Consultation report
{
"report": {
"type": "consultation_v1",
"id": "f56307f9-f82f-4c77-9b19-c3fa60dc2026",
"summary": {
"diagnosis_possible": true,
"extracted_symptoms": [
{
"cui": "C0036973",
"name": "Shivering or chills",
"severity": "normal"
}
],
"duration": "Few hours",
"additional_symptoms": [
{
"cui": "C0000737",
"name": "Abdominal or pelvic pain",
"severity": "normal"
},
{
"cui": "C0008031",
"name": "Chest pain",
"severity": "normal"
},
{
"cui": "C0011991",
"name": "Diarrhoea",
"severity": "normal"
},
{
"cui": "C0013404",
"name": "Shortness of breath",
"severity": "normal"
},
{
"cui": "C0015967",
"name": "High temperature",
"severity": "normal"
},
{
"cui": "C0018932",
"name": "Blood in stool/poo",
"severity": "normal"
},
{
"cui": "C0151594",
"name": "Bloody diarrhoea",
"severity": "normal"
},
{
"cui": "C0232492",
"name": "Upper abdominal pain",
"severity": "normal"
},
{
"cui": "C0277970",
"name": "Unable to stand up straight due to abdominal pain",
"severity": "normal"
},
{
"cui": "C0563276",
"name": "Left sided abdominal pain",
"severity": "normal"
},
{
"cui": "C2036381",
"name": "Chest pain when stressed",
"severity": "normal"
},
{
"cui": "C2064975",
"name": "Recent abdominal surgery",
"severity": "normal"
},
{
"cui": "CM000264",
"name": "Sudden chest pain",
"severity": "normal"
},
{
"cui": "CM001326",
"name": "Severe chest pain",
"severity": "normal"
},
{
"cui": "C0009990",
"name": "Unprotected sexual intercourse risk of STI",
"severity": "normal"
},
{
"cui": "C0417744",
"name": "Bite of mosquito",
"severity": "normal"
},
{
"cui": "C1578545",
"name": "Unprotected sexual activity 6 months risk of STI",
"severity": "normal"
},
{
"cui": "C3263722",
"name": "Recent injury",
"severity": "normal"
},
{
"cui": "C3662621",
"name": "History of inflammatory bowel disease",
"severity": "normal"
},
{
"cui": "CM000989",
"name": "Living in or travel to at risk countries in the past 2 months",
"severity": "normal"
},
{
"cui": "CM000990",
"name": "food or drink caused symptoms",
"severity": "normal"
},
{
"cui": "CM000993",
"name": "previous abdominal surgery",
"severity": "normal"
},
{
"cui": "CM001490",
"name": "Close vomiting/diarrhoea contact",
"severity": "normal"
},
{
"cui": "CM001650",
"name": "Stable angina characteristics",
"severity": "normal"
}
],
"negative_symptoms": [
{
"cui": "C0000734",
"name": "Lump in the abdomen"
},
{
"cui": "C0003123",
"name": "Loss of appetite"
},
{
"cui": "C0003862",
"name": "Pain of one or more joints"
},
{
"cui": "C0008033",
"name": "Chest pain worse on breathing in"
},
{
"cui": "C0010200",
"name": "Cough"
},
{
"cui": "C0012833",
"name": "Lightheaded or feeling dizzy"
},
{
"cui": "C0013428",
"name": "Pain when passing urine"
},
{
"cui": "C0015230",
"name": "Skin change on head or body or genitals"
},
{
"cui": "C0018681",
"name": "Headache"
},
{
"cui": "C0020578",
"name": "Fast or shallow breathing"
},
{
"cui": "C0027497",
"name": "Feeling sick/nausea"
},
{
"cui": "C0028961",
"name": "Passing no or minimal urine for over 12 hours"
},
{
"cui": "C0030252",
"name": "Feeling your heart racing or skipping a beat"
},
{
"cui": "C0036572",
"name": "Fits/seizure"
},
{
"cui": "C0038450",
"name": "Noisy breathing when breathing in"
},
{
"cui": "C0038990",
"name": "Excessive sweating"
},
{
"cui": "C0039070",
"name": "Brief loss of consciousness"
},
{
"cui": "C0040822",
"name": "Tremor or trembling"
},
{
"cui": "C0042963",
"name": "Vomiting"
},
{
"cui": "C0085619",
"name": "Shortness of breath when lying flat"
},
{
"cui": "C0085636",
"name": "Eyes very sensitive to light"
},
{
"cui": "C0231528",
"name": "Aching muscles all over body"
},
{
"cui": "C0231807",
"name": "Shortness of breath on exertion"
},
{
"cui": "C0232495",
"name": "Lower abdominal pain/pelvic pain"
},
{
"cui": "C0238548",
"name": "Abdominal pain spreading to back"
},
{
"cui": "C0238995",
"name": "Sharp chest pain"
},
{
"cui": "C0392685",
"name": "Chest pain while resting"
},
{
"cui": "C0476273",
"name": "Unable to talk in full sentences at rest"
},
{
"cui": "C0563277",
"name": "Right sided abdominal pain"
},
{
"cui": "C0683369",
"name": "Confusion"
},
{
