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{'symptom_description': "I've had this annoying dry cough for months now, especially at night and early morning. Sometimes I feel short of breath when climbing stairs or doing housework. I've noticed I'm clearing my throat a lot and occasionally have a whistling sound when breathing. My energy levels are lower than usual.", 'demographic_context': '42-year-old female, office worker', 'duration': '4 months with gradual onset', 'severity_context': 'Moderate impact on daily activities, disrupting sleep, able to work but with some limitations during physical tasks'}
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{'primary_specialty': 'Pulmonology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Allergy and Immunology', 'critical_questions': ['Any history of asthma or allergies?', 'Any exposure to environmental irritants at work or home?', 'Any recent weight changes or night sweats?'], 'red_flags': ['Progressive shortness of breath', 'Decreased exercise tolerance'], 'possible_conditions': ['Adult-onset asthma', 'Chronic bronchitis', 'Gastroesophageal reflux disease (GERD)'], 'reasoning': 'Chronic respiratory symptoms with possible airway reactivity suggest need for pulmonary function testing and specialist evaluation. Pattern of symptoms and duration indicates possible chronic respiratory condition requiring proper diagnosis and management plan.'}
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{'id': 901, 'target_specialty': 'Pulmonology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:49:28.137863'}
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{'symptom_description': "I've had this persistent dry cough for months now, especially at night. Sometimes I feel short of breath when climbing stairs or doing yard work. I've noticed I'm wheezing occasionally, particularly in the morning. My chest feels tight sometimes, but it comes and goes. I used to smoke but quit 2 years ago after smoking a pack a day for 15 years.", 'demographic_context': '54-year-old male', 'duration': '4 months of progressive symptoms', 'severity_context': 'Impacts sleep quality and limits moderate physical activity, but able to perform daily tasks'}
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{'primary_specialty': 'Pulmonology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Have you experienced any unexplained weight loss?', 'Is there any family history of lung disease or cancer?', 'Do you have any exposure to occupational dust or chemicals?'], 'red_flags': ['History of smoking', 'Progressive shortness of breath'], 'possible_conditions': ['Chronic Bronchitis', 'Early COPD', 'Adult-onset Asthma'], 'reasoning': 'Combination of chronic respiratory symptoms, smoking history, and progressive nature warrants pulmonary function testing and specialist evaluation to determine underlying condition and appropriate management plan'}
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{'id': 902, 'target_specialty': 'Pulmonology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:49:34.665599'}
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{'symptom_description': "I've been having this persistent dry cough, especially at night, and I feel short of breath when climbing stairs or doing any moderate activity. I notice I'm wheezing sometimes, particularly in the morning. My chest feels tight occasionally, and I've been using my rescue inhaler more frequently than usual. The cold air seems to make it worse.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms gradually worsening over past 3 months', 'severity_context': 'Able to perform daily activities but with increased difficulty, using rescue inhaler 2-3 times per week, sleep occasionally disrupted by coughing'}
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{'primary_specialty': 'Pulmonology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Allergy and Immunology', 'critical_questions': ['Have you ever been diagnosed with asthma before?', 'Are there any specific triggers that worsen your symptoms?', 'Have you experienced any weight loss or night sweats?'], 'red_flags': ['Increased frequency of rescue inhaler use', 'Progressive worsening of symptoms over months'], 'possible_conditions': ['Adult-onset Asthma', 'Chronic Bronchitis', 'Vocal Cord Dysfunction'], 'reasoning': 'Progressive respiratory symptoms with wheeze, cough, and dyspnea suggest possible airway disease requiring pulmonary function testing and specialist evaluation. Symptoms are significant but not severe enough for urgent intervention.'}
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{'id': 903, 'target_specialty': 'Pulmonology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:49:42.131510'}
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{'symptom_description': "I've had this nagging dry cough for months now, especially at night and early morning. Sometimes I feel short of breath when climbing stairs or doing yard work. I've noticed I'm clearing my throat a lot and occasionally have a wheeze when I breathe out. My wife says I snore more than I used to.", 'demographic_context': '52-year-old male, office worker, former smoker (quit 3 years ago)', 'duration': '4 months with gradual worsening', 'severity_context': 'Able to perform daily activities but exercise tolerance has decreased. Cough disrupts sleep 2-3 times per night.'}
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{'primary_specialty': 'Pulmonology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Allergy and Immunology', 'critical_questions': ['Any exposure to occupational dust/chemicals?', 'Any history of asthma or allergies?', 'Any weight changes or night sweats?', 'Family history of lung conditions?'], 'red_flags': ['Progressive exercise intolerance', 'Night-time symptoms'], 'possible_conditions': ['Adult-onset asthma', 'Chronic bronchitis', 'Post-nasal drip syndrome'], 'reasoning': 'Chronic respiratory symptoms with history of smoking, nighttime symptoms, and decreased exercise tolerance suggest need for pulmonary function testing and comprehensive respiratory evaluation. Pattern suggests possible reactive airway disease or post-smoking airway changes.'}
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{'id': 904, 'target_specialty': 'Pulmonology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:49:49.379460'}
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{'symptom_description': "I've been having this persistent dry cough, especially at night and early morning. It's been getting worse and I feel short of breath when climbing stairs or doing housework. Sometimes I wheeze a bit, especially during physical activity. I've noticed I need to use an extra pillow to sleep comfortably lately.", 'demographic_context': '54-year-old female', 'duration': 'Progressive symptoms over 3 months', 'severity_context': 'Moderate impact on daily activities, able to function but with increased difficulty during physical exertion'}
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{'primary_specialty': 'Pulmonology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Any history of smoking or occupational exposures?', 'Any family history of asthma or COPD?', 'Any recent weight changes or night sweats?'], 'red_flags': ['Progressive shortness of breath', 'Need for elevation while sleeping'], 'possible_conditions': ['Adult-onset asthma', 'Early COPD', 'Chronic bronchitis'], 'reasoning': 'Progressive respiratory symptoms with exertional component and nocturnal symptoms suggest possible chronic airway disease requiring pulmonary function testing and specialist evaluation. The gradual onset and moderate severity without acute distress makes this appropriate for routine pulmonology consultation.'}
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{'id': 905, 'target_specialty': 'Pulmonology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:49:55.944509'}
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{'symptom_description': "I've had this persistent dry cough for months now, especially at night and early morning. It's worse when I exercise or go out in cold air. I also notice I get short of breath when climbing stairs or doing yard work. Sometimes I wheeze a bit, particularly in the morning. I've tried over-the-counter cough medicines but they don't really help.", 'demographic_context': '42-year-old female', 'duration': '4 months and ongoing', 'severity_context': 'Impacts sleep quality and exercise tolerance, but able to perform daily activities. No severe breathing difficulties.'}
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{'primary_specialty': 'Pulmonology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Allergy and Immunology', 'critical_questions': ['Any history of asthma or allergies?', 'Any exposure to environmental irritants at work or home?', 'Any weight changes or night sweats?'], 'red_flags': ['Duration longer than 8 weeks without improvement', 'Exercise intolerance developing'], 'possible_conditions': ['Cough variant asthma', 'Chronic bronchitis', 'Post-nasal drip syndrome'], 'reasoning': 'Chronic respiratory symptoms including cough, wheeze, and exertional dyspnea warrant pulmonary evaluation. Duration and pattern suggest possible reactive airway disease requiring formal pulmonary function testing and specialist assessment.'}
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{'id': 906, 'target_specialty': 'Pulmonology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:50:03.177855'}
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{'symptom_description': "I've had this persistent dry cough for months now that gets worse at night. During the day I feel short of breath when climbing stairs or doing any moderate activity. I notice I'm clearing my throat a lot and sometimes have a wheezing sound when I breathe out. My chest feels tight occasionally, especially in the morning.", 'demographic_context': '42-year-old female, office worker', 'duration': '4 months with gradual worsening', 'severity_context': 'Able to perform daily activities but exercise tolerance has decreased. Cough interfering with sleep. No fever or weight loss.'}
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{'primary_specialty': 'Pulmonology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Allergy and Immunology', 'critical_questions': ['Any history of asthma or allergies?', 'Any exposure to environmental irritants at work or home?', 'Any history of acid reflux or postnasal drip?'], 'red_flags': ['Progressive exercise intolerance', 'Nocturnal symptoms'], 'possible_conditions': ['Adult-onset asthma', 'Chronic bronchitis', 'Gastroesophageal reflux disease with chronic cough'], 'reasoning': 'Chronic respiratory symptoms with evidence of airway reactivity (wheezing, chest tightness) warrant pulmonary function testing and specialist evaluation. Pattern suggests possible reactive airway disease requiring proper diagnosis and management.'}
|
{'id': 907, 'target_specialty': 'Pulmonology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:50:09.644706'}
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{'symptom_description': "I've had this persistent dry cough for months now that gets worse at night. During the day I feel short of breath when climbing stairs or walking my dog, which never used to happen before. I notice I'm clearing my throat a lot and sometimes have a wheezing sound when I breathe out. Recently started waking up with a tight chest in the mornings.", 'demographic_context': '42-year-old female, office worker', 'duration': 'Progressive symptoms over 4 months', 'severity_context': 'Able to perform daily activities but with increased effort. Not affecting sleep significantly except for occasional nighttime coughing. No severe episodes requiring emergency care.'}
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{'primary_specialty': 'Pulmonology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Allergy and Immunology', 'critical_questions': ['Any history of asthma or allergies in family?', 'Any exposure to environmental irritants at work or home?', 'Any weight changes or night sweats?', 'Have you tried any over-the-counter medications?'], 'red_flags': ['Progressive shortness of breath', 'Chronic cough lasting > 8 weeks'], 'possible_conditions': ['Adult-onset asthma', 'Chronic bronchitis', 'Gastroesophageal reflux disease (GERD)'], 'reasoning': 'Chronic respiratory symptoms with progressive nature suggesting possible airway disorder. Pattern of symptoms (nocturnal cough, exertional dyspnea, wheezing) warrants pulmonary function testing and specialist evaluation for proper diagnosis and management.'}
|
{'id': 908, 'target_specialty': 'Pulmonology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:50:16.823917'}
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{'symptom_description': "I've had this annoying dry cough for months now, especially at night and early morning. It's worse when I exercise or go out in cold air. Sometimes I feel short of breath climbing stairs, which never used to happen. I've noticed I'm clearing my throat a lot and occasionally wheeze, particularly in the morning.", 'demographic_context': '42-year-old female, office worker', 'duration': '4 months with gradual onset', 'severity_context': 'Interferes with sleep and exercise, but able to perform daily activities. No severe breathing difficulties.'}
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{'primary_specialty': 'Pulmonology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Allergy/Immunology', 'critical_questions': ['Any exposure to environmental irritants or recent changes in home/work environment?', 'Family history of asthma or other respiratory conditions?', 'Any weight changes or acid reflux symptoms?'], 'red_flags': ['Progressive exercise intolerance', 'Morning symptoms suggesting possible reactive airway disease'], 'possible_conditions': ['Adult-onset asthma', 'Chronic bronchitis', 'Gastroesophageal reflux disease (GERD)'], 'reasoning': 'Chronic cough with associated wheezing and exercise-induced symptoms suggests reactive airway disease requiring pulmonary function testing and specialist evaluation. Duration and pattern of symptoms indicate need for comprehensive pulmonary assessment.'}
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{'id': 909, 'target_specialty': 'Pulmonology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:50:24.062033'}
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{'symptom_description': "I've had this ongoing dry cough, especially in the mornings. I feel short of breath when climbing stairs or doing light exercise. Recently noticed some wheezing when I lay down at night. My chest feels tight sometimes, and deep breaths can be uncomfortable. I use an inhaler occasionally which helps a bit, but symptoms keep coming back.", 'demographic_context': '42-year-old female, office worker', 'duration': 'Symptoms gradually worsening over past 4 months', 'severity_context': 'Able to perform daily activities but exercise tolerance decreased. Not interfering with sleep except occasional nighttime wheezing.'}
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{'primary_specialty': 'Pulmonology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Allergy and Immunology', 'critical_questions': ['Any history of asthma or allergies?', 'Any exposure to workplace irritants or recent environmental changes?', 'Any weight changes or night sweats?'], 'red_flags': ['Progressive exercise intolerance', 'Morning symptoms suggesting possible chronic condition'], 'possible_conditions': ['Adult-onset Asthma', 'Chronic Bronchitis', 'Occupational Lung Disease'], 'reasoning': 'Chronic respiratory symptoms with wheezing, cough, and dyspnea suggest possible reactive airway disease requiring pulmonary function testing and specialist evaluation. Pattern suggests possible chronic condition rather than acute infection.'}
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{'id': 910, 'target_specialty': 'Pulmonology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:50:31.343328'}
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{'symptom_description': "I've had this annoying dry cough for months now, especially at night. It's worse when I lay down to sleep. I also get short of breath when climbing stairs or doing yard work, which never used to happen before. Sometimes I wake up with a tight feeling in my chest. I've noticed I'm clearing my throat a lot during the day too, and occasionally get a burning sensation in my throat.", 'demographic_context': '45-year-old female, office worker, non-smoker', 'duration': '4 months with gradual worsening', 'severity_context': 'Symptoms interfere with sleep and daily activities but not severely limiting work or basic functions'}
