diagnosis: lumbar foraminal stenosis.\n\nP (Plan):\n- Proceed with lumbar epidural steroid injection.\n- If the patient is doing well, no further intervention will be done.\n","review":29.684210526315788,"saved":116.31578947368422,"clean":true,"effort":0.0,"sig":[],"mb":4.321685,"latency":21.127,"signable":38.69621052631579},{"label":"Run 2","wer":6.976744186046512,"text":"Diagnosis: low back pain with left lower extremity numbness, lumbar disc herniation, lumbar foraminal stenosis. 55-year-old white female who underwent sacroiliac joint injection right with 80% improvement in right-sided low back pain.\nThe patient now presents to the pain clinic with left lower extremity pain and numbness. The patient's MRI shows foraminal stenosis at L4-5 as a result.\nWe decided to proceed with lumbar epidural steroid injection. In the end, the plan if the patient is doing well, no further intervention will be done. End of dictation. Thanks.","marks":[],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","Lists low back pain with LLE numbness, lumbar disc herniation and lumbar foraminal stenosis, with LLE pain."],["The note captures: 55-year-old female.","yes","States \"55-year-old female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","Prior right SI joint injection with 80% improvement in right-sided low back pain."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","Current symptoms documented as left lower extremity pain and numbness."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Objective states \"MRI findings indicate foraminal stenosis at L4-5.\""],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar epidural steroid injection\"; no invented drug, dose or completed procedure."],["The note captures: No further intervention if doing well.","yes","States no further intervention if the patient does well."]],"claims":[],"note":"S (Subjective):\n- The patient is a 55-year-old female presenting to the pain clinic with left lower extremity pain and numbness.\n- They previously experienced right-sided low back pain, which improved by 80% following a right sacroiliac joint injection.\n\nO (Objective):\n- MRI findings indicate foraminal stenosis at L4-5.\n- The patient previously underwent a right sacroiliac joint injection.\n\nA (Assessment):\n- Diagnosis includes low back pain with left lower extremity numbness.\n- Diagnoses also include lumbar disc herniation and lumbar foraminal stenosis.\n- The patient experienced 80% improvement in right-sided low back pain after a right sacroiliac joint injection.\n\nP (Plan):\n- Proceed with lumbar epidural steroid injection.\n- If the patient shows good progress, no further intervention is planned.\n","review":36.94736842105263,"saved":109.05263157894737,"clean":true,"effort":0.0,"sig":[],"mb":4.405067,"latency":30.252,"signable":46.95736842105263},{"label":"Run 3","wer":5.813953488372093,"text":"Diagnosis: low back pain with left lower extremity numbness, lumbar disc herniation, lumbar foraminal stenosis. 55-year-old white female who underwent sacroiliac joint injection right with 80% improvement in right-sided low back pain.\nThe patient now presents to the pain clinic with left lower extremity pain and numbness. The patient's MRI shows foraminal stenosis at L4-5 as a result.\nWe decided to proceed with a lumbar epidural steroid injection. In the end, the plan if the patient is doing well, no further intervention will be done. End of dictation. Thanks.","marks":[],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","Lists low back pain with LLE numbness, lumbar disc herniation and lumbar foraminal stenosis, with LLE pain."],["The note captures: 55-year-old female.","no","No age or sex stated anywhere in the note."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","Prior right SI joint injection with 80% improvement in right-sided low back pain."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","Current symptoms documented as left lower extremity pain and numbness."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Objective states \"MRI imaging reveals foraminal stenosis at L4-5.\""],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar epidural steroid injection\"; no invented drug, dose or completed procedure."],["The note captures: No further intervention if doing well.","yes","States no further intervention if the patient does well."]],"claims":[],"note":"S (Subjective):\n- The patient presents with new onset left lower extremity pain and numbness.\n- They previously experienced right-sided low back pain.\n- A prior right sacroiliac joint injection resulted in 80% improvement in their right-sided low back pain.\n\nO (Objective):\n- MRI imaging reveals foraminal stenosis at L4-5.\n\nA (Assessment):\n- Diagnosis includes low back pain with left lower extremity numbness, lumbar disc herniation, and lumbar foraminal stenosis.\n- The patient's MRI findings confirm foraminal stenosis at L4-5.\n- They previously showed significant improvement in right-sided low back pain following a right sacroiliac joint injection.\n\nP (Plan):\n- The current plan is to proceed with a lumbar epidural steroid injection.\n- If the patient's condition improves, no further intervention will be pursued.\n","review":49.526315789473685,"saved":96.47368421052632,"clean":false,"effort":14.285714285714285,"sig":[],"mb":4.448287,"latency":30.057,"signable":62.52531578947369},{"label":"Run 4","wer":6.976744186046512,"text":"Diagnosis: low back pain with left lower extremity numbness, lumbar disc herniation, lumbar foraminal stenosis. 55-year-old white female who underwent sacroiliac joint injection right with 80% improvement in right-sided low back pain.\nThe patient now presents to the pain clinic with left lower extremity pain and numbness. The patient's MRI shows foraminal stenosis at L4-5 as a result.\nWe decided to proceed with lumbar epidural steroid injection. In the end, the plan if the patient is doing well, no further intervention will be done. End of dictation. Thanks.","marks":[],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","Assessment lists \"low back pain with left lower extremity numbness, lumbar disc herniation, and lumbar foraminal stenosis\"; subjective adds left LE pain."],["The note captures: 55-year-old female.","yes","\"The patient is a 55-year-old female.