"cui": "C0849970",
"name": "Unusually tired/feeling generally weak"
},
{
"cui": "C1277592",
"name": "Bright red blood when wiping bottom or streaks on poo"
},
{
"cui": "C1398357",
"name": "Neck lump or neck swelling(s)"
},
{
"cui": "C1411946",
"name": "Severe abdominal or pelvic pain"
},
{
"cui": "C2045676",
"name": "Change in stool colour (not including blood or mucus)"
},
{
"cui": "C2073376",
"name": "Chest pain worse on coughing"
},
{
"cui": "C2712054",
"name": "Shortness of breath at rest"
},
{
"cui": "C4062321",
"name": "Feeling so ill that you cannot do usual activities"
},
{
"cui": "CM000411",
"name": "Lump(s)"
},
{
"cui": "CM000914",
"name": "Inability to pass wind/fart"
},
{
"cui": "CM001063",
"name": "Loin pain spreading to the groin or genital region"
},
{
"cui": "CM001479",
"name": "Abdominal pain around the belly button"
},
{
"cui": "CM001576",
"name": "Abdominal pain spreading to groin or genital region"
},
{
"cui": "CM001583",
"name": "Abdominal pain worse on pressing/coughing/movement or standing up"
}
],
"unsure_symptoms": [],
"consultation_triage": {
"triage": "emergency_symptoms",
"triage_advice": "The following combination you reported is concerning: <b>chest pain, severe chest pain and shortness of breath</b> for <b>few hours<b>. <b>Call an ambulance immediately</b>.",
"level": "emergency_ambulance_symptom"
},
"articles": [],
"articles_v3": [
{
"yourmd_id": "gastroenteritis",
"name": "Gastroenteritis",
"condition": {
"cui": "C0012242",
"probalility": 0.59173,
"adzones": []
},
"content": {
"name": "Gastroenteritis",
"medical_name": "Gastroenteritis",
"snippet": "Gastroenteritis is caused by a bacterial or viral stomach bug. Symptoms include diarrhoea and vomiting.",
"triage": {
"triage": "urgent",
"triage_advice": "",
"triage_diagnostic": "Your doctor can diagnose gastroenteritis by examining you and asking about your symptoms.",
"triage_treatment": "You do not usually need any treatment for gastroenteritis, because it gets better on its own.\n\nHowever, it is important that you drink plenty of fluids to avoid dehydration, and you can take non-prescription painkillers if you are in pain.\n\nIf you are experiencing vomiting or diarrhoea, over-the-counter anti-sickness and/or anti-diarrhoeal medication might be helpful.",
"triage_worries": "Call an ambulance or go to the hospital immediately if you have (or someone else has) has the following symptoms:\n\n- collapse, loss of consciousness or difficulty standing\n- confusion, change in behaviour or slurred speech\n- inability to do normal daily activities e.g. getting out of bed, watching television, eating meals\n- not peeing in the past 24 hours \n- blue, pale or blotchy skin, lips or tongue\n- a rash that does not fade when you roll a glass over it\n- breathlessness, difficulty breathing as normal or difficulty speaking in full sentences\n- feeling like you are ‘about to die’\n- continued or repeated vomiting and cannot keep any food or fluids down\n- a very high or low temperature - feeling hot or cold to the touch \n- extreme shivering or muscle pain\n- recent chemotherapy or a weakened immune system\n- trauma, surgery or an invasive procedure in the last 8 weeks \n- dizziness\n- passing less urine than usual or not at all\n- bloody diarrhoea\n- unable to keep down fluids\n- fever over 38°C\n- symptoms not improving after a few days\n- an underlying illness such as kidney disease, weak immune system or inflammatory bowel disease.\n\nSpeak to your doctor urgently if you or someone else:\n\n- has indwelling lines or a history of intravenous drug use or broken skin",
"triage_message": "This condition needs medical attention within 48 hours",
"triage_level": "urgent_48h"
}
},
"substitution": "no",
"substitute_articles": [],
"urls": {
"web": "https://www.livehealthily.com/health-library/conditions/gastroenteritis",
"mobile": "https://www.livehealthily.com/e/health-library/conditions/gastroenteritis"
},
"metadata": {
"reading_time_minutes": 8,
"category_id": "digestive-disorders",
"category_name": "Digestion"
}
},
{
"yourmd_id": "toxic-megacolon",
"name": "Toxic megacolon",