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{'primary_specialty': 'Pulmonology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Allergy and Immunology', 'critical_questions': ['Does patient experience acid reflux or heartburn?', 'Any recent environmental changes at home or work?', 'Any family history of asthma or other respiratory conditions?'], 'red_flags': ['Progressive shortness of breath', 'Night-time symptoms affecting sleep quality'], 'possible_conditions': ['Chronic cough due to GERD', 'Adult-onset asthma', 'Nonspecific bronchial hyperresponsiveness'], 'reasoning': 'Chronic cough with associated respiratory symptoms warrants pulmonology evaluation. Pattern suggests possible underlying respiratory condition requiring specialist assessment and pulmonary function testing. Duration and progression pattern indicate need for comprehensive evaluation but not urgent intervention.'}
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{'id': 911, 'target_specialty': 'Pulmonology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:50:39.081186'}
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{'symptom_description': "I've had this persistent dry cough for months now, especially at night. I notice I get short of breath when climbing stairs or doing light exercise, which never used to happen before. Sometimes I wake up feeling like I haven't gotten enough air, and I've started using an extra pillow to sleep. I've also noticed a wheeze when I breathe out, particularly in the morning.", 'demographic_context': '47-year-old female', 'duration': '4 months and gradually worsening', 'severity_context': 'Affecting sleep quality and limiting daily activities, but able to perform most tasks with some modification'}
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{'primary_specialty': 'Pulmonology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Allergy and Immunology', 'critical_questions': ['Has patient experienced any significant weight loss?', 'Is there any family history of asthma or COPD?', 'Does patient have any history of allergies or acid reflux?'], 'red_flags': ['Progressive exercise intolerance', 'Nocturnal symptoms requiring positional changes'], 'possible_conditions': ['Adult-onset asthma', 'Chronic bronchitis', 'Gastroesophageal reflux disease (GERD)'], 'reasoning': 'The combination of chronic cough, exertional dyspnea, and wheezing suggests potential reactive airway disease or chronic respiratory condition requiring pulmonary function testing and specialist evaluation. The gradual onset and non-emergency nature makes this appropriate for routine pulmonology consultation.'}
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{'id': 912, 'target_specialty': 'Pulmonology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:50:46.814698'}
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{'symptom_description': "I've had this annoying dry cough for several months, especially at night. Recently noticed I get winded more easily going up stairs. Sometimes I wake up with a tight chest and slight wheezing, but it usually goes away after I sit up for a while. I've also noticed I'm clearing my throat more often during the day.", 'demographic_context': '42-year-old female, office worker', 'duration': 'Cough present for 3 months, breathlessness gradually worsening over 6 weeks', 'severity_context': 'Symptoms are bothersome but not severely limiting daily activities. Can complete normal tasks but needs to pace when climbing stairs.'}
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{'primary_specialty': 'Pulmonology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Allergy and Immunology', 'critical_questions': ['Any history of asthma or allergies?', 'Any exposure to environmental irritants at work or home?', 'Any recent weight changes or night sweats?'], 'red_flags': ['Progressive nature of breathlessness', 'Nocturnal symptoms'], 'possible_conditions': ['Adult-onset asthma', 'Chronic cough syndrome', 'Upper airway cough syndrome'], 'reasoning': 'Chronic cough with progressive dyspnea and nocturnal symptoms suggests possible reactive airway disease requiring pulmonary function evaluation and specialist assessment. Pattern suggests possible asthma but needs proper workup to rule out other conditions.'}
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{'id': 913, 'target_specialty': 'Pulmonology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T19:50:53.974766'}
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{'symptom_description': "I've had this annoying dry cough for several months now, mostly when I wake up and at night. Sometimes I feel a bit short of breath when climbing stairs but it's not terrible. I've noticed I'm coughing up small amounts of clear mucus in the mornings. No chest pain, but I do feel congested and clear my throat a lot throughout the day. I work in an office with old ventilation if that matters.", 'demographic_context': '42-year-old female, non-smoker', 'duration': '4 months with gradual onset', 'severity_context': 'Mild to moderate impact on daily activities, mainly affecting sleep quality and exercise tolerance'}
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{'primary_specialty': 'Pulmonology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Allergy and Immunology', 'critical_questions': ['Any exposure to environmental irritants or recent changes in workplace?', 'History of allergies or asthma?', 'Any recent upper respiratory infections?', 'Any weight changes or night sweats?'], 'red_flags': ['Duration exceeding 3 months without improvement', 'Progressive nature of symptoms even if mild'], 'possible_conditions': ['Chronic cough syndrome', 'Occupational-related airway disease', 'Post-nasal drip syndrome'], 'reasoning': 'Chronic nature of symptoms with respiratory focus suggests need for pulmonary evaluation. Pattern of symptoms and occupational context warrants specialist assessment for proper diagnosis and management, though not urgently given stable and mild nature of symptoms.'}
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{'id': 914, 'target_specialty': 'Pulmonology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T19:51:01.788230'}
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{'symptom_description': "I've had this annoying dry cough for a while, especially at night. During the day I sometimes feel short of breath when climbing stairs or doing housework. I've noticed I get more tired than usual. Recently started waking up with a scratchy throat, and sometimes I hear a slight wheeze when breathing deeply.", 'demographic_context': '42 year old female, office worker', 'duration': 'Symptoms gradually developed over past 3-4 months', 'severity_context': 'Moderate interference with daily activities, no severe distress, able to work but with some limitations'}
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{'primary_specialty': 'Pulmonology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Allergy and Immunology', 'critical_questions': ['Any exposure to environmental irritants or recent changes in home/work environment?', 'Family history of asthma or other respiratory conditions?', 'Any weight changes or night sweats?'], 'red_flags': ['Progressive fatigue', 'Gradual increase in breathlessness'], 'possible_conditions': ['Adult-onset asthma', 'Chronic bronchitis', 'Gastroesophageal reflux disease (GERD)'], 'reasoning': 'Chronic respiratory symptoms with gradual onset suggesting possible airway disorder. Pattern of symptoms (nocturnal cough, exertional dyspnea, wheeze) warrants pulmonary evaluation for proper diagnosis and management. Non-emergency presentation suitable for routine workup.'}
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{'id': 915, 'target_specialty': 'Pulmonology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T19:51:09.363646'}
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{'symptom_description': "I've had this dry cough that comes and goes, especially in the morning and at night. Recently noticed I get a bit short of breath when climbing stairs or doing yard work. Sometimes I wake up with a stuffy nose and slight chest tightness. My wife says I've started snoring more in the last few months too.", 'demographic_context': '52-year-old male, office worker, former smoker (quit 5 years ago)', 'duration': 'Symptoms gradually developing over past 4-5 months', 'severity_context': 'Mild to moderate impact on daily activities, not interfering with work but affecting sleep quality and exercise tolerance'}
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{'primary_specialty': 'Pulmonology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Allergy and Immunology', 'critical_questions': ['Any history of asthma or allergies?', 'Any exposure to occupational dust or chemicals?', 'Any recent weight gain or changes in sleep patterns?'], 'red_flags': ['Progressive exercise intolerance', 'Nocturnal symptoms suggesting possible sleep apnea'], 'possible_conditions': ['Chronic bronchitis', 'Early COPD', 'Obstructive sleep apnea'], 'reasoning': 'Combination of respiratory symptoms with nocturnal component, history of smoking, and gradual onset suggests need for pulmonary function evaluation and possible sleep study. Symptoms warrant professional evaluation but not urgent intervention.'}
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{'id': 916, 'target_specialty': 'Pulmonology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T19:51:17.045578'}
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{'symptom_description': "I've had this annoying dry cough for several months, mostly when I exercise or go up stairs. Sometimes I feel a bit wheezy, especially in the morning or when I'm around cats. I also noticed I get more short of breath than I used to when playing tennis. My chest feels tight occasionally but it usually goes away if I rest.", 'demographic_context': '32-year-old female', 'duration': '4 months with gradual onset', 'severity_context': 'Mild to moderate symptoms that mainly affect exercise tolerance and morning activities, no severe attacks or emergency episodes'}
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{'primary_specialty': 'Pulmonology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Allergy/Immunology', 'critical_questions': ['Does patient have any family history of asthma or allergic conditions?', 'Are symptoms worse during any particular season or environment?', 'Has patient tried any over-the-counter inhalers or medications?', 'Any history of smoking or occupational exposures?'], 'red_flags': ['Any episodes of severe breathlessness or inability to speak in full sentences', 'Any significant weight loss or night sweats'], 'possible_conditions': ['Exercise-induced asthma', 'Allergic asthma', 'Vocal cord dysfunction'], 'reasoning': 'Symptoms suggest reactive airway disease with possible allergic component, exercise triggers, and morning symptoms typical of asthma. Pattern and triggers warrant pulmonology evaluation for proper diagnosis and management plan, though not urgently given stable nature and absence of severe symptoms.'}
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{'id': 917, 'target_specialty': 'Pulmonology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T19:51:25.630153'}
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{'symptom_description': "I've had this dry cough for several months now, especially in the mornings. I notice I get short of breath more easily when climbing stairs or doing yard work. Sometimes I wake up at night feeling a bit wheezy. My throat often feels irritated, and I clear it frequently throughout the day. Recently started getting some post-nasal drip too.", 'demographic_context': '47-year-old female', 'duration': '4 months with gradual onset', 'severity_context': 'Mild to moderate impact on daily activities, no severe breathing difficulties, able to continue working but exercise capacity reduced'}
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{'primary_specialty': 'Pulmonology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Allergy and Immunology', 'critical_questions': ['Any exposure to environmental irritants or recent changes in home/work environment?', 'History of allergies or asthma?', 'Any weight changes or night sweats?', 'Smoking history or second-hand smoke exposure?'], 'red_flags': ['Progressive exercise intolerance', 'Nighttime symptoms suggesting possible asthma'], 'possible_conditions': ['Chronic cough syndrome', 'Adult-onset asthma', 'Upper airway cough syndrome', 'Gastroesophageal reflux disease'], 'reasoning': 'Chronic respiratory symptoms with cough, dyspnea, and possible reactive airway component warrant pulmonary evaluation. Pattern suggests possible airway hyperresponsiveness or chronic inflammatory condition requiring comprehensive pulmonary assessment including PFTs.'}
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{'id': 918, 'target_specialty': 'Pulmonology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T19:51:33.363726'}
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{'symptom_description': "I've had this nagging dry cough for several months, especially in the morning. Sometimes I feel a little short of breath when climbing stairs, but it's not terrible. I've noticed I'm clearing my throat more often, and there's occasionally a wheeze when I breathe deeply. My wife says I've been coughing in my sleep too.", 'demographic_context': '47-year-old male, office worker', 'duration': '4 months with gradual onset', 'severity_context': 'Mild to moderate impact on daily activities, mainly noticeable during physical exertion'}
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{'primary_specialty': 'Pulmonology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Allergy and Immunology', 'critical_questions': ['Any history of smoking or occupational exposures?', 'Any family history of asthma or COPD?', 'Any recent weight loss or night sweats?'], 'red_flags': ['Progressive shortness of breath even if mild', 'Sleep-related breathing symptoms'], 'possible_conditions': ['Chronic cough syndrome', 'Early-stage asthma', 'Post-nasal drip syndrome'], 'reasoning': 'Chronic respiratory symptoms with gradual onset suggest non-urgent pulmonary condition requiring specialist evaluation. Pattern of symptoms and duration indicates need for pulmonary function testing and possible allergic component evaluation.'}
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{'id': 919, 'target_specialty': 'Pulmonology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T19:51:40.333895'}
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{'symptom_description': "I've had this persistent dry cough for a while now, especially in the mornings. It's more annoying than anything else. I've also noticed I get a bit more winded than usual when climbing stairs, but it's not severe. No chest pain, but sometimes I feel like I need to clear my throat a lot. My wife says I've started snoring more lately too.", 'demographic_context': '48-year-old male, office worker, former smoker (quit 5 years ago)', 'duration': 'Symptoms gradually developing over past 4-5 months', 'severity_context': 'Mild to moderate impact on daily activities, mainly affecting sleep quality and exercise tolerance'}
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{'primary_specialty': 'Pulmonology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'ENT', 'critical_questions': ['Any exposure to occupational dust or chemicals?', 'Any family history of respiratory conditions?', 'Any weight changes or night sweats?', 'Any acid reflux symptoms?'], 'red_flags': ['Progressive exercise intolerance', 'Former smoker history'], 'possible_conditions': ['Post-nasal drip', 'Early COPD', 'Gastroesophageal reflux disease', 'Upper airway cough syndrome'], 'reasoning': 'Chronic respiratory symptoms with gradual onset in former smoker warrant pulmonary evaluation. Pattern suggests possible chronic condition rather than acute illness. Symptoms are mild but persistent, indicating need for proper evaluation and management plan.'}
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{'id': 920, 'target_specialty': 'Pulmonology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T19:51:47.786460'}