\""],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","\"right-sided low back pain, which improved by 80% following a right sacroiliac joint injection.\""],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"now presents with left lower extremity pain and numbness\" - laterality correct."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Objective states \"MRI findings indicate foraminal stenosis at L4-5.\""],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar epidural steroid injection\" with no invented drug, dose or completion."],["The note captures: No further intervention if doing well.","yes","\"If the patient responds well to the injection, no further intervention will be pursued.\""]],"claims":[],"note":"S (Subjective):\n- The patient is a 55-year-old female.\n- They previously experienced right-sided low back pain, which improved by 80% following a right sacroiliac joint injection.\n- The patient now presents with left lower extremity pain and numbness.\n\nO (Objective):\n- MRI findings indicate foraminal stenosis at L4-5.\n\nA (Assessment):\n- Diagnoses include low back pain with left lower extremity numbness, lumbar disc herniation, and lumbar foraminal stenosis.\n- The foraminal stenosis at L4-5 is identified as a contributing factor to their current symptoms.\n\nP (Plan):\n- Proceed with lumbar epidural steroid injection.\n- If the patient responds well to the injection, no further intervention will be pursued.\n","review":33.473684210526315,"saved":112.52631578947368,"clean":true,"effort":0.0,"sig":[],"mb":4.437424,"latency":25.021,"signable":44.461684210526315},{"label":"Run 5","wer":6.976744186046512,"text":"Diagnosis: low back pain with left lower extremity numbness, lumbar disc herniation, lumbar foraminal stenosis. 55-year-old white female who underwent sacroiliac joint injection right with 80% improvement in right-sided low back pain.\nThe patient now presents to the pain clinic with left lower extremity pain and numbness. The patient's MRI shows foraminal stenosis at L4-5 as a result.\nWe decided to proceed with lumbar epidural steroid injection. In the end, the plan if the patient is doing well, no further intervention will be done. End of dictation. Thanks.","marks":[],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","Lists low back pain with LLE numbness, lumbar disc herniation and lumbar foraminal stenosis, with LLE pain."],["The note captures: 55-year-old female.","yes","States \"55-year-old female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","Prior right SI joint injection with 80% improvement in right-sided low back pain."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","Current symptoms documented as left lower extremity pain and numbness."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Objective states \"MRI imaging reveals foraminal stenosis at L4-5.\""],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar epidural steroid injection\"; no invented drug, dose or completed procedure."],["The note captures: No further intervention if doing well.","yes","States no further intervention if the patient does well."]],"claims":[],"note":"S (Subjective):\n- The patient is a 55-year-old female presenting with new onset left lower extremity pain and numbness.\n- They previously experienced right-sided low back pain.\n- This right-sided low back pain improved by 80% following a right sacroiliac joint injection.\n\nO (Objective):\n- MRI imaging reveals foraminal stenosis at L4-5.\n\nA (Assessment):\n- Low back pain with left lower extremity numbness.\n- Lumbar disc herniation.\n- Lumbar foraminal stenosis.\n\nP (Plan):\n- Proceed with lumbar epidural steroid injection.\n- If the patient's condition improves, no further intervention is planned.\n","review":27.789473684210527,"saved":118.21052631578948,"clean":true,"effort":0.0,"sig":[],"mb":4.405784,"latency":24.224,"signable":37.77347368421053}],"lyrebird":[{"label":"Run 1","wer":6.976744186046512,"text":"Diagnosis. Low back pain with left lower extremity numbness, lumbar disc herniation, lumbar foramen stenosis. 55 year old white female who underwent sacroiliac joint injection right with 80 percent improvement in right sided low back pain. Patient now presents the pain clinic with left lower extremity pain and numbness. Patient's MRI shows foraminal stenosis l 4 5. As a result, we decide to proceed with a lumbar epidural steroid injection. In the end plan, if patient is doing well, no further\n\nIntervention will be done. End of dictation. Thanks.","marks":[[92,99,"foraminal",false],[187,197,"80%",false],[361,367,"L4-5.",false],[384,390,"decided",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","Assessment: \"Low back pain with left lower extremity numbness\", \"Lumbar disc herniation\", \"Lumbar foraminal stenosis L4-5\"; LLE pain in S."],["The note captures: 55-year-old female.","yes","\"55-year-old female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","\"Previous right-sided low back pain improved 80% following right sacroiliac joint injection\"."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"left lower extremity pain and numbness\"; laterality preserved."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Objective states \"MRI demonstrates foraminal stenosis at L4-5.\""],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar epidural steroid injection\"; nothing invented."],["The note captures: No further intervention if doing well.","yes","\"If patient responds well to injection, no further intervention required\"."]],"claims":[],"note":"SOAP NOTES\n\n\n\n\nSubjective:\n\n55-year-old female presenting with left lower extremity pain and numbness\n\nPrevious right-sided low back pain improved 80% following right sacroiliac joint injection\n\nCurrently experiencing left lower extremity symptoms\n\n\n\n\nObjective:\n\nMRI demonstrates foraminal stenosis at L4-5\n\n\n\n\nAssessment:\n\nLow back pain with left lower extremity numbness\n\nLumbar disc herniation\n\nLumbar foraminal stenosis L4-5\n\n\n\n\nPlan:\n\nProceed with lumbar epidural steroid injection\n\nIf patient responds well to injection, no further intervention required\n\nReview post-procedure","review":24.947368421052634,"saved":121.05263157894737,"clean":true,"effort":0.0,"sig":[],"mb":9.360705,"latency":13.87,"signable":38.817368421052635},{"label":"Run 2","wer":6.976744186046512,"text":"Diagnosis. Low back pain with left lower extremity numbness, lumbar disc herniation, lumbar foramen stenosis. 