"condition": {
"cui": "C0025162",
"probalility": 0.27792,
"adzones": []
},
"content": {
"name": "Toxic megacolon",
"medical_name": "IBD associated toxic megacolon",
"snippet": "Toxic megacolon is a potentially life-threatening condition in which the large bowel becomes dilated. It can be a complication of [inflammatory bowel disease](yourmd:/condition/inflammatory-bowel-disease/).",
"triage": {
"triage": "emergency",
"triage_advice": "",
"triage_diagnostic": "Your doctor may suspect toxic megacolon based on your symptoms, medical history and an examination of your abdomen. \n\nAdditional tests to confirm the diagnosis may include:\n\n- blood tests \n- abdominal X-rays\n- a CT scan of your abdomen and pelvis",
"triage_treatment": "**How can I manage it?**\n\nToxic megacolon is a potentially life-threatening condition that needs emergency treatment in hospital. Do not try and manage it yourself.\n\n**How can a health professional help?**\n\nTreatment may involve:\n\n- fluids given through a vein in your arm (IV)\n- IV antibiotics\n- IV steroids\n- surgery",
"triage_worries": "",
"triage_message": "This condition needs emergency medical treatment",
"triage_level": "emergency_ambulance"
}
},
"substitution": "no",
"substitute_articles": [],
"urls": {
"web": "https://www.livehealthily.com/health-library/conditions/toxic-megacolon",
"mobile": "https://www.livehealthily.com/e/health-library/conditions/toxic-megacolon"
},
"metadata": {
"reading_time_minutes": 1,
"category_id": "digestive-disorders",
"category_name": "Digestion"
}
}
],
"consultation_id": "f56307f9-f82f-4c77-9b19-c3fa60dc2026",
"notifications": [],
"influencing_factors": [
{
"cui": "C0020538",
"type": "if_bool",
"rank": 3,
"name": "High BP",
"long_name": "High blood pressure",
"value": {
"not_sure": false,
"value": true
}
},
{
"cui": "C0011849",
"type": "if_bool",
"rank": 4,
"name": "Diabetes",
"long_name": "Diabetes",
"value": {
"not_sure": false,
"value": false
}
},
{
"cui": "C0004096",
"type": "if_bool",
"rank": 5,
"name": "Asthma",
"long_name": "Asthma",
"value": {
"not_sure": false,
"value": true
}
},
{
"cui": "C0010054",
"type": "if_bool",
"rank": 6,
"name": "CHD",
"long_name": "Heart disease",
"value": {
"not_sure": false,
"value": false
}
},
{
"cui": "C0403447",
"type": "if_bool",
"rank": 7,
"name": "CKD",
"long_name": "Chronic kidney disease",
"value": {
"not_sure": false,
"value": false
}
},
{
"cui": "C0024117",
"type": "if_bool",
"rank": 8,
"name": "COPD",
"long_name": "Chronic obstructive lung disease",
"value": {
"not_sure": false,
"value": false
}
},
{
"cui": "C0038454",
"type": "if_bool",
"rank": 9,
"name": "Stroke",
"long_name": "Previous stroke(s)",
"value": {
"not_sure": false,
"value": false
}
},
{
"cui": "C0028754",
"type": "if_bool",
"rank": 1,
"name": "Obesity",
"long_name": "Obesity",
"value": {
"not_sure": false,
"value": true
}
},
{
"cui": "C0337664",
"type": "if_bool",
"rank": 2,
"name": "Smoker",
"long_name": "Smoker",
"value": {
"not_sure": false,
"value": true
}
},
{
"cui": "C5541122",
"type": "if_bool",
"rank": 11,
"name": "COVID-19 booster vaccination",
"long_name": "COVID-19 booster vaccination",
"value": {
"not_sure": false,
"value": true
}
}
],
"user_profile": {
"year_of_birth": 1900,
"gender": "male"
}
}
},
"conversation": {
"id": "f56307f9-f82f-4c77-9b19-c3fa60dc2026",
"scenario": "consultation_routine",
"phase": "report",
"available_commands": [
"STOP_CONVERSATION"
]
},
"question": {
"type": "generic",
"messages": [
{
"type": "generic",
"value_type": "TEXT",
"value": "The following combination you reported is concerning: chest pain, severe chest pain and shortness of breath for few hours. Call an ambulance immediately.",
"meta": {}
},
{
"type": "generic",
"value_type": "TEXT",
"value": "Click below for your full report:",
"meta": {}
}
],
"mandatory": true,
"multiple": false,
"choices": [
{
"type": "generic",
"id": "CONTINUE",
"label": "Continue"
}
]
},
"user": {
"name": "John",
"gender": "m",
"age": 123,
"year_of_birth": 1900,
"other": false,
"initial_symptom": "shaking"
}
}
Updated about 1 year ago
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