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{'symptom_description': "I haven't slept in 4 days. My thoughts are racing so fast I can't keep up. I've been working on multiple projects simultaneously, spent $12,000 on online shopping sprees, and feel like I'm invincible. My family says I'm talking too fast and making no sense. Earlier today, I believed I could communicate with aliens and that I'm meant to save the world.", 'demographic_context': '32-year-old female', 'duration': 'Symptoms escalated rapidly over past 7 days', 'severity_context': 'Severe impairment in functioning, showing signs of psychosis, engaging in risky behavior with financial consequences, complete lack of sleep'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Emergency', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Any previous diagnosis of bipolar disorder?', 'Any thoughts of harming yourself or others?', 'Any current substance use?', 'Any family history of mental illness?'], 'red_flags': ['Acute mania with psychotic features', 'Complete insomnia for 4 days', 'Impulsive behavior with serious consequences', 'Grandiose delusions'], 'possible_conditions': ['Acute Manic Episode with Psychotic Features', 'Substance-Induced Psychosis', 'Acute Schizophreniform Disorder'], 'reasoning': 'Presentation strongly suggests acute mania with psychotic features requiring immediate psychiatric evaluation. Complete insomnia, racing thoughts, grandiose delusions, and risky behavior indicate severe psychiatric emergency requiring immediate intervention to prevent harm and stabilize symptoms.'}
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{'id': 921, 'target_specialty': 'Mental Health', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T19:51:55.833171'}
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{'symptom_description': "I haven't slept in 4 days. I'm talking really fast and have all these amazing ideas. I've maxed out three credit cards buying stuff online because I feel like I can make millions. My wife says I'm not making sense and acting scary. I feel like I'm chosen by God for a special mission. People are starting to notice me acting strange at work but they just don't understand how special I am.", 'demographic_context': '42-year-old male', 'duration': 'Acute episode over past 4-5 days with rapidly escalating behavior', 'severity_context': 'Severe impairment in judgment, no sleep, grandiose delusions, rapid speech, excessive spending, affecting work and family relationships'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Emergency', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Any previous history of similar episodes?', 'Any thoughts of harming yourself or others?', 'Any current medication use or recent medication changes?', 'Any family history of bipolar disorder?', 'Any recent substance use?'], 'red_flags': ['Acute onset of manic symptoms', 'Complete lack of sleep for 4 days', 'Grandiose delusions', 'Impulsive behavior with serious consequences', 'Rapid deterioration of functioning'], 'possible_conditions': ['Acute Manic Episode (Bipolar I Disorder)', 'Substance-Induced Psychotic Disorder', 'Schizoaffective Disorder'], 'reasoning': 'Presentation strongly suggests acute mania requiring immediate psychiatric evaluation due to severity of symptoms, risk of harm through impaired judgment, and presence of psychotic features. Emergency assessment needed for safety and rapid intervention.'}
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{'id': 922, 'target_specialty': 'Mental Health', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T19:52:04.942355'}
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{'symptom_description': "I feel completely hopeless and have been thinking about ending my life constantly for the past week. I have a detailed plan involving pills and wrote goodbye letters. I can't sleep, barely eat, and feel like everyone would be better off without me. Nothing brings me joy anymore and I just want the pain to stop. I've never felt this low before.", 'demographic_context': '32 year old female', 'duration': 'Severe depression for 6 months, suicidal ideation intensified in past week', 'severity_context': 'Patient has active suicide plan, written goodbye letters, and expresses clear intent. Reports complete loss of function and severe emotional distress.'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Emergency', 'confidence_score': 0.98, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have immediate access to the means (pills) mentioned in your plan?', 'Is there anyone you can stay with right now?', 'Have you attempted suicide before?', 'Are you currently taking any psychiatric medications?'], 'red_flags': ['Detailed suicide plan with means identified', 'Written goodbye letters indicating intent', 'Severe hopelessness and conviction about suicide', 'Recent dramatic worsening of symptoms', 'Complete loss of protective factors'], 'possible_conditions': ['Major Depressive Disorder with Suicidal Ideation', 'Bipolar Depression', 'Treatment-Resistant Depression'], 'reasoning': 'Patient presents with acute suicidal crisis requiring immediate psychiatric evaluation and likely inpatient admission for safety. Clear plan, intent, and means indicate high risk for completed suicide without emergency intervention.'}
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{'id': 923, 'target_specialty': 'Mental Health', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T19:52:13.118836'}
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{'symptom_description': "I haven't slept in 4 days and can't stop talking. My thoughts are racing so fast I can't keep up. Started spending thousands of dollars on random things. My family says I'm acting completely different - more aggressive and irritable. I feel like I'm invincible and have special powers. Yesterday I climbed onto my roof because I thought I could fly.", 'demographic_context': '27-year-old male', 'duration': 'Symptoms escalated severely over past 4-5 days', 'severity_context': 'Severe impairment with dangerous behavior, complete loss of sleep, rapid speech, grandiose delusions, and excessive spending'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Emergency', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Any previous diagnosis of bipolar disorder?', 'Any thoughts of harming yourself or others?', 'Any current substance use?', 'Any family history of mental illness?'], 'red_flags': ['Dangerous impulsive behavior (believing can fly)', 'Severe manic symptoms with psychotic features', 'Complete insomnia for multiple days', 'Risk of self-harm due to impaired judgment'], 'possible_conditions': ['Acute Manic Episode with Psychotic Features', 'Substance-Induced Psychosis', 'Schizoaffective Disorder'], 'reasoning': 'Presentation strongly suggests acute mania with psychotic features requiring immediate psychiatric evaluation. Risk of harm due to impaired judgment, presence of delusions, and severe behavioral changes necessitates emergency intervention.'}
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{'id': 924, 'target_specialty': 'Mental Health', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T19:52:20.939958'}
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{'symptom_description': "I haven't slept in 4 days and I keep having racing thoughts. I feel invincible and started multiple business ventures this week. Maxed out my credit cards buying equipment. My family says I'm talking too fast and not making sense. I've never felt better but also feel like I might explode. Started hearing whispers at night telling me I'm chosen for something special.", 'demographic_context': '32-year-old male', 'duration': 'Symptoms escalated severely over past 7 days', 'severity_context': 'Severe functional impairment, complete sleep disruption, risky financial decisions, possible psychotic features'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Emergency', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Any thoughts of harming yourself or others?', 'Any previous diagnosis of bipolar disorder?', 'Any current substance use or medications?'], 'red_flags': ['Acute psychotic symptoms', 'Complete sleep deprivation', 'Impulsive high-risk behavior', 'Pressured speech and racing thoughts'], 'possible_conditions': ['Acute Manic Episode with Psychotic Features', 'Substance-Induced Psychosis', 'Acute Schizophrenic Episode'], 'reasoning': 'Presentation strongly suggests acute mania with psychotic features requiring immediate psychiatric evaluation. Risk of harm due to impaired judgment, sleep deprivation, and emerging psychosis. Emergency assessment needed for safety and acute stabilization.'}
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{'id': 925, 'target_specialty': 'Mental Health', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T19:52:29.013209'}
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{'symptom_description': "I haven't slept in 4 days and I can't stop my racing thoughts. I feel like I'm invincible and have been spending all my savings on random things. My family says I'm talking too fast and making no sense. Started writing a book about saving the world and believe I've been chosen for a special mission. Haven't eaten much because I'm too excited to sit still.", 'demographic_context': '27-year-old male', 'duration': 'Symptoms escalated rapidly over past 7 days', 'severity_context': 'Extreme agitation, complete sleeplessness, engaging in risky behavior with money, grandiose beliefs, pressured speech'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Emergency', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Any history of similar episodes?', 'Any thoughts of harming yourself or others?', 'Any family history of bipolar disorder?', 'Currently taking any medications or recreational drugs?'], 'red_flags': ['Severe sleep deprivation', 'Rapid onset manic symptoms', 'Risk-taking behavior', 'Grandiose delusions', 'Potential for financial harm'], 'possible_conditions': ['Acute Manic Episode', 'Bipolar I Disorder', 'Substance-Induced Mania', 'Acute Psychosis'], 'reasoning': 'Presents with classic symptoms of acute mania requiring immediate psychiatric evaluation due to risk of harm through impaired judgment, severe sleep deprivation, and potential for progression to psychosis. Emergency assessment needed for safety and rapid intervention.'}
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{'id': 926, 'target_specialty': 'Mental Health', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T19:52:36.893644'}
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{'symptom_description': "I can't take it anymore. I've been having constant thoughts about ending my life for the past week. I have a specific plan involving pills. Already wrote goodbye notes. Nothing matters anymore. Haven't slept or eaten properly in days. Keep having racing thoughts and panic attacks. Everything feels hopeless.", 'demographic_context': '19 year old female college student', 'duration': 'Acute suicidal ideation for 1 week, underlying depression for 6 months', 'severity_context': 'Active suicidal ideation with specific plan and intent, severe functional impairment, complete social withdrawal'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Emergency', 'confidence_score': 0.98, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have the means (pills) readily available?', 'Is there anyone with you right now who can support you?', 'Have you attempted suicide before?', 'Are you currently using any substances?'], 'red_flags': ['Specific suicide plan with means and intent', 'Written goodbye notes', 'Severe withdrawal and hopelessness', 'Acute deterioration in self-care'], 'possible_conditions': ['Major Depressive Disorder with Suicidal Ideation', 'Bipolar Disorder - Depressive Episode', 'Adjustment Disorder with Depressed Mood'], 'reasoning': 'Patient presents with active suicidal ideation, specific plan, and intent, requiring immediate psychiatric evaluation and likely inpatient admission for safety. Acute risk of self-harm necessitates emergency intervention.'}
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{'id': 927, 'target_specialty': 'Mental Health', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T19:52:44.577425'}
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{'symptom_description': "I haven't slept in 4 days and I can't stop my racing thoughts. Everything feels intense and I keep having these grand ideas. I've spent my entire savings on random business ventures in the past week. My family says I'm talking too fast and not making sense. I feel invincible but also scared - like I might do something dangerous. I've never felt this way before.", 'demographic_context': '32-year-old male', 'duration': 'Acute onset over past 7 days, severe escalation in last 96 hours', 'severity_context': 'Severe impairment in functioning, complete loss of sleep, risky behavior, rapid speech, flight of ideas'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Emergency', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Any thoughts of harming yourself or others?', 'Any history of similar episodes?', 'Any family history of bipolar disorder?', 'Any current substance use?'], 'red_flags': ['Complete insomnia for 96 hours', 'Impulsive spending/risky behavior', 'Rapid onset of manic symptoms', 'Potential for dangerous behavior'], 'possible_conditions': ['Acute Manic Episode', 'Bipolar I Disorder - First Manic Episode', 'Substance-Induced Mania'], 'reasoning': 'Presentation strongly suggests acute mania with dangerous behavioral changes, sleep deprivation, and impulsivity requiring immediate psychiatric evaluation for safety and stabilization. Risk of harm through poor judgment or progression to psychosis.'}
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{'id': 928, 'target_specialty': 'Mental Health', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T19:52:52.461511'}
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{'symptom_description': "I've been having intense panic attacks almost daily - my heart races, I can't breathe, and I feel like I'm dying. I've started avoiding leaving my house because I'm terrified of having an attack in public. I barely sleep anymore, maybe 2-3 hours a night. Last week I had to leave work early twice because I couldn't function. I've never felt this out of control before and I'm starting to have thoughts that everyone would be better off without me.", 'demographic_context': '28-year-old female', 'duration': 'Symptoms progressively worsening over past 6 weeks', 'severity_context': 'Severe functional impairment affecting work, sleep, and daily activities. Growing suicidal ideation without specific plan.'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have any specific plans or intentions to harm yourself?', 'Have you experienced any previous episodes like this?', 'Are you currently taking any medications or substances?', 'Do you have any support system or people you can stay with?'], 'red_flags': ['Suicidal ideation', 'Severe functional impairment', 'Social isolation', 'Rapid symptom progression'], 'possible_conditions': ['Panic Disorder with Agoraphobia', 'Major Depressive Disorder', 'Generalized Anxiety Disorder'], 'reasoning': 'Urgent psychiatric evaluation needed due to combination of severe panic symptoms, functional decline, and emerging suicidal ideation. Rapid symptom progression and social isolation increase risk factors. Immediate intervention required to prevent further deterioration and ensure patient safety.'}
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{'id': 929, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:53:00.301847'}
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{'symptom_description': "I've been feeling completely overwhelmed and having panic attacks almost daily. Can't sleep, my heart races, and I'm having really dark thoughts. Lost my job two weeks ago and everything feels like it's spiraling. Started having thoughts about how everyone would be better off without me. Haven't told my family. Barely eating or leaving my bedroom anymore.", 'demographic_context': '32 year old male', 'duration': 'Symptoms intensified over past 2 weeks, underlying anxiety for 6 months', 'severity_context': 'Multiple panic attacks daily, suicidal ideation, significant functional impairment, social isolation, poor self-care'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have a specific plan for self-harm?', 'Do you have access to lethal means?', 'Do you have any social support system you can rely on?', 'Are you currently taking any medications?', 'Have you experienced similar episodes before?'], 'red_flags': ['Active suicidal ideation', 'Rapid functional decline', 'Social isolation', 'Recent major life stressor', 'Significant change in eating/sleeping patterns'], 'possible_conditions': ['Major Depressive Disorder with suicidal ideation', 'Panic Disorder', 'Adjustment Disorder with mixed anxiety and depression'], 'reasoning': 'Urgent psychiatric evaluation needed due to active suicidal ideation, rapid deterioration of mental state, and multiple concerning symptoms indicating severe depression and anxiety. Recent job loss as precipitating factor with no apparent support system increases risk.'}