55 year old white female who underwent sacroiliac joint injection right with 80 percent improvement in right sided low back pain. Patient now presents the pain clinic with left lower extremity pain and numbness. Patient's MRI shows foraminal stenosis l 4 5. As a result, we decide to proceed with a lumbar epidural steroid injection. In the end plan, if patient is doing well, no further\n\nIntervention will be done. End of dictation. Thanks.","marks":[[92,99,"foraminal",false],[187,197,"80%",false],[361,367,"L4-5.",false],[384,390,"decided",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","Low back pain with LLE numbness, lumbar disc herniation, lumbar foraminal stenosis."],["The note captures: 55-year-old female.","yes","\"55-year-old female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","\"right sacroiliac joint injection with 80% improvement in right-sided low back pain\"."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"left lower extremity pain and numbness\"."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","States \"MRI demonstrates foraminal stenosis at L4-5\" and \"MRI findings: foraminal stenosis L4-5\"."],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar epidural steroid injection\"."],["The note captures: No further intervention if doing well.","yes","\"no further intervention required\" if responds well."]],"claims":[],"note":"SOAP Notes\n\n\n\n\nSubjective:\n\n55-year-old female presenting to pain clinic with left lower extremity pain and numbness\n\nPrevious right sacroiliac joint injection with 80% improvement in right-sided low back pain\n\nMRI demonstrates foraminal stenosis at L4-5\n\n\n\n\nObjective:\n\nMRI findings: foraminal stenosis L4-5\n\n\n\n\nAssessment:\n\nLow back pain with left lower extremity numbness\n\nLumbar disc herniation\n\nLumbar foraminal stenosis\n\n\n\n\nPlan:\n\nProceed with lumbar epidural steroid injection\n\nIf patient responds well to injection, no further intervention required","review":24.63157894736842,"saved":121.36842105263158,"clean":true,"effort":0.0,"sig":[],"mb":9.392714,"latency":15.711,"signable":40.34257894736842},{"label":"Run 3","wer":6.976744186046512,"text":"Diagnosis. Low back pain with left lower extremity numbness, lumbar disc herniation, lumbar foramen stenosis. 55 year old white female who underwent sacroiliac joint injection right with 80 percent improvement in right sided low back pain. Patient now presents the pain clinic with left lower extremity pain and numbness. Patient's MRI shows foraminal stenosis l 4 5. As a result, we decide to proceed with a lumbar epidural steroid injection. In the end plan, if patient is doing well, no further\n\nIntervention will be done. End of dictation. Thanks.","marks":[[92,99,"foraminal",false],[187,197,"80%",false],[361,367,"L4-5.",false],[384,390,"decided",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","LBP with left LE numbness, disc herniation, foraminal stenosis L4-5."],["The note captures: 55-year-old female.","yes","\"55-year-old female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","Right SIJ injection with 80% improvement in right-sided LBP."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"left lower extremity pain and numbness\"."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","\"MRI demonstrates foraminal stenosis at L4-5\" and Objective \"MRI findings: foraminal stenosis L4-5\"."],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar epidural steroid injection\"."],["The note captures: No further intervention if doing well.","yes","\"If patient responds well to injection, no further intervention required\"."]],"claims":[],"note":"SOAP Notes\n\n\n\n\nSubjective:\n\n55-year-old female presenting to pain clinic with left lower extremity pain and numbness\n\nPrevious right sacroiliac joint injection with 80% improvement in right-sided low back pain\n\nMRI demonstrates foraminal stenosis at L4-5\n\n\n\n\nObjective:\n\nMRI findings: foraminal stenosis L4-5\n\n\n\n\nAssessment:\n\nLow back pain with left lower extremity numbness\n\nLumbar disc herniation\n\nLumbar foraminal stenosis L4-5\n\n\n\n\nPlan:\n\nProceed with lumbar epidural steroid injection\n\nIf patient responds well to injection, no further intervention required\n\nReview post-procedure","review":26.210526315789476,"saved":119.78947368421052,"clean":true,"effort":0.0,"sig":[],"mb":9.418579,"latency":15.616,"signable":41.82652631578948},{"label":"Run 4","wer":6.976744186046512,"text":"Diagnosis. Low back pain with left lower extremity numbness, lumbar disc herniation, lumbar foramen stenosis. 55 year old white female who underwent sacroiliac joint injection right with 80 percent improvement in right sided low back pain. Patient now presents the pain clinic with left lower extremity pain and numbness. Patient's MRI shows foraminal stenosis l 4 5. As a result, we decide to proceed with a lumbar epidural steroid injection. In the end plan, if patient is doing well, no further\n\nIntervention will be done. End of dictation. Thanks.","marks":[[92,99,"foraminal",false],[187,197,"80%",false],[361,367,"L4-5.",false],[384,390,"decided",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","LBP with left lower extremity pain/numbness, disc herniation and foraminal stenosis."],["The note captures: 55-year-old female.","yes","\"55-year-old female.\""],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","\"Previous right sacroiliac joint injection with 80% improvement in right-sided low back pain.\""],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"left lower extremity pain and numbness.\""],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","\"MRI demonstrates foraminal stenosis at L4-5\" and Objective \"MRI findings: foraminal stenosis L4-5\"."],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar epidural steroid injection.\""],["The note captures: No further intervention if doing well.","yes","\"If patient responds well to injection, no further intervention required.\""]],"claims":[],"note":"SOAP Notes\n\n\n\n\nSubjective:\n\n55-year-old female presenting to pain clinic with left lower extremity pain and numbness\n\nPrevious right sacroiliac joint injection with 80% improvement in right-sided low back pain\n\nMRI demonstrates foraminal stenosis at L4-5\n\n\n\n\nObjective:\n\nMRI findings: foraminal stenosis L4-5\n\n\n\n\nAssessment:\n\nLow back pain with left lower extremity numbness\n\nLumbar disc herniation\n\nLumbar foraminal stenosis\n\n\n\n\nPlan:\n\nProceed with lumbar epidural steroid injection\n\nIf patient responds well to injection, no further intervention required","review":24.63157894736842,"saved":121.36842105263158,"clean":true,"effort":0.0,"sig":[],"mb":9.430175,"latency":15.174,"signable":39.80557894736842},{"label":"Run 5","wer":6.976744186046512,"text":"Diagnosis. Low back pain with left lower extremity numbness, lumbar disc herniation, lumbar foramen stenosis. 55 year old white female who underwent sacroiliac joint injection right with 80 percent improvement in right sided low back pain. Patient now presents the pain clinic with left lower extremity pain and numbness. Patient's MRI shows foraminal stenosis l 4 5. As a result, we decide to proceed with a lumbar epidural steroid injection. In the end plan, if patient is doing well, no further\n\nIntervention will be done. End of dictation. Thanks.","marks":[[92,99,"foraminal",false],[187,197,"80%",false],[361,367,"L4-5.",false],[384,390,"decided",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","LBP with left lower extremity pain/numbness, disc herniation and foraminal stenosis."],["The note captures: 55-year-old female.","yes","\"55-year-old female.\""],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","\"Previous right sacroiliac joint injection with 80% improvement in right-sided low back pain.\""],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"left lower extremity pain and numbness.\""],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","States \"MRI demonstrates foraminal stenosis at L4-5\" and \"MRI findings: foraminal stenosis L4-5\"."],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar epidural steroid injection.\""],["The note captures: No further intervention if doing well.","yes","\"If patient responds well to injection, no further intervention required.\""]],"claims":[],"note":"SOAP Notes\n\n\n\n\nSubjective:\n\n55-year-old female presenting to pain clinic with left lower extremity pain and numbness\n\nPrevious right sacroiliac joint injection with 80% improvement in right-sided low back pain\n\nMRI demonstrates foraminal stenosis at L4-5\n\n\n\n\nObjective:\n\nMRI findings: foraminal stenosis L4-5\n\n\n\n\nAssessment:\n\nLow back pain with left lower extremity numbness\n\nLumbar disc herniation\n\nLumbar foraminal stenosis\n\n\n\n\nPlan:\n\nProceed with lumbar epidural steroid injection\n\nIf patient responds well to injection, no further intervention required","review":24.63157894736842,"saved":121.36842105263158,"clean":true,"effort":0.0,"sig":[],"mb":9.412829,"latency":14.54,"signable":39.17157894736842}],"preve":[{"label":"Run 1","wer":12.790697674418606,"text":"Diagnosis, low back pain with left\n\nlurch empty. Numbness, lumbar disc herniation, lumbar foraminal stenosis. 55 years old white female underwent sacroiliac joint injection right with a\n\npercent improvement in right sided low back pain.\n\nPatient now presents the pain clinic with left lower\n\nextremity pain and numbness. Patient's MRI shows\n\nforaminal stenosis l four five. As a result, we decided to proceed within lumbar epidural steroid injection. In the end plan, if patient is doing\n\nwell, no further intervention will be done. End of dictation. Thanks.","marks":[[36,48,"lower extremity",true],[110,122,"55-year-old",false],[135,135,"who",false],[184,194,"80%",true],[361,373,"L4-5.",false],[409,415,"with a",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","partial","Diagnosis section lists disc herniation, foraminal stenosis and LBP with LLE symptoms, but Dx line misstates \"left-sided lurch and numbness\"."],["The note captures: 55-year-old female.","no","Age 55 and female sex are not stated anywhere."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","partial","Right SIJ injection and right-sided LBP captured but says \"exact % not stated\" when transcript states 80%."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"Reports left lower extremity pain and numbness\"; laterality preserved."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Radiology states \"MRI: Foraminal stenosis at L4–L5.\""],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Planned procedure: Lumbar epidural steroid injection (LESI)\"; no drug, dose or completed procedure invented."],["The note captures: No further intervention if doing well.","yes","\"If patient is doing well post-procedure, no further intervention\"."]],"claims":[["\"Low back pain with left-sided lurch\" / \"Observation: Left lurch reported\"","Transcript mentions no lurch or gait finding; it says left lower extremity pain and numbness."],["\"(Consent obtained)\" under Objective and Treatment","Transcript contains no mention of consent being obtained."],["\"yielded % improvement ... (exact % not stated)\"","Transcript explicitly states \"80% improvement\"; the note asserts the figure was not given."]],"note":"Presenting Condition\n\nDx: Low back pain with left-sided lurch and numbness\n\nReports left lower extremity pain and numbness\n\nPrior right SIJ injection yielded % improvement in right-sided low back pain (exact % not stated)\n\nReason for visit: Pain clinic evaluation and management for LLE pain/numbness\n\nContributing factors: Lumbar disc herniation and lumbar foraminal stenosis\n\n\n\n\nRadiology\n\nMRI: Foraminal stenosis at L4–L5\n\n\n\n\nObjective\n\n(Consent obtained)\n\nObservation: Left lurch