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{'id': 930, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:53:08.774297'}
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{'symptom_description': "I've been having intense panic attacks several times a week. My heart races, I can't breathe, and I'm convinced I'm dying. Recently started having dark thoughts about ending it all. Can't sleep, lost 15 pounds in the last month because I can't eat. Everything feels hopeless and I'm scared I might act on these thoughts.", 'demographic_context': '32-year-old female', 'duration': 'Symptoms escalating over past 3 months, severe deterioration in last 2 weeks', 'severity_context': 'Unable to work for past week, having daily panic attacks, active suicidal ideation without specific plan'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have a specific plan for self-harm?', 'Do you have access to weapons or lethal means?', 'Do you have any support system or someone who can stay with you?', 'Have you attempted suicide in the past?'], 'red_flags': ['Active suicidal ideation', 'Significant weight loss', 'Social isolation', 'Rapid symptom escalation'], 'possible_conditions': ['Major Depressive Disorder with anxiety', 'Panic Disorder', 'Adjustment Disorder with mixed anxiety and depression'], 'reasoning': 'Urgent psychiatric evaluation needed due to active suicidal ideation, rapid deterioration of mental state, and presence of multiple concerning symptoms including significant weight loss and panic attacks. Immediate risk assessment and intervention required.'}
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{'id': 931, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:53:16.422948'}
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{'symptom_description': "I've been having intense panic attacks almost daily - my heart races, I can't breathe, and I feel like I'm dying. Recently started having thoughts that everyone is watching me and plotting against me. I barely sleep anymore because I'm too afraid. Lost my job last week because I couldn't leave my house. I've never felt this bad before and I'm scared I might hurt myself.", 'demographic_context': '28-year-old female', 'duration': 'Symptoms escalating over past 2 months, severe deterioration in last 2 weeks', 'severity_context': 'Unable to work or leave house, experiencing suicidal ideation, significant functional impairment in all areas of life'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have a specific plan to harm yourself?', 'Are you experiencing any command hallucinations?', 'Do you have any support system or someone who can stay with you?', 'Have you had any previous mental health treatment?'], 'red_flags': ['Active suicidal ideation', 'Possible paranoid delusions', 'Severe functional decline', 'Social isolation'], 'possible_conditions': ['Acute Panic Disorder with Agoraphobia', 'Major Depressive Disorder with Psychotic Features', 'Early onset Schizophrenia'], 'reasoning': 'Combination of acute panic symptoms, paranoid thoughts, suicidal ideation, and severe functional decline requires urgent psychiatric evaluation. Risk of self-harm and presence of possible psychotic symptoms necessitates immediate mental health intervention.'}
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{'id': 932, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:53:25.024964'}
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{'symptom_description': "I've been having intense panic attacks multiple times a week. My heart races, I can't breathe, and I feel like I'm dying. Recently started having thoughts that everyone is watching and plotting against me. I can barely leave my house anymore. Haven't slept properly in weeks because I keep checking the doors and windows. I used to be social but now I'm terrified of people.", 'demographic_context': '28-year-old female', 'duration': 'Symptoms progressively worsening over 3 months, severe deterioration in last 2 weeks', 'severity_context': 'Unable to work for past 2 weeks, isolated at home, significant impact on daily functioning, not eating regularly, experiencing paranoid thoughts'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Are you having any thoughts of harming yourself or others?', "Do you hear or see things that others don't?", 'Have you experienced any recent traumatic events?'], 'red_flags': ['Rapid deterioration in mental state', 'Emerging paranoid delusions', 'Severe functional impairment', 'Social isolation and withdrawal'], 'possible_conditions': ['Acute Psychotic Episode', 'Severe Panic Disorder', 'Paranoid Schizophrenia'], 'reasoning': 'Rapid onset of severe symptoms including paranoid thoughts, panic attacks, and significant functional decline requires urgent psychiatric evaluation. Risk of further deterioration without immediate intervention. Symptoms suggest possible emerging psychosis alongside severe anxiety.'}
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{'id': 933, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:53:32.700616'}
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{'symptom_description': "I've been having intense panic attacks almost daily - my heart races, I can't breathe, and I feel like I'm dying. I've started avoiding leaving my house because I'm terrified of having an attack in public. I barely sleep anymore, maybe 2-3 hours a night. Last week I had to leave work mid-shift because I couldn't stop shaking and crying. I've never felt this out of control before.", 'demographic_context': '28-year-old female', 'duration': 'Symptoms progressively worsening over past 6 weeks', 'severity_context': 'Severely impacting daily functioning, unable to work, becoming housebound, significant sleep disruption'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Are you having any thoughts of harming yourself or others?', 'Do you have any support system or people you can stay with?', 'Have you experienced any recent traumatic events or major life changes?'], 'red_flags': ['Rapid functional decline', 'Social isolation', 'Occupational impairment', 'Severe sleep disturbance', 'Agoraphobic symptoms developing'], 'possible_conditions': ['Panic Disorder with Agoraphobia', 'Acute Anxiety Disorder', 'Major Depressive Disorder with Anxiety'], 'reasoning': 'Urgent intervention needed due to rapid deterioration in functioning, development of agoraphobic behaviors, and severe impact on daily life. Risk of further decompensation without prompt treatment. Symptoms suggest severe anxiety disorder requiring immediate psychiatric evaluation and possible medication management.'}
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{'id': 934, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:53:41.918454'}
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{'symptom_description': "I've been having intense panic attacks almost daily - my heart races, I can't breathe, and I feel like I'm dying. I've started avoiding leaving my house because I'm terrified of having an attack in public. I barely sleep anymore, maybe 2-3 hours a night. Last week, I had to leave my job mid-shift because I couldn't handle being there. I've never felt this out of control before.", 'demographic_context': '28-year-old female', 'duration': 'Symptoms progressively worsening over 6 weeks', 'severity_context': 'Severe functional impairment - unable to work, maintain relationships, or perform daily activities. Social isolation increasing. Significant sleep disruption.'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.92, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are you having any thoughts of harming yourself or others?', 'Do you have any support system or people you can stay with?', 'Have you experienced any recent traumatic events or major life changes?'], 'red_flags': ['Severe functional decline in multiple life domains', 'Complete social withdrawal', 'Inability to maintain employment', 'Severe sleep disruption'], 'possible_conditions': ['Panic Disorder with Agoraphobia', 'Generalized Anxiety Disorder', 'Major Depressive Disorder with Anxiety'], 'reasoning': 'Rapid onset of severe panic symptoms with agoraphobic features causing significant functional impairment requires urgent psychiatric evaluation. Risk of further deterioration and potential safety concerns necessitate prompt intervention. Severity of symptoms and impact on daily functioning indicates need for immediate assessment and treatment planning.'}
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{'id': 935, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:53:50.625208'}
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{'symptom_description': "I've been having intense panic attacks several times a week. My heart races, I can't breathe, and I'm convinced I'm dying. Recently started having dark thoughts about ending it all. Can't sleep, lost 15 pounds in the last month because I can't eat. Everything feels hopeless and I'm scared I might act on these thoughts.", 'demographic_context': '28 year old female', 'duration': 'Panic attacks for 3 months, suicidal thoughts intensifying over last 2 weeks', 'severity_context': 'Affecting daily functioning, unable to work, having specific thoughts of suicide with consideration of methods'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have a specific plan for suicide?', 'Do you have access to means to harm yourself?', 'Do you have any social support system or someone who can stay with you?', 'Have you ever attempted suicide before?'], 'red_flags': ['Active suicidal ideation with specific plans', 'Rapid weight loss and deteriorating self-care', 'Social isolation and hopelessness', 'Severe panic attacks affecting daily functioning'], 'possible_conditions': ['Major Depressive Disorder with Suicidal Ideation', 'Panic Disorder', 'Anxiety Disorder with Depression'], 'reasoning': 'Urgent psychiatric evaluation needed due to active suicidal ideation, severe symptoms of depression, and panic attacks. Immediate risk assessment and intervention required to ensure patient safety and begin appropriate treatment.'}
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{'id': 936, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:54:00.558875'}
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{'symptom_description': "I haven't been able to get out of bed for the past week. I keep having these intense thoughts about dying and feeling like everyone would be better off without me. I've started planning how I might end things. I can't sleep, barely eat, and cry constantly. My wife is really worried because she found some of my pills stockpiled in my drawer.", 'demographic_context': '42-year-old male', 'duration': 'Severe depression symptoms for 3 weeks, suicidal ideation intensifying over past week', 'severity_context': 'Patient reports significant functional impairment, active suicidal ideation with specific plan and means, social withdrawal, and severe vegetative symptoms'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have immediate plans to harm yourself?', 'Do you have access to weapons or lethal means?', 'Is there someone who can stay with you and provide support?', 'Are you currently taking any psychiatric medications?'], 'red_flags': ['Active suicidal ideation with specific plan', 'Stockpiling medication', 'Severe functional impairment', 'Rapid deterioration of mental state'], 'possible_conditions': ['Major Depressive Disorder with Suicidal Ideation', 'Bipolar Depression', 'Adjustment Disorder with Depressed Mood'], 'reasoning': 'Patient presents with acute suicidal risk requiring immediate psychiatric evaluation. Combination of specific suicide plan, means availability, and severe functional impairment indicates urgent intervention needed. Safety assessment and possible inpatient admission may be warranted.'}
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{'id': 937, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:54:09.057603'}
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{'symptom_description': "I haven't been able to get out of bed for the past week. My thoughts are racing constantly about ending it all. I've written goodbye letters to my family and have a plan involving pills. I can't sleep, barely eating, and feel completely hopeless. Previously managed depression with medication but stopped taking it 2 months ago.", 'demographic_context': '28 year old female', 'duration': 'Acute severe deterioration over 1 week, underlying depression history 5+ years', 'severity_context': 'Severe impairment in daily functioning, active suicidal ideation with plan and intent, social withdrawal, significant sleep and appetite disturbance'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have immediate access to the means to harm yourself?', 'Is there someone who can stay with you until you receive help?', 'Have you attempted suicide in the past?', 'What medications were you previously taking and why did you stop?'], 'red_flags': ['Active suicidal ideation with specific plan', 'Written goodbye letters', 'Recent medication discontinuation', 'Severe functional impairment', 'Social isolation'], 'possible_conditions': ['Major Depressive Disorder with Suicidal Ideation', 'Bipolar Depression', 'Treatment-Resistant Depression'], 'reasoning': 'Patient presents with acute suicidal crisis requiring immediate psychiatric evaluation. Active suicidal ideation with plan, severe functional decline, and recent medication discontinuation indicate high risk requiring urgent intervention. Cannot safely manage as outpatient given current risk level.'}
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{'id': 938, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:54:17.272152'}
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{'symptom_description': "I've been feeling completely overwhelmed and having panic attacks almost daily. My heart races, I can't breathe, and I'm convinced I'm going to die. I've started avoiding leaving my house because I'm terrified of having an attack in public. Last week, I had to leave work early twice because I couldn't function. I'm barely sleeping, maybe 3-4 hours a night, and I've lost 12 pounds in the last month because my anxiety is so bad I can barely eat.", 'demographic_context': '28-year-old female', 'duration': 'Symptoms progressively worsening over 2 months, severe deterioration in last 3 weeks', 'severity_context': 'Severely impacting daily functioning, work performance, and basic self-care. Unable to maintain normal routines or social interactions. Experiencing physical symptoms and weight loss.'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.89, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are you having any thoughts of harming yourself or others?', 'Do you have a history of mental health conditions or treatment?', 'Are you currently taking any medications, including those for anxiety or depression?'], 'red_flags': ['Rapid functional decline', 'Significant weight loss', 'Social isolation and agoraphobic symptoms', 'Severe impact on employment'], 'possible_conditions': ['Panic Disorder with Agoraphobia', 'Generalized Anxiety Disorder', 'Major Depressive Disorder with Anxiety'], 'reasoning': 'Acute deterioration in mental health with severe functional impairment, physical symptoms, and development of agoraphobic behaviors requires urgent psychiatric evaluation. Risk of further deterioration and potential development of crisis situation if left untreated.'}
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{'id': 939, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:54:25.647615'}
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{'symptom_description': "I've been having intense panic attacks almost daily - racing heart, can't breathe, feeling like I'm dying. I'm starting to avoid leaving my house because I'm terrified of having an attack in public. I barely sleep anymore, maybe 2-3 hours a night. Last week I had to leave work early twice because I couldn't stop shaking. My chest gets so tight I think I'm having a heart attack.", 'demographic_context': '28 year old female', 'duration': 'Symptoms progressively worsening over 6 weeks', 'severity_context': 'Significantly impacting daily functioning, unable to work effectively, developing agoraphobic behaviors, minimal sleep'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.92, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are you having thoughts of harming yourself or others?', 'Do you have any current support systems or mental health providers?', 'Have you experienced any recent traumatic events or major life changes?', 'Are you currently taking any medications?'], 'red_flags': ['Rapid functional decline', 'Development of agoraphobic behaviors', 'Severe sleep disruption', 'Occupational impairment'], 'possible_conditions': ['Panic Disorder', 'Acute Anxiety Disorder', 'Major Depressive Disorder with Anxiety'], 'reasoning': 'Urgent referral warranted due to rapid deterioration of functioning, development of agoraphobic behaviors, and severe impact on occupational ability. Symptoms suggest possible panic disorder requiring prompt intervention to prevent further deterioration and potential crisis.'}