reported\n\n\n\n\nDiagnosis\n\nLumbar foraminal stenosis at L4–L5\n\nLumbar disc herniation\n\nLow back pain with left lower extremity radicular symptoms\n\nPrognosis: If responds to LESI, no further intervention planned\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nPlanned procedure: Lumbar epidural steroid injection (LESI)\n\n\n\n\nPlan\n\nProceed with LESI\n\nIf patient is doing well post-procedure, no further intervention\n\nFollow-up: Assess response after injection\n","review":118.85526315789474,"saved":27.14473684210526,"clean":false,"effort":78.57142857142857,"sig":[["partial","Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","The Dx line invents a 'left-sided lurch' (a gait finding) in place of LLE pain."],["partial","Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","The 80% response to the prior SIJ injection, a key measurement for future treatment choices, is lost."],["fabrication","\"(Consent obtained)\" under Objective and Treatment","Invented consent documentation misstates the legal record of what happened."]],"mb":3.865955,"signable":138.45326315789475},{"label":"Run 2","wer":12.790697674418606,"text":"Diagnosis, low back pain with left\n\nlurch empty. Numbness, lumbar disc herniation, lumbar foraminal stenosis. 55 years old white female underwent sacroiliac joint injection right with a\n\npercent improvement in right sided low back pain.\n\nPatient now presents the pain clinic with left lower\n\nextremity pain and numbness. Patient's MRI shows\n\nforaminal stenosis l four five. As a result, we decided to proceed within lumbar epidural steroid injection. In the end plan, if patient is doing\n\nwell, no further intervention will be done. End of dictation. Thanks.","marks":[[36,48,"lower extremity",true],[110,122,"55-year-old",false],[135,135,"who",false],[184,194,"80%",true],[361,373,"L4-5.",false],[409,415,"with a",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","Low back pain with LLE pain and numbness, lumbar disc herniation, lumbar foraminal stenosis."],["The note captures: 55-year-old female.","no","Age and sex not recorded."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","partial","Right SIJ injection and right-sided improvement captured but says \"exact % not stated\" when 80% was stated."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"left lower extremity pain/numbness\"."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Radiology section states \"MRI: foraminal stenosis at L4–L5\"."],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Proceed with lumbar epidural steroid injection\"."],["The note captures: No further intervention if doing well.","yes","\"If patient is doing well post-injection, no further intervention planned\"."]],"claims":[],"note":"Presenting Condition\n\nDx: low back pain with left lower extremity pain and numbness\n\nImaging suggests lumbar disc herniation and lumbar foraminal stenosis\n\nRecent right sacroiliac joint injection with percent improvement in right-sided low back pain (exact % not stated)\n\nCurrent reason for visit: pain clinic presentation for left lower extremity pain/numbness\n\n\n\n\nRadiology\n\nMRI: foraminal stenosis at L4–L5\n\n\n\n\nObjective\n\n(Consent obtained)\n\n\n\n\nDiagnosis\n\nLow back pain with left lower extremity radicular symptoms\n\nLumbar foraminal stenosis at L4–L5\n\nLumbar disc herniation\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nPlan to proceed with lumbar epidural steroid injection\n\n\n\n\nPlan\n\nProceed with lumbar epidural steroid injection\n\nIf patient is doing well post-injection, no further intervention planned\n","review":60.48684210526316,"saved":85.51315789473685,"clean":false,"effort":21.428571428571427,"sig":[],"mb":4.236376,"signable":81.95084210526315},{"label":"Run 3","wer":12.790697674418606,"text":"Diagnosis, low back pain with left\n\nlurch empty. Numbness, lumbar disc herniation, lumbar foraminal stenosis. 55 years old white female underwent sacroiliac joint injection right with a\n\npercent improvement in right sided low back pain.\n\nPatient now presents the pain clinic with left lower\n\nextremity pain and numbness. Patient's MRI shows\n\nforaminal stenosis l four five. As a result, we decided to proceed within lumbar epidural steroid injection. In the end plan, if patient is doing\n\nwell, no further intervention will be done. End of dictation. Thanks.","marks":[[36,48,"lower extremity",true],[110,122,"55-year-old",false],[135,135,"who",false],[184,194,"80%",true],[361,373,"L4-5.",false],[409,415,"with a",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","LBP with left lower extremity pain and numbness; disc herniation; foraminal stenosis."],["The note captures: 55-year-old female.","no","Age and sex (55-year-old female) are not documented."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","partial","Right SIJ injection with improvement in right-sided LBP captured, but the 80% figure is missing (\"percent improvement\")."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"left lower extremity pain and numbness\"."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Radiology states \"MRI: lumbar foraminal stenosis at L4–L5.\""],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Procedure planned: lumbar epidural steroid injection\"."],["The note captures: No further intervention if doing well.","yes","\"If patient is doing well after LESI, no further intervention will be done\"."]],"claims":[],"note":"Presenting Condition\n\nDiagnosis: low back pain with left lower extremity pain and numbness\n\nMRI: foraminal stenosis at L4–L5\n\nPrior: right sacroiliac joint injection with percent improvement in right-sided low back pain\n\nReason for visit: presents to pain clinic for left leg pain/numbness\n\n\n\n\nRadiology\n\nMRI: lumbar foraminal stenosis at L4–L5\n\n\n\n\nObjective\n\n(Consent obtained)\n\n\n\n\nDiagnosis\n\nLumbar disc herniation (stated)\n\nLumbar foraminal stenosis (L4–L5)\n\nPrognosis: contingent on response to lumbar epidural steroid injection (LESI)\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nProcedure planned: lumbar epidural steroid injection (LESI)\n\n// Plan contingent on response; no immediate post-procedure response documented\n\n\n\n\nPlan\n\nIf patient is doing well after LESI, no further intervention will be done\n","review":60.48684210526316,"saved":85.51315789473685,"clean":false,"effort":21.428571428571427,"sig":[],"mb":4.398107,"signable":80.11984210526316},{"label":"Run 4","wer":12.790697674418606,"text":"Diagnosis, low back pain with left\n\nlurch empty. Numbness, lumbar disc herniation, lumbar foraminal stenosis. 55 years old white female underwent sacroiliac joint injection right with a\n\npercent improvement in right sided low back pain.\n\nPatient now presents the pain clinic with left lower\n\nextremity pain and numbness. Patient's MRI shows\n\nforaminal stenosis l four five. As a result, we decided to proceed within lumbar epidural steroid injection. In the end plan, if patient is doing\n\nwell, no further intervention will be done. End of dictation. Thanks.","marks":[[36,48,"lower extremity",true],[110,122,"55-year-old",false],[135,135,"who",false],[184,194,"80%",true],[361,373,"L4-5.",false],[409,415,"with a",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","Left leg pain/numbness, lumbar disc herniation, foraminal stenosis listed."],["The note captures: 55-year-old female.","no","Age and sex (55-year-old female) not documented."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","partial","Prior right SIJ injection with improvement captured; 80% figure omitted."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"Left lower extremity pain and numbness\"."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Radiology states \"MRI: Foraminal stenosis at L4/5.\""],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Procedure: Lumbar epidural steroid injection\"."],["The note captures: No further intervention if doing well.","yes","\"If doing well after LESI, no further intervention\"."]],"claims":[],"note":"Presenting Condition\n\nDx: Low back pain with left leg pain and numbness\n\nMRI-confirmed lumbar foraminal stenosis at L4/5\n\nHx: Prior right sacroiliac joint injection with improvement in right-sided low back pain\n\nCurrent reason for visit: Left lower extremity pain and numbness\n\n\n\n\nRadiology\n\nMRI: Foraminal stenosis at L4/5\n\n\n\n\nObjective\n\n(Consent obtained)\n\n\n\n\nDiagnosis\n\nLumbar disc herniation (mentioned)\n\nLumbar foraminal stenosis (L4/5)\n\nPrognosis: If patient does well post-procedure, no further intervention planned\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nProcedure: Lumbar epidural steroid injection\n\n// Plan for no further intervention if patient responds well\n\n\n\n\nPlan\n\nIf doing well after LESI, no further intervention\n\nMonitor post-injection response\n","review":58.90789473684211,"saved":87.09210526315789,"clean":false,"effort":21.428571428571427,"sig":[],"mb":4.155167,"signable":76.65489473684211},{"label":"Run 5","wer":12.790697674418606,"text":"Diagnosis, low back pain with left\n\nlurch empty. Numbness, lumbar disc herniation, lumbar foraminal stenosis. 55 years old white female underwent sacroiliac joint injection right with a\n\npercent improvement in right sided low back pain.\n\nPatient now presents the pain clinic with left lower\n\nextremity pain and numbness. Patient's MRI shows\n\nforaminal stenosis l four five. As a result, we decided to proceed within lumbar epidural steroid injection. In the end plan, if patient is doing\n\nwell, no further intervention will be done. End of dictation. Thanks.","marks":[[36,48,"lower extremity",true],[110,122,"55-year-old",false],[135,135,"who",false],[184,194,"80%",true],[361,373,"L4-5.",false],[409,415,"with a",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","partial","Herniation and foraminal stenosis captured, but the diagnosis reads \"left-sided lurch and numbness\" instead of left lower-extremity pain/numbness."],["The note captures: 55-year-old female.","yes","\"55-year-old female.\""],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","partial","Right SIJ injection with right-sided improvement captured, but the 80% figure is replaced by \"percentage not specified\"."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"new left lower extremity pain and numbness.\""],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","Radiology section states 'MRI: Foraminal stenosis at L4/5'."],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Lumbar epidural steroid injection planned.\""],["The note captures: No further intervention if doing well.","yes","\"If patient does well post-LESI, no further intervention planned.\""]],"claims":[["Low back pain with left-sided lurch and numbness","Source says left lower extremity numbness/pain; no gait lurch is mentioned anywhere."],["% improvement in right-sided low back pain (percentage not specified)","Source explicitly states 80% improvement; claiming the percentage was not specified is false."]],"note":"Presenting Condition\n\nDx: Low back pain with left-sided lurch and numbness; lumbar disc herniation; lumbar foraminal stenosis\n\n55‑year‑old female with new left lower extremity pain and numbness\n\nPrior right SIJ injection resulted in % improvement in right‑sided low back pain (percentage not specified)\n\nReason for visit: Presents to pain clinic for left leg pain/numbness management\n\n\n\n\nRadiology\n\nMRI: Foraminal stenosis at L4/5\n\n\n\n\nObjective\n\n(Consent obtained)\n\n\n\n\nDiagnosis\n\nLumbar foraminal stenosis (L4/5)\n\nLumbar disc herniation\n\nLow back pain with left lurch and numbness\n\n\n\n\nTreatment\n\n(Consent obtained)\n\nProcedure: Lumbar epidural steroid injection planned to address left lower extremity pain/numbness\n\n\n\n\nPlan\n\nIf patient does well post‑LESI, no further intervention planned\n\nMonitor symptoms and response post‑procedure\n","review":93.32894736842104,"saved":52.67105263157896,"clean":false,"effort":42.857142857142854,"sig":[["partial","Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","Diagnosis twice records a 'left-sided lurch', an invented gait abnormality in place of left leg pain/numbness."]],"mb":4.028387,"signable":112.01694736842104}],"patientnotes":[{"label":"Run 1","wer":11.627906976744185,"text":"Diagnosis Low back pain with left lor empty numbness lumbar disc herniation lumber foraminosmosis 55 years old white female who underwent sacroiliac joint injection right with 80% improvement in right sided low back pain. Patient now presents the pain clinic with left lower extremity pain and numbness patients. MRI shows foraminal stenosis L4.5. As a result, we decide to proceed with a lumbar epidural steer injection in the end plan if patient is doing well, no further intervention will be done. End of dictation. Thanks.","marks":[[34,43,"lower extremity",true],[76,110,"lumbar foraminal stenosis. 