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{'id': 940, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:54:33.199153'}
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{'symptom_description': "I've been feeling extremely anxious and having panic attacks almost daily. My heart races, I can't breathe properly, and I'm constantly worried something terrible will happen. Recently started having thoughts that everyone is watching and plotting against me. I'm barely sleeping 2-3 hours a night, lost 15 pounds in the last month because I can't eat, and yesterday I found myself considering suicide because it's becoming unbearable.", 'demographic_context': '27-year-old female', 'duration': 'Symptoms progressively worsening over 2 months, severe deterioration in last 2 weeks', 'severity_context': 'Severely impacting daily functioning, unable to work for past week, experiencing suicidal ideation, paranoid thoughts, and physical symptoms of severe anxiety'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have a specific plan for suicide?', 'Are you currently safe and do you have support at home?', 'Have you experienced any recent traumatic events or major life changes?'], 'red_flags': ['Active suicidal ideation', 'Paranoid thoughts/possible psychotic features', 'Rapid weight loss and sleep deprivation', 'Severe functional decline'], 'possible_conditions': ['Acute Anxiety Disorder with Depression', 'Early Onset Psychosis', 'Major Depressive Disorder with Psychotic Features'], 'reasoning': 'Combination of acute suicidal ideation, paranoid thoughts, and severe functional decline requires urgent psychiatric evaluation. Physical symptoms and rapid weight loss also need assessment. Patient presents significant risk to self and requires immediate intervention.'}
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{'id': 941, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:54:43.044344'}
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{'symptom_description': "I've been having intense panic attacks several times a week. My heart races, I can't breathe, and I feel like I'm dying. Recently started having thoughts that everyone is watching me and plotting against me. I barely sleep anymore because I'm so paranoid. I've stopped going to work and haven't left my apartment in 2 weeks. Sometimes I hear whispers when no one is around.", 'demographic_context': '27-year-old female', 'duration': 'Panic attacks for 3 months, paranoid thoughts and auditory experiences for 2 weeks', 'severity_context': 'Severe functional impairment - unable to work, complete isolation, sleep disruption, active paranoid ideation with possible auditory hallucinations'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Are you having any thoughts of harming yourself or others?', 'Do the voices tell you to do anything?', 'Do you have any current support system or people you trust?', 'Any previous mental health diagnosis or treatment?'], 'red_flags': ['New onset psychotic symptoms', 'Severe social withdrawal', 'Complete functional impairment', 'Possible first psychotic break', 'Rapid deterioration over 2 weeks'], 'possible_conditions': ['Acute Psychotic Episode', 'Schizophrenia - First Episode', 'Severe Panic Disorder with Psychotic Features'], 'reasoning': 'Urgent psychiatric evaluation needed due to acute psychotic symptoms, severe functional decline, and social isolation. Risk of further deterioration without immediate intervention. Combination of anxiety symptoms with emerging psychosis suggests possible first psychotic break requiring prompt assessment and treatment.'}
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{'id': 942, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:54:52.352237'}
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{'symptom_description': "I've been having intense panic attacks several times a week - my heart races, I can't breathe, and I feel like I'm dying. Recently started having thoughts that everyone is watching me and plotting against me. I'm barely sleeping, maybe 2-3 hours a night. I've stopped going to work because I'm terrified of leaving my house. Last week I started hearing whispers when nobody is around.", 'demographic_context': '28-year-old female', 'duration': 'Panic attacks for 3 months, paranoid thoughts and auditory experiences started 2 weeks ago', 'severity_context': 'Unable to work or leave house, significant functional impairment, developing psychotic features'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Are you having any thoughts of harming yourself or others?', 'Do the voices tell you to do anything?', 'Do you have any support system or people staying with you?', 'Are you currently taking any medications?'], 'red_flags': ['Recent onset of psychotic symptoms', 'Severe functional decline', 'Social isolation', 'Possible first psychotic break'], 'possible_conditions': ['Acute Psychotic Episode', 'Severe Panic Disorder with Agoraphobia', 'Schizophrenia - First Episode'], 'reasoning': 'Rapid onset of psychotic symptoms combined with severe functional decline and panic attacks requires urgent psychiatric evaluation. Risk of further decompensation without immediate intervention. Need to rule out organic causes and establish safety plan.'}
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{'id': 943, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:55:01.437339'}
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{'symptom_description': "I haven't been able to get out of bed for the past week. Everything feels completely hopeless and I've been having strong thoughts about ending it all. I can't eat, can't sleep, and keep thinking everyone would be better off without me. I've written goodbye letters to my family. I used to take antidepressants but stopped them 2 months ago.", 'demographic_context': '32-year-old female', 'duration': 'Acute severe decline over past week, underlying depression history', 'severity_context': 'Severe functional impairment, active suicidal ideation with plan and intent'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have immediate access to means to harm yourself?', 'Is there someone who can stay with you until you get help?', 'Have you attempted suicide before?', 'What medications were you previously taking and why did you stop?'], 'red_flags': ['Active suicidal ideation with plan and intent', 'Written goodbye letters', 'Recent medication discontinuation', 'Complete functional deterioration', 'Social withdrawal'], 'possible_conditions': ['Major Depressive Disorder with Suicidal Ideation', 'Bipolar Depression', 'Adjustment Disorder with Depressed Mood'], 'reasoning': 'Patient presents with acute suicidal crisis requiring immediate psychiatric evaluation. Recent medication discontinuation likely contributing to acute deterioration. Active suicidal ideation with plan, intent, and preparatory behavior necessitates urgent intervention for safety assessment and stabilization.'}
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{'id': 944, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:55:09.445088'}
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{'symptom_description': "I can't sleep, I feel like my mind is racing constantly and I've been having panic attacks almost daily. I've started missing work because I'm too anxious to leave my house. Sometimes I feel like I can't breathe and my heart races so fast I think I'm having a heart attack. I've never felt this bad before and I'm scared I'm losing control.", 'demographic_context': '28 year old female', 'duration': 'Symptoms progressively worsening over past 6 weeks', 'severity_context': 'Multiple panic attacks per week, significant functional impairment, unable to work, isolated at home, experiencing physical symptoms'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have thoughts of harming yourself or others?', 'Are you currently taking any medications including over-the-counter?', 'Have you experienced any recent traumatic events or major life changes?'], 'red_flags': ['Functional deterioration and work absence', 'Social isolation and agoraphobic symptoms', 'Severe panic attacks with physical manifestations'], 'possible_conditions': ['Panic Disorder with Agoraphobia', 'Generalized Anxiety Disorder', 'Major Depressive Disorder with Anxiety'], 'reasoning': 'Urgent evaluation needed due to rapid symptom progression, severe functional decline, and presence of panic attacks with agoraphobic features. Risk assessment and immediate intervention required to prevent further deterioration and establish safety.'}
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{'id': 945, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:55:16.902671'}
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{'symptom_description': "I've been having intense panic attacks almost daily. My heart races, I can't breathe, and I feel like I'm dying. Recently started having thoughts that everyone is watching me and plotting against me. I'm barely sleeping, maybe 2-3 hours a night. I've stopped going to work because I'm terrified of leaving my apartment. Last week I started hearing whispers when nobody is around.", 'demographic_context': '27-year-old female', 'duration': 'Panic attacks for 3 months, paranoid thoughts and auditory experiences started 2 weeks ago', 'severity_context': 'Unable to work or leave home, significant functional impairment, minimal sleep, experiencing psychotic symptoms'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Are you having any thoughts of harming yourself or others?', 'Do the voices tell you to do anything specific?', 'Do you have any current support system or people staying with you?', 'Any previous mental health diagnosis or treatment history?'], 'red_flags': ['Recent onset of psychotic symptoms', 'Severe functional decline', 'Social isolation', 'Sleep deprivation', 'Possible first psychotic break'], 'possible_conditions': ['Acute Psychosis', 'Panic Disorder with emerging Psychotic features', 'Schizophrenia - early onset'], 'reasoning': 'Combination of acute psychotic symptoms with severe functional decline requires urgent psychiatric evaluation. Risk of further decompensation without immediate intervention. Presence of auditory hallucinations and paranoid ideation with rapid onset suggests possible first psychotic break requiring immediate assessment and treatment planning.'}
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{'id': 946, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:55:25.655110'}
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{'symptom_description': "I've been having intense panic attacks multiple times a week. My heart races, I can't breathe, and I'm convinced I'm dying. Recently started having dark thoughts about ending it all. Can't sleep, barely eating, and called in sick to work three times this week. My wife is really worried because she found me crying in the bathroom last night with some pills in my hand.", 'demographic_context': '32-year-old male', 'duration': 'Panic attacks for 2 months, suicidal thoughts intensified over past 2 weeks', 'severity_context': 'Severely impacting daily function, unable to work, active suicidal ideation with plan'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have a specific plan for self-harm?', 'Do you have access to means of self-harm?', 'Are you currently having thoughts of suicide?', 'Do you have any support system at home?'], 'red_flags': ['Active suicidal ideation with plan and access', 'Rapid functional decline', 'Recent escalation in symptoms', 'Evidence of preparatory behavior'], 'possible_conditions': ['Major Depressive Disorder with Panic Disorder', 'Acute Anxiety Disorder', 'Adjustment Disorder with mixed anxiety and depression'], 'reasoning': 'Patient presents with acute suicidal ideation, plan, and recent escalation of symptoms requiring immediate psychiatric evaluation. The combination of severe panic attacks, functional decline, and active suicidal behavior necessitates urgent mental health intervention to ensure patient safety and begin appropriate treatment.'}
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{'id': 947, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:55:33.475675'}
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{'symptom_description': "I've been having intense panic attacks multiple times a week. My heart races, I can't breathe, and I'm convinced I'm dying. I've started avoiding leaving my house because I'm terrified of having an attack in public. I barely sleep anymore, maybe 3-4 hours a night. Recently started having thoughts that everyone would be better off without me. My work performance is suffering badly and I had to call in sick three times this month.", 'demographic_context': '32-year-old female', 'duration': 'Symptoms progressively worsening over 3 months, significant deterioration in last 2 weeks', 'severity_context': 'Severe functional impairment affecting work, social life, and daily activities. Growing suicidal ideation without specific plan.'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have any specific plans or intentions to harm yourself?', 'Do you have access to lethal means?', 'Do you have any support system or people you can stay with?', 'Have you experienced any recent major life changes or traumas?'], 'red_flags': ['Emerging suicidal ideation', 'Severe social isolation', 'Significant functional decline', 'Panic attacks affecting basic activities of daily living'], 'possible_conditions': ['Panic Disorder with Agoraphobia', 'Major Depressive Disorder', 'Generalized Anxiety Disorder'], 'reasoning': 'Urgent evaluation needed due to combination of severe panic symptoms, developing agoraphobia, significant functional decline, and emergence of suicidal ideation. Immediate assessment required to determine need for possible crisis intervention or intensive outpatient treatment.'}
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{'id': 948, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:55:41.845029'}
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{'symptom_description': "I haven't been able to sleep for days and my thoughts are racing uncontrollably. I feel like I can do anything - started multiple business projects, maxed out my credit cards, barely eating but don't feel tired. My family says I'm talking too fast and making risky decisions. Yesterday I drove 100mph on the highway because I felt invincible. I've never felt this way before.", 'demographic_context': '32-year-old male', 'duration': 'Symptoms escalating over past 2 weeks', 'severity_context': 'Significant impact on judgment, sleep, and behavior. Engaging in high-risk activities. Family extremely concerned.'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Any previous diagnosis of bipolar disorder or family history?', 'Are you having thoughts of harming yourself or others?', 'Have you recently used any substances or medications?'], 'red_flags': ['High-risk behavior (reckless driving)', 'Sudden onset manic symptoms', 'Impaired judgment with financial decisions', 'Complete loss of sleep'], 'possible_conditions': ['Acute Manic Episode', 'Substance-Induced Mania', 'First presentation of Bipolar I Disorder'], 'reasoning': 'Presentation strongly suggests acute mania requiring urgent psychiatric evaluation due to dangerous behavior, sleep deprivation, and impaired judgment. Risk of harm to self through reckless behavior necessitates immediate intervention.'}
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{'id': 949, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:55:50.444497'}