55-year-old",true],[303,312,"Patient's",false],[364,370,"decided",false],[405,410,"steroid",true]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","Assessment: \"low back pain with left leg numbness secondary to lumbar disc herniation and L4-L5 foraminal stenosis\"; CC gives left lower extremity pain."],["The note captures: 55-year-old female.","yes","\"55-year-old white female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","\"Prior right sacroiliac joint injection gave 80% improvement of right-sided low back pain.\""],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","Chief complaint \"Left lower extremity pain and numbness\"; laterality preserved."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","HPC states \"MRI shows L4-L5 foraminal stenosis.\""],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Perform lumbar epidural steroid injection\" with no invented drug, dose or completion."],["The note captures: No further intervention if doing well.","yes","\"If patient does well, no further intervention will be required.\""]],"claims":[],"note":"Subjective\n\nChief Complaint::\n\nLeft lower extremity pain and numbness.\n\nHistory of Presenting Complaint::\n\n55-year-old white female with low back pain.\n\nPrior right sacroiliac joint injection gave 80% improvement of right-sided low back pain.\n\nMRI shows L4-L5 foraminal stenosis.\n\nObjective\n\nNot discussed\n\nNot discussed\n\nAssessment\n\nAssessment: low back pain with left leg numbness secondary to lumbar disc herniation and L4-L5 foraminal stenosis.\n\nPlan\n\nPerform lumbar epidural steroid injection.\n\nIf patient does well, no further intervention will be required.","review":25.894736842105264,"saved":120.10526315789474,"clean":true,"effort":0.0,"sig":[],"mb":7.244584,"latency":26.201,"signable":52.09573684210527},{"label":"Run 2","wer":12.790697674418606,"text":"Diagnosis Low back pain with left lower chimp numbness lumbar disc herniation lumbar foraminal 55 old white female wonderment sacroiliac joint injection right with 80% improvement in right sided low back pain. Patient now presents the pain clinic with left lower extremity pain and numbness patients. MRI shows foraminal stenosis L4-5. As a result, we decide to proceed with a lumbar epidural steroid injection in the end plan if patient is doing well, no further intervention will be done. End of vacation. Thanks.","marks":[[40,45,"extremity",true],[95,101,"stenosis. 55-year-old",true],[115,125,"who underwent",false],[291,300,"Patient's",false],[352,358,"decided",false],[491,507,"",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","LLE pain and numbness, low back pain, lumbar disc herniation and L4-5 foraminal stenosis."],["The note captures: 55-year-old female.","yes","\"55-year-old white female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","\"right sacroiliac joint injection with 80% relief of right-sided low back pain\"."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"LLE pain and numbness\"."],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","States \"Current MRI shows L4-5 foraminal stenosis\" and \"MRI demonstrates foraminal stenosis at L4-5\"."],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"Perform lumbar epidural steroid injection\"."],["The note captures: No further intervention if doing well.","yes","\"If patient improves, no further intervention required\"."]],"claims":[],"note":"Subjective\n\nChief Complaint::\n\nLLE pain and numbness\n\nHistory of Presenting Complaint::\n\n55‑year‑old white female with prior low back pain and lumbar disc herniation\n\nPreviously received right sacroiliac joint injection with 80% relief of right‑sided low back pain\n\nCurrent MRI shows L4‑5 foraminal stenosis\n\nObjective\n\nMRI demonstrates foraminal stenosis at L4‑5\n\nAge: 55 years\n\nRight sacroiliac joint injection resulted in 80% improvement in right‑sided low back pain\n\nAssessment\n\nLow back pain with left lower extremity numbness secondary to lumbar disc herniation and L4‑5 foraminal stenosis\n\nPlan\n\nPerform lumbar epidural steroid injection\n\nIf patient improves, no further intervention required","review":32.8421052631579,"saved":113.15789473684211,"clean":true,"effort":0.0,"sig":[],"mb":7.224426,"latency":23.058,"signable":55.9001052631579},{"label":"Run 3","wer":10.465116279069768,"text":"Diagnosis Low back pain with left lor empty numbness lumbar disc herniation lumber foraminosmosis 55 years old white female who underwent sacroiliac joint injection right with 80% improvement in right sided low back pain. Patient now presents the pain clinic with left lower extremity pain and numbness patients. MRI shows foraminal stenosis L4-5. As a result, we decide to proceed with a lumbar epidural steroid injection in the end plan if patient is doing well, no further intervention will be done. End of dictation. Thanks.","marks":[[34,43,"lower extremity",true],[76,110,"lumbar foraminal stenosis. 55-year-old",true],[303,312,"Patient's",false],[364,370,"decided",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","LBP with left leg numbness secondary to disc herniation and foraminal stenosis."],["The note captures: 55-year-old female.","yes","\"55-year-old white female\"."],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","Right SIJ injection with 80% improvement in right-sided LBP."],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"Left lower extremity pain and numbness\"."],["The note captures: MRI shows L4–5 foraminal stenosis.","partial","Assessment lists 'foraminal stenosis at L4-5' but never attributes it to the MRI finding."],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"perform lumbar epidural steroid injection\"."],["The note captures: No further intervention if doing well.","yes","\"If patient does well, no further intervention required\"."]],"claims":[],"note":"Subjective\n\nChief Complaint::\n\nLeft lower extremity pain and numbness.\n\nHistory of Presenting Complaint::\n\n55‑year‑old white female with low back pain.\n\nPrior right sacroiliac joint injection with 80% improvement in right‑sided low back pain.\n\nObjective\n\nNot discussed\n\nNot discussed\n\nAssessment\n\nAssessment: low back pain with left leg numbness secondary to lumbar disc herniation and foraminal stenosis at L4‑5.\n\nPlan\n\nPlan: perform lumbar epidural steroid injection.\n\nIf patient does well, no further intervention required.","review":33.5,"saved":112.5,"clean":false,"effort":7.142857142857142,"sig":[],"mb":6.59187,"latency":24.164,"signable":57.664},{"label":"Run 4","wer":11.627906976744185,"text":"Diagnosis Low back pain with left lor empty numbness lumbar disc herniation lumber foraminosmosis 55 years old white female who underwent sacroiliac joint injection right with 80% improvement in right sided low back pain. Patient now presents the pain clinic with left lower extremity pain and numbness patients. MRI shows foraminal stenosis L4.5. As a result, we decide to proceed with a lumbar epidural steer injection in the end plan if patient is doing well, no further intervention will be done. End of dictation. Thanks.","marks":[[34,43,"lower extremity",true],[76,110,"lumbar foraminal stenosis. 55-year-old",true],[303,312,"Patient's",false],[364,370,"decided",false],[405,410,"steroid",true]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","Low back pain, left leg pain/numbness, disc herniation and L4-5 foraminal stenosis."],["The note captures: 55-year-old female.","yes","\"55-year-old white female.\""],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","\"prior right sacroiliac joint injection (80% improvement in right-sided low back pain).\""],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"left lower extremity pain and numbness.\""],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","HPC states 'MRI demonstrates foraminal stenosis at L4-5'."],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"perform lumbar epidural steroid injection\"; no drug or dose invented."],["The note captures: No further intervention if doing well.","yes","\"if patient does well, no further intervention will be required.\""]],"claims":[],"note":"Subjective\n\nChief Complaint::\n\nPatient presents with left lower extremity pain and numbness.\n\nHistory of Presenting Complaint::\n\n55‑year‑old white female with prior right sacroiliac joint injection (80% improvement in right‑sided low back pain).\n\nNow reports left lower extremity pain and numbness.\n\nMRI demonstrates foraminal stenosis at L4‑5.\n\nObjective\n\nNot discussed\n\nNot discussed\n\nAssessment\n\nDiagnosis: low back pain with left leg numbness secondary to lumbar disc herniation and L4‑5 foraminal stenosis.\n\nPlan\n\nPlan: perform lumbar epidural steroid injection; if patient does well, no further intervention will be required.","review":28.736842105263158,"saved":117.26315789473685,"clean":true,"effort":0.0,"sig":[],"mb":7.223829,"latency":26.15,"signable":54.886842105263156},{"label":"Run 5","wer":15.11627906976744,"text":"Diagnosis Low back pain with left lower empty numbness lumbar disc herniation lumbar foraminosis 55 years old white female who underwent sacroiliac joint injection right with 80% improvement in right sided low back pain. Patient now presents the pain clinic with left lower extremity pain and numbness patients MRI shows foraminal stenosis L4-5. As a result, we decide to proceed within lumbar epidural steer injection in the end plan if patient is doing well, no further intervention will be done. End of decation Thanks.","marks":[[40,45,"extremity",false],[85,109,"foraminal stenosis. 55-year-old",true],[302,310,"Patient's",false],[362,368,"decided",false],[380,386,"with a",false],[403,408,"steroid",true],[499,514,"",false]],"facts":[["The note captures: Low back pain with left lower-extremity pain/numbness, lumbar disc herniation and lumbar foraminal stenosis.","yes","Low back pain, left lower extremity pain/numbness, disc herniation and foraminal stenosis (though garbled once as \"foraminosis\")."],["The note captures: 55-year-old female.","yes","\"55-year-old white female.\""],["The note captures: Previous RIGHT sacroiliac joint injection improved RIGHT-sided low back pain by 80%.","yes","\"Prior right sacroiliac joint injection gave 80% relief of right-sided low back pain.\""],["The note captures: Current symptoms involve the LEFT lower extremity; do not reverse laterality.","yes","\"Left lower extremity pain and numbness.\""],["The note captures: MRI shows L4–5 foraminal stenosis.","yes","HPC states \"MRI shows L4-5 foraminal stenosis.\""],["The note captures: Decision to proceed with lumbar epidural steroid injection; do not invent a drug, dose or confirmed completed procedure.","yes","\"perform lumbar epidural steroid injection\"; no drug, dose or completion invented."],["The note captures: No further intervention if doing well.","yes","\"if patient does well, no further intervention.\""]],"claims":[],"note":"Subjective\n\nChief Complaint::\n\nLeft lower extremity pain and numbness.\n\nHistory of Presenting Complaint::\n\n55‑year‑old white female with low back pain, left lower extremity numbness, lumbar disc herniation and lumbar foraminosis.\n\nPrior right sacroiliac joint injection gave 80% relief of right‑sided low back pain.\n\nMRI shows L4‑5 foraminal stenosis.\n\nObjective\n\nNot discussed\n\nNot discussed\n\nAssessment\n\nAssessment: low back pain with left lower extremity pain and numbness secondary to L4‑5 foraminal stenosis.\n\nPlan\n\nPlan: perform lumbar epidural steroid injection; if patient does well, no further intervention.","review":28.105263157894736,"saved":117.89473684210526,"clean":true,"effort":0.0,"sig":[],"mb":5.984968,"latency":26.124,"signable":54.229263157894735}]}}