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{'symptom_description': "I haven't been able to get out of bed for the past week. My thoughts keep racing about ending it all. I've written goodbye letters to my family twice now but haven't sent them. I can't sleep, barely eating, and feel completely hopeless. Everything feels overwhelming and I'm scared I might actually hurt myself.", 'demographic_context': '28 year old female', 'duration': 'Acute severe depression for 1 week, with gradually worsening mood over 3 months', 'severity_context': 'Severe impairment - unable to work, complete self-care, or maintain daily functions. Active suicidal ideation with specific plan.'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have immediate access to means to harm yourself?', 'Are you currently alone or do you have support nearby?', 'Have you experienced any recent major life changes or trauma?', 'Are you currently taking any psychiatric medications?'], 'red_flags': ['Active suicidal ideation with specific plan', 'Written goodbye letters', 'Severe functional impairment', 'Rapid deterioration in mental state'], 'possible_conditions': ['Major Depressive Disorder with Suicidal Ideation', 'Bipolar Disorder - Depressive Episode', 'Adjustment Disorder with Depressed Mood'], 'reasoning': 'Urgent psychiatric evaluation required due to active suicidal ideation with plan, severe functional impairment, and rapid deterioration. Immediate risk assessment and potential inpatient admission may be necessary for safety.'}
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{'id': 950, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:55:58.251552'}
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{'symptom_description': "I've been having severe panic attacks multiple times a day for the past few weeks. My heart races, I can't breathe, and I'm convinced I'm dying. I've stopped going to work because I'm terrified of having an attack in public. I barely sleep anymore, maybe 2-3 hours a night. Yesterday I had thoughts about ending it all because I can't take this anymore. I've never felt this out of control before.", 'demographic_context': '28-year-old female', 'duration': 'Intense symptoms for 3 weeks, gradually worsening', 'severity_context': 'Multiple panic attacks daily, significant functional impairment, unable to work, active suicidal ideation'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have a specific plan for self-harm?', 'Do you have access to means to harm yourself?', 'Do you have any support system or someone who can stay with you?', 'Have you experienced any recent significant life stressors or changes?'], 'red_flags': ['Active suicidal ideation', 'Severe functional impairment', 'Complete social withdrawal', 'Severe sleep disturbance'], 'possible_conditions': ['Panic Disorder with Agoraphobia', 'Major Depressive Disorder', 'Generalized Anxiety Disorder'], 'reasoning': 'Urgent psychiatric evaluation needed due to acute panic symptoms combined with suicidal ideation, severe functional decline, and significant sleep disturbance. Immediate intervention required to ensure patient safety and begin appropriate treatment.'}
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{'id': 951, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:56:05.832488'}
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{'symptom_description': "I've been having intense panic attacks almost daily - racing heart, can't breathe, feeling like I'm dying. Can't sleep, lost 15 pounds in the last month because I can't eat. Started having thoughts that everyone is watching me and plotting against me. My family says I'm not making sense when I talk sometimes. I'm scared and don't feel like myself anymore.", 'demographic_context': '22 year old male college student', 'duration': 'Symptoms progressively worsening over 6 weeks', 'severity_context': 'Unable to attend classes, isolated in room, not eating regularly, experiencing paranoid thoughts, significant functional decline'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Are you having thoughts of harming yourself or others?', 'Are you experiencing any command hallucinations?', 'Do you have a family history of mental illness?', 'Are you currently using any substances?'], 'red_flags': ['Rapid onset of psychotic symptoms', 'Significant weight loss and self-neglect', 'Marked functional decline', 'Paranoid ideation with disorganized thinking'], 'possible_conditions': ['First Episode Psychosis', 'Acute Schizophreniform Disorder', 'Severe Panic Disorder with Psychotic Features'], 'reasoning': 'Rapid onset of psychotic symptoms with paranoid features, combined with significant functional decline and self-neglect in a young adult male suggests possible first-episode psychosis requiring urgent psychiatric evaluation. Age of onset and presentation pattern highly suspicious for emerging serious mental illness requiring immediate intervention.'}
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{'id': 952, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:56:14.719386'}
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{'symptom_description': "I haven't slept more than 2 hours a night for the past 3 weeks. My thoughts are racing constantly and I feel like I can do anything. I've spent most of my savings on random purchases and started multiple business projects. My family says I'm talking too fast and making risky decisions. Yesterday I drove 100mph on the highway because I felt invincible.", 'demographic_context': '32-year-old male', 'duration': '3 weeks of acute symptoms, with gradual build-up over previous 2 weeks', 'severity_context': 'Severe impact on sleep, judgment, finances, and safety. Engaging in high-risk behaviors and showing signs of grandiose thinking'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Any previous history of similar episodes?', 'Any thoughts of self-harm or suicide?', 'Any family history of bipolar disorder?', 'Currently taking any medications or recreational substances?'], 'red_flags': ['Dangerous risk-taking behavior (reckless driving)', 'Severe sleep deprivation', 'Impulsive financial decisions', 'Racing thoughts and pressured speech'], 'possible_conditions': ['Acute Manic Episode', 'Bipolar I Disorder', 'Substance-Induced Mood Disorder'], 'reasoning': 'Presentation strongly suggests acute mania requiring urgent psychiatric evaluation due to dangerous behavior, severe sleep deprivation, and impaired judgment. Risk of harm to self through reckless behavior necessitates immediate intervention.'}
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{'id': 953, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:56:22.690984'}
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{'symptom_description': "I haven't been able to sleep or eat properly for weeks. Having recurring thoughts about ending my life. Everything feels overwhelming and hopeless. Recently started planning specific ways to harm myself. My family noticed I've withdrawn from everyone. Can't focus at work and had to take sick leave. Sometimes I hear whispers when nobody is around.", 'demographic_context': '32-year-old male', 'duration': 'Progressive deterioration over 6 weeks, severe decline in last 10 days', 'severity_context': 'Significant functional impairment, unable to work, active suicidal ideation with specific plan, early signs of possible psychotic features'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have immediate access to means to harm yourself?', 'Are you currently alone or do you have support present?', 'Have you experienced these symptoms or similar episodes before?', 'Are you currently taking any medications or substances?'], 'red_flags': ['Active suicidal ideation with specific plan', 'Possible psychotic symptoms emerging', 'Severe functional decline', 'Social withdrawal and isolation'], 'possible_conditions': ['Major Depressive Disorder with Psychotic Features', 'Acute Psychotic Episode', 'Bipolar Disorder - Depressive Episode'], 'reasoning': 'Urgent psychiatric evaluation needed due to active suicidal ideation with plan, emerging psychotic symptoms, and severe functional decline. Immediate risk assessment and potential inpatient admission may be necessary for patient safety.'}
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{'id': 954, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:56:30.748855'}
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{'symptom_description': "I can't stop having these horrible thoughts about hurting myself. Everything feels hopeless and I've been planning how I would end it all. I barely sleep anymore, maybe 2-3 hours a night. I've lost 15 pounds this month because I can't eat. My family is really worried because I've completely withdrawn from everyone. Yesterday I wrote goodbye letters.", 'demographic_context': '28 year old female', 'duration': 'Symptoms severely worsening over past 6 weeks, with suicidal ideation increasing in last 10 days', 'severity_context': 'Patient has detailed suicide plan, written goodbye letters, significant functional impairment with sleep/appetite, social withdrawal'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have immediate plans to act on these suicidal thoughts?', 'Do you have access to means to harm yourself?', 'Is there someone who can stay with you and support you right now?', 'Have you ever attempted suicide before?', 'Are you currently taking any medications?'], 'red_flags': ['Active suicidal ideation with specific plan', 'Written goodbye letters', 'Severe functional impairment', 'Rapid weight loss', 'Complete social withdrawal'], 'possible_conditions': ['Major Depressive Disorder with Suicidal Ideation', 'Bipolar Depression', 'Adjustment Disorder with Depressed Mood'], 'reasoning': 'Patient presents with acute suicidal ideation, detailed plan, and preparatory behaviors requiring immediate psychiatric evaluation. Significant neurovegetative symptoms and functional decline indicate severe depression requiring urgent intervention to ensure safety and begin treatment.'}
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{'id': 955, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:56:38.937101'}
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{'symptom_description': "I've been feeling completely overwhelmed and having panic attacks almost daily. My heart races, I can't breathe, and I'm convinced I'm going to die. I've started avoiding leaving my house because I'm terrified of having an attack in public. I can barely sleep, maybe 3-4 hours a night. Recently started having thoughts that everyone would be better off without me. Haven't told anyone about these thoughts before.", 'demographic_context': '28-year-old female', 'duration': 'Symptoms progressively worsening over 2 months, suicidal thoughts emerged in past week', 'severity_context': 'Severe functional impairment - unable to work, isolating at home, experiencing daily panic attacks, emerging suicidal ideation'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have a specific plan for self-harm?', 'Do you have access to means to harm yourself?', 'Are you currently experiencing thoughts of suicide?', 'Do you have any support system or people you can stay with?'], 'red_flags': ['Active suicidal ideation', 'Severe panic attacks with agoraphobia', 'Significant functional decline', 'Social isolation'], 'possible_conditions': ['Panic Disorder with Agoraphobia', 'Major Depressive Disorder', 'Generalized Anxiety Disorder'], 'reasoning': 'Urgent evaluation needed due to active suicidal ideation, severe panic symptoms, and significant functional decline. Immediate risk assessment and potential crisis intervention required. Combination of severe anxiety symptoms and emerging depression with suicidal thoughts warrants immediate psychiatric evaluation.'}
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{'id': 956, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:56:47.272890'}
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{'symptom_description': "I've been feeling completely overwhelmed and having panic attacks almost daily. My heart races, I can't breathe, and I'm convinced I'm going to die. I've started avoiding leaving my house because I'm terrified of having an attack in public. Last week, I had to leave work early twice because I couldn't function. I'm barely sleeping 2-3 hours a night, and I've lost 12 pounds in the last month because I can't eat. I keep having thoughts that everyone would be better off without me.", 'demographic_context': '28-year-old female', 'duration': 'Symptoms escalating over past 3 months, severe deterioration in last 4 weeks', 'severity_context': 'Significantly impacting daily function, unable to work effectively, social isolation, weight loss, and presence of suicidal ideation'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have specific plans or intentions to harm yourself?', 'Do you have access to means of self-harm?', 'Do you have any support system or people you can stay with?', 'Have you experienced any previous suicide attempts?'], 'red_flags': ['Suicidal ideation', 'Rapid weight loss', 'Severe functional impairment', 'Social isolation', 'Severe panic attacks affecting daily activities'], 'possible_conditions': ['Panic Disorder with Agoraphobia', 'Major Depressive Disorder', 'Generalized Anxiety Disorder'], 'reasoning': 'Urgent referral warranted due to combination of severe panic symptoms, functional decline, significant weight loss, and presence of suicidal ideation. Immediate assessment needed to ensure patient safety and implement crisis intervention strategies.'}
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{'id': 957, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:56:56.259463'}
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{'symptom_description': "I haven't been able to get out of bed for the past week. Everything feels completely hopeless and I've been having thoughts about ending it all. I can't eat, can't sleep, and keep thinking everyone would be better off without me. Yesterday I started writing goodbye notes to my family. I've never felt this low before.", 'demographic_context': '27-year-old female', 'duration': 'Severe depression symptoms for 3 weeks, suicidal ideation intensifying over past week', 'severity_context': 'Patient reports significant functional impairment, active suicidal ideation with plan, social withdrawal, and severe vegetative symptoms'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have specific plans for how you would harm yourself?', 'Do you have access to means to carry out these plans?', 'Is there anyone you can stay with until you can be seen by a mental health professional?', 'Have you attempted suicide in the past?'], 'red_flags': ['Active suicidal ideation with plan', 'Writing goodbye notes', 'Severe functional impairment', 'Complete social withdrawal'], 'possible_conditions': ['Major Depressive Disorder with Suicidal Ideation', 'Bipolar Disorder - Depressive Episode', 'Adjustment Disorder with Depressed Mood'], 'reasoning': 'Patient presents with severe depression symptoms and active suicidal ideation with plan, requiring urgent psychiatric evaluation. The presence of written goodbye notes and complete functional impairment indicates high risk requiring immediate intervention.'}
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{'id': 958, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:57:04.062040'}
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{'symptom_description': "I've been having intense panic attacks multiple times a week. My heart races, I can't breathe, and I feel like I'm dying. Recently started having dark thoughts about hurting myself. Can't sleep, lost 15 pounds in the last month because I can't eat. Everything feels hopeless and I'm scared I might do something stupid.", 'demographic_context': '28-year-old female', 'duration': 'Symptoms progressively worsening over 3 months, severe deterioration in last 2 weeks', 'severity_context': 'Significantly impacting daily function, missed work for 2 weeks, experiencing suicidal ideation without specific plan'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have a specific plan for self-harm?', 'Do you have access to lethal means?', 'Do you have any support system or someone to stay with?', 'Have you experienced any recent traumatic events?', 'Are you currently taking any medications?'], 'red_flags': ['Active suicidal ideation', 'Rapid weight loss', 'Severe panic attacks', 'Social isolation', 'Significant functional decline'], 'possible_conditions': ['Major Depressive Disorder with anxiety', 'Panic Disorder', 'Adjustment Disorder with mixed anxiety and depression'], 'reasoning': 'Urgent psychiatric evaluation needed due to active suicidal ideation, severe symptoms of depression and anxiety, rapid deterioration of functioning, and presence of multiple risk factors. Immediate intervention required to ensure patient safety and begin appropriate treatment.'}
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{'id': 959, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:57:12.921117'}
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{'symptom_description': "I've been having intense panic attacks several times a week. My heart races, I can't breathe, and I'm convinced I'm dying. Recently started having dark thoughts about hurting myself. Can't sleep, lost 15 pounds in the last month because I can't eat. Everything feels hopeless and I'm scared I might act on these thoughts.", 'demographic_context': '28-year-old female', 'duration': 'Symptoms intensifying over 3 months, severe deterioration in last 2 weeks', 'severity_context': 'Affecting ability to work, had to take medical leave. Having suicidal ideation with vague plans but no immediate intent. Social isolation and severe functional impairment.'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have a specific plan for self-harm?', 'Do you have access to means to harm yourself?', 'Do you have any support system or people you can stay with?', 'Have you experienced any recent major life stressors or changes?'], 'red_flags': ['Active suicidal ideation with emerging plan', 'Rapid weight loss and functional decline', 'Severe panic attacks affecting daily functioning', 'Social withdrawal and isolation'], 'possible_conditions': ['Major Depressive Disorder with anxiety features', 'Panic Disorder', 'Adjustment Disorder with mixed anxiety and depressed mood'], 'reasoning': 'Urgent psychiatric evaluation needed due to active suicidal ideation, severe functional decline, and presence of both severe depression and panic symptoms. Immediate risk assessment and intervention required to ensure patient safety and prevent further deterioration.'}
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{'id': 960, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:57:21.142116'}
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{'symptom_description': "I haven't been able to get out of bed for the past week. I keep having thoughts that everyone would be better off without me. I've stopped eating regularly and can't concentrate at work. Recently started thinking about specific ways to end things. My friend forced me to come in after finding me crying in my apartment.", 'demographic_context': '28-year-old female', 'duration': 'Severe decline over past 3 weeks, with significant worsening in last 7 days', 'severity_context': 'Unable to maintain basic self-care, having active suicidal ideation with plan, social withdrawal, significant functional impairment at work'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have a specific plan for self-harm?', 'Do you have access to means to carry out this plan?', 'Have you experienced any previous suicide attempts?', 'Is there anyone at home who can support you?'], 'red_flags': ['Active suicidal ideation with specific plan', 'Severe functional impairment', 'Rapid deterioration', 'Social isolation'], 'possible_conditions': ['Major Depressive Disorder with Suicidal Ideation', 'Bipolar Depression', 'Adjustment Disorder with Depressed Mood'], 'reasoning': 'Patient presents with acute suicidal ideation, specific plan, and severe functional decline requiring immediate psychiatric evaluation. The combination of symptoms, severity, and safety concerns necessitates urgent mental health intervention to ensure patient safety and begin appropriate treatment.'}
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{'id': 961, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:57:29.092890'}
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{'symptom_description': "I can't stop having these terrible thoughts about harming myself. Everything feels hopeless and I've been crying almost every day. I barely eat or sleep anymore. Last week I started writing goodbye notes. I used to feel sad before but never this bad - now I'm really scared I might actually do something.", 'demographic_context': '28 year old female', 'duration': 'Severe decline over past 6 weeks, with history of milder depression', 'severity_context': 'Significant functional impairment - missing work, not eating/sleeping, active suicidal ideation with plan'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Do you have specific plans for self-harm?', 'Do you have access to means to harm yourself?', 'Do you have any social support or someone who can stay with you?', 'Are you currently taking any psychiatric medications?'], 'red_flags': ['Active suicidal ideation with plan', 'Writing goodbye notes', 'Severe functional decline', 'Social isolation'], 'possible_conditions': ['Major Depressive Disorder with Suicidal Ideation', 'Bipolar Depression', 'Adjustment Disorder with Depressed Mood'], 'reasoning': 'Patient presents with acute suicidal ideation, severe depressive symptoms, and evidence of planning requiring immediate psychiatric evaluation. Risk factors and severity indicate urgent intervention needed to ensure patient safety and initiate appropriate treatment.'}
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{'id': 962, 'target_specialty': 'Mental Health', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T19:57:37.342258'}
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{'symptom_description': "I've been feeling really down and unmotivated for months now. I used to enjoy my hobbies but now nothing seems interesting. I'm sleeping way too much, sometimes 12 hours a day, but still feel tired. Having trouble concentrating at work and my appetite has changed - I barely eat some days. I don't feel actively suicidal but sometimes think life feels pointless.", 'demographic_context': '32-year-old female', 'duration': 'Symptoms gradually worsening over past 6 months', 'severity_context': 'Affecting work performance and social relationships but still functioning at basic level. No current self-harm thoughts.'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.95, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Have you experienced any thoughts of self-harm or suicide?', 'Is there any family history of depression or other mental health conditions?', 'Have you experienced any recent major life changes or stressors?'], 'red_flags': ['Social withdrawal and isolation', 'Significant changes in sleep and appetite'], 'possible_conditions': ['Major Depressive Disorder', 'Persistent Depressive Disorder', 'Adjustment Disorder'], 'reasoning': 'Symptoms align with clinical criteria for depression including anhedonia, sleep disturbance, fatigue, concentration issues, and appetite changes. Duration and impact on functioning suggest need for mental health evaluation, but absence of acute suicide risk makes this appropriate for routine referral.'}
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{'id': 963, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:57:44.723131'}
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{'symptom_description': "I've been feeling really down and unmotivated for months now. I struggle to get out of bed most mornings, and things I used to enjoy don't interest me anymore. My sleep is terrible - I either can't fall asleep or sleep too much. I've gained about 15 pounds because I'm either not eating or comfort eating. I can still function at work but it takes all my energy, and I've been withdrawing from friends and family.", 'demographic_context': '32-year-old female', 'duration': 'Gradually worsening over 7 months', 'severity_context': 'Able to maintain work but social life and self-care significantly impacted, no current thoughts of self-harm'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.95, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Are you having any thoughts of harming yourself or others?', 'Have you experienced any major life changes or stressors in the past year?', 'Have you ever been diagnosed with or treated for depression before?'], 'red_flags': ['Social isolation and withdrawal', 'Significant changes in sleep and eating patterns'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Presentation strongly suggests moderate depression with classic symptoms including anhedonia, sleep disturbance, appetite changes, and social withdrawal. Duration and impact on functioning indicate need for mental health evaluation, but absence of acute suicidal ideation or severe impairment makes this appropriate for routine referral.'}
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{'id': 964, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:57:52.498867'}
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{'symptom_description': "I've been feeling really down and unmotivated for a while now. I struggle to get out of bed most mornings, and things I used to enjoy just don't interest me anymore. My sleep is terrible - I either can't fall asleep or sleep too much. I've noticed I'm eating less and lost some weight without trying. Sometimes I feel like I'm just going through the motions of life.", 'demographic_context': '32-year-old female', 'duration': 'Symptoms gradually worsening over 4-5 months', 'severity_context': 'Affecting work performance and social relationships but still functional; no current thoughts of self-harm'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.89, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Have you had any thoughts of harming yourself or others?', 'Have you experienced any major life changes or stressors in the past 6 months?', 'Are you currently taking any medications?'], 'red_flags': ['Unintentional weight loss', 'Social withdrawal'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Presentation consistent with clinical depression symptoms including anhedonia, sleep disturbance, appetite changes, and mood symptoms. Duration and impact suggest need for mental health evaluation and treatment, but absence of acute safety concerns makes this appropriate for routine referral.'}
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{'id': 965, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:58:00.013907'}
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{'symptom_description': "I've been feeling really down and exhausted for months now. I can't seem to enjoy things I used to love, like meeting friends or playing guitar. I'm sleeping way too much but still feel tired. Some days I can barely get out of bed to go to work. My appetite has changed - I skip meals often. I keep thinking I'm not good enough at anything.", 'demographic_context': '32-year-old female', 'duration': 'Symptoms gradually worsening over 6 months', 'severity_context': 'Affecting work performance and social relationships, but still maintaining employment and basic daily functions'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.89, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Are you having any thoughts of harming yourself?', 'Have you experienced any significant life changes or stressors in the past year?', 'Do you have a family history of depression or other mental health conditions?'], 'red_flags': ['Social withdrawal and isolation', 'Significant changes in sleep and appetite'], 'possible_conditions': ['Major Depressive Disorder', 'Persistent Depressive Disorder', 'Adjustment Disorder with Depressed Mood'], 'reasoning': 'Presentation consistent with depressive symptoms including anhedonia, fatigue, sleep changes, appetite changes, and negative self-perception. Symptoms and duration suggest need for mental health evaluation and potential treatment, but absence of acute safety concerns makes this appropriate for routine referral.'}
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{'id': 966, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:58:07.141112'}
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{'symptom_description': "I've been feeling really down and unmotivated for months now. I struggle to get out of bed most mornings, and things I used to enjoy just don't interest me anymore. My concentration at work is suffering, and I've been making silly mistakes. I'm sleeping way too much on weekends but can't seem to get proper rest during the week. I've gained about 15 pounds because I'm stress eating and not exercising like I used to.", 'demographic_context': '32-year-old female', 'duration': 'Gradually worsening over 6 months', 'severity_context': 'Affecting work performance and daily activities but still functioning; no suicidal thoughts'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.89, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Have you had any thoughts of self-harm or suicide?', 'Are there any significant life changes or stressors in the past year?', 'Have you ever experienced similar episodes in the past?'], 'red_flags': ['Work performance deterioration', 'Significant weight gain in short period'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Burnout Syndrome'], 'reasoning': 'Presentation strongly suggests depression with classic symptoms including anhedonia, sleep changes, concentration issues, and appetite changes. Symptoms are significant but patient maintains basic functioning and denies suicidal ideation, making this appropriate for routine mental health evaluation.'}
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{'id': 967, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:58:14.559555'}
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{'symptom_description': "I've been feeling really down and unmotivated for months now. I struggle to get out of bed, lost interest in my hobbies, and stopped meeting friends. My sleep is all over the place - either I can't sleep or I sleep too much. Food doesn't taste good anymore, and I've lost about 10 pounds without trying. Sometimes I feel like I'm just going through the motions of life.", 'demographic_context': '32-year-old female', 'duration': 'Symptoms gradually worsening over 6 months', 'severity_context': 'Able to maintain work but social life and daily activities significantly impacted. No current thoughts of self-harm.'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.89, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Have you had any thoughts of harming yourself or others?', 'Have you experienced any major life changes or stressors in the past year?', 'Have you ever been diagnosed with or treated for depression before?'], 'red_flags': ['Significant weight loss without trying', 'Social withdrawal and isolation'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Presentation strongly suggests clinical depression with classic symptoms including anhedonia, sleep disturbance, appetite changes, and social withdrawal. Duration and impact on functioning indicate need for mental health evaluation, but absence of acute suicidal ideation or severe impairment makes this appropriate for routine referral.'}
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{'id': 968, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:58:21.477563'}
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{'symptom_description': "I've been feeling really down and unmotivated for months now. I struggle to get out of bed most mornings, and things I used to enjoy don't interest me anymore. My sleep is all over the place - sometimes I can't sleep, other times I sleep too much. I'm having trouble concentrating at work and my appetite has decreased. I feel worthless sometimes but I'm not thinking of hurting myself.", 'demographic_context': '34-year-old female', 'duration': 'Approximately 4 months', 'severity_context': 'Affecting daily function and work performance but able to maintain basic responsibilities'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.92, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Are there any thoughts of self-harm or suicide?', 'Is there any family history of depression or other mental health conditions?', 'Have there been any significant life changes or stressors in the past 6 months?'], 'red_flags': ['Social withdrawal and isolation', 'Decreased work performance'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Symptoms align with clinical criteria for depression including persistent low mood, anhedonia, sleep disturbance, and concentration difficulties. Duration exceeds 2 months and impacts daily functioning. No immediate safety concerns but requires professional evaluation and treatment.'}
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{'id': 969, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:58:28.338671'}
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{'symptom_description': "I've been feeling really down and unmotivated for months now. Can't seem to enjoy things I used to love, like playing guitar or seeing friends. I'm sleeping way too much but still feel exhausted. Some days I can barely get out of bed to go to work. My appetite has changed too - I'm eating a lot less and lost about 10 pounds without trying. I keep thinking I'm letting everyone down but can't seem to snap out of it.", 'demographic_context': '28-year-old female', 'duration': 'Approximately 4 months', 'severity_context': 'Able to maintain work but struggling with daily activities and social withdrawal. No current thoughts of self-harm.'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.92, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Have you had any thoughts of harming yourself or others?', 'Is there any family history of depression or other mental health conditions?', 'Have you experienced any significant life changes or stressors in the past 6 months?'], 'red_flags': ['Significant weight loss', 'Social withdrawal and isolation'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Presentation strongly suggests clinical depression with classic symptoms including anhedonia, fatigue, sleep changes, appetite changes, and low mood. No immediate safety concerns but requires evaluation and treatment planning. Duration and impact on functioning indicate need for mental health specialist involvement.'}
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{'id': 970, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:58:35.916077'}
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{'symptom_description': "I've been feeling down and unmotivated for months now. I struggle to get out of bed most mornings and have lost interest in activities I used to enjoy like playing guitar and seeing friends. My sleep is really irregular - sometimes I lie awake for hours, other times I sleep too much. I'm finding it hard to concentrate at work and often feel worthless. I'm not having thoughts of self-harm, but I just feel empty and numb most days.", 'demographic_context': '32 year old female', 'duration': 'Approximately 4 months', 'severity_context': 'Affecting work performance and social relationships but able to maintain basic daily functions'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.89, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Are there any current thoughts of self-harm or suicide?', 'Is there any family history of depression or other mental health conditions?', 'Have there been any significant life changes or stressors in the past 6 months?'], 'red_flags': ['Social withdrawal and isolation', 'Significant impact on work performance'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Presentation consistent with clinical depression symptoms including persistent low mood, anhedonia, sleep disturbance, and concentration difficulties. Duration exceeds 2 months and impacts multiple life domains, warranting mental health evaluation and intervention.'}
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{'id': 971, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:58:43.163054'}
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{'symptom_description': "I've been feeling really down and unmotivated for months now. I struggle to get out of bed most mornings, and things I used to enjoy don't interest me anymore. My sleep is terrible - I either can't fall asleep or sleep too much. I've gained weight because I'm stress eating. I can still function at work but everything feels like a huge effort. I catch myself crying sometimes for no clear reason.", 'demographic_context': '32-year-old female', 'duration': 'Approximately 6 months of gradually worsening symptoms', 'severity_context': 'Able to maintain work but social life and self-care significantly impacted. No current thoughts of self-harm.'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.89, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Have you had any thoughts of harming yourself or others?', 'Have you experienced any major life changes or stressors in the past year?', 'Are you currently taking any medications?'], 'red_flags': ['Social withdrawal and isolation', 'Significant changes in sleep and eating patterns'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Symptoms align with clinical criteria for depression including persistent low mood, anhedonia, sleep disturbance, and appetite changes. Duration and functional impact suggest need for mental health evaluation, but absence of acute safety concerns makes this appropriate for routine referral.'}
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{'id': 972, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:58:50.559631'}
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{'symptom_description': "I've been feeling really down and exhausted for months now. Can't seem to enjoy things I used to love, like hiking or meeting friends. I'm having trouble concentrating at work and often find myself just staring at my computer screen. My sleep is terrible - I either can't fall asleep or wake up really early. I've lost about 10 pounds without trying because food just doesn't interest me anymore. Sometimes I feel like I'm just going through the motions of life.", 'demographic_context': '42-year-old female', 'duration': 'Approximately 4 months', 'severity_context': 'Affecting work performance and social relationships, but still functioning at basic level. No suicidal thoughts.'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.89, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Have you had any thoughts of harming yourself or others?', 'Are you currently taking any medications?', 'Have you experienced any major life changes or stressors in the past year?'], 'red_flags': ['Unintentional weight loss', 'Significant impact on daily functioning'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Burnout Syndrome'], 'reasoning': 'Presentation shows classic symptoms of depression including anhedonia, sleep disturbance, appetite changes, and concentration difficulties. Duration and impact suggest need for mental health evaluation, but absence of acute risk factors makes this appropriate for routine referral.'}
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{'id': 973, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:58:58.199123'}
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{'symptom_description': "I've been feeling really down and unmotivated for months now. I struggle to get out of bed most mornings, and things I used to enjoy just don't interest me anymore. My sleep is terrible - I either can't fall asleep or sleep too much. I've gained about 15 pounds because I'm either not eating or overeating. Sometimes I just sit and cry for no clear reason. Work is getting harder because I can't concentrate properly.", 'demographic_context': '32-year-old female', 'duration': 'Approximately 6 months', 'severity_context': 'Affecting daily function and work performance but still managing basic responsibilities. No thoughts of self-harm.'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.95, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Have you had any thoughts of harming yourself or others?', 'Is there any family history of depression or other mental health conditions?', 'Have you experienced any significant life changes or stressors in the past year?'], 'red_flags': ['Progressive social isolation', 'Significant weight change'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Symptoms align with clinical criteria for depression including persistent low mood, anhedonia, sleep disturbance, appetite changes, and concentration problems. Duration and impact on functioning suggest need for mental health evaluation, but absence of acute safety concerns makes this appropriate for routine referral.'}
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{'id': 974, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:59:05.712842'}
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{'symptom_description': "I've been feeling really down and unmotivated for months now. I struggle to get out of bed most mornings and have lost interest in activities I used to enjoy like playing guitar and meeting friends. My appetite has decreased, and I'm having trouble concentrating at work. I find myself crying for no particular reason and feeling worthless. My sleep is really disrupted - I either can't fall asleep or wake up very early.", 'demographic_context': '32-year-old female', 'duration': 'Symptoms gradually worsening over 4-5 months', 'severity_context': 'Affecting work performance and social relationships, but still maintaining basic daily functions and employment'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.95, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Are you having any thoughts of harming yourself or others?', 'Have you experienced any significant life changes or stressors in the past 6 months?', 'Do you have any family history of depression or other mental health conditions?'], 'red_flags': ['Social withdrawal and isolation', 'Declining work performance'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Presentation shows classic symptoms of depression including anhedonia, sleep disturbance, appetite changes, and mood symptoms. Duration and impact suggest need for mental health evaluation, but absence of acute suicide risk or severe functional impairment indicates routine rather than urgent care.'}
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{'id': 975, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:59:13.087227'}
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{'symptom_description': "I've been feeling really down and exhausted for months now. Can't seem to enjoy things I used to love like painting or seeing friends. I'm sleeping way too much but still wake up tired. Sometimes I just sit and stare at the wall for hours. I'm falling behind at work because I can't focus or make decisions. I don't feel actively suicidal but sometimes wonder if others would be better off without me.", 'demographic_context': '32-year-old female, works in marketing', 'duration': 'Gradually worsening over 6-8 months', 'severity_context': 'Affecting work performance and social relationships, but still maintaining basic functions and employment'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.95, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Do you have any current thoughts of harming yourself?', 'Have you experienced any significant life changes or stressors in the past year?', 'Are you currently taking any medications?'], 'red_flags': ['Passive suicidal ideation', 'Progressive social withdrawal'], 'possible_conditions': ['Major Depressive Disorder', 'Persistent Depressive Disorder', 'Adjustment Disorder with Depressed Mood'], 'reasoning': 'Symptoms align with clinical depression criteria including anhedonia, fatigue, concentration problems, and social withdrawal. Duration and impact suggest need for comprehensive mental health evaluation. No immediate safety concerns but requires professional intervention.'}
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{'id': 976, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:59:20.566168'}
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{'symptom_description': "I've been feeling really down and unmotivated for a while now. I used to enjoy going out with friends and playing tennis, but lately I just stay home. I'm sleeping way more than usual but still feel tired all the time. My appetite has decreased and I've lost about 8 pounds without trying. I can still go to work but I'm having trouble concentrating and everything feels like a huge effort.", 'demographic_context': '34-year-old female', 'duration': 'Symptoms gradually worsening over past 4 months', 'severity_context': 'Able to maintain work but social life and daily activities significantly impacted. No thoughts of self-harm.'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.92, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Have you had any thoughts of harming yourself or others?', 'Is there any family history of depression or other mental health conditions?', 'Have you experienced any significant life changes or stressors in the past 6 months?'], 'red_flags': ['Unintentional weight loss', 'Social withdrawal and isolation'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Presentation shows classic symptoms of depression including anhedonia, fatigue, decreased appetite, concentration difficulties, and social withdrawal. Symptoms are significant but patient maintains functionality at work and denies suicidal ideation, making this appropriate for routine mental health evaluation.'}
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{'id': 977, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:59:27.870474'}
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{'symptom_description': "I've been feeling down and unmotivated for months now. I struggle to get out of bed most mornings, and things I used to enjoy don't interest me anymore. My sleep is really irregular - sometimes I can't sleep at all, other times I sleep too much. I've lost about 10 pounds without trying because I don't have much appetite. I can still function at work but it takes all my energy, and I've been isolating myself from friends and family.", 'demographic_context': '32-year-old female', 'duration': 'Symptoms gradually worsening over 6 months', 'severity_context': 'Able to maintain work but social life and daily activities significantly impacted. No current thoughts of self-harm.'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.89, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Have you had any thoughts of harming yourself or others?', 'Is there any family history of depression or other mental health conditions?', 'Have you experienced any significant life changes or stressors in the past year?'], 'red_flags': ['Social withdrawal and isolation', 'Significant weight loss', 'Loss of interest in previously enjoyed activities'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Presentation strongly suggests depression with classic symptoms including anhedonia, sleep disturbance, appetite changes, and social withdrawal. Symptoms are significant but patient maintains functionality and denies self-harm thoughts, making this appropriate for routine mental health evaluation.'}
|
{'id': 978, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:59:35.350368'}
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{'symptom_description': "I've been feeling really down and exhausted for months now. Can't seem to enjoy things I used to love, like cooking or seeing friends. My sleep is all over the place - sometimes I lie awake for hours, other times I sleep too much. I'm having trouble focusing at work and keep forgetting simple things. Some days it's hard to even get out of bed.", 'demographic_context': '34 year old female', 'duration': 'Gradually worsening over past 6 months', 'severity_context': 'Affecting work performance and social relationships, but still maintaining basic functions and employment'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.89, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Have you had any thoughts of self-harm or suicide?', 'Is there any family history of depression or other mental health conditions?', 'Have you experienced any significant life changes or stressors in the past year?'], 'red_flags': ['Social withdrawal and isolation', 'Significant changes in sleep patterns'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Symptoms align with clinical criteria for depression including persistent low mood, anhedonia, sleep disturbance, and cognitive difficulties. Duration and impact on functioning suggest need for mental health evaluation, but absence of acute risk factors makes this appropriate for routine referral.'}
|
{'id': 979, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:59:42.477754'}
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{'symptom_description': "I've been feeling really down and unmotivated for months now. I struggle to get out of bed, lost interest in things I used to enjoy like playing guitar and seeing friends. My sleep is all over the place - sometimes I sleep too much, other times I lie awake for hours. I'm finding it hard to concentrate at work and keep forgetting things. I'm not suicidal but sometimes wonder if life will always feel this heavy.", 'demographic_context': '32 year old female', 'duration': 'Symptoms gradually worsening over past 6 months', 'severity_context': 'Affecting work performance and social relationships but still functioning, no acute crisis'}
|
{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.95, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Are there any thoughts of self-harm or suicide?', 'Is there any family history of depression or other mental health conditions?', 'Have there been any significant life changes or stressors in the past year?'], 'red_flags': ['Social withdrawal', 'Declining work performance'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Presentation consistent with clinical depression - multiple cardinal symptoms present for >6 months including low mood, anhedonia, sleep disturbance, and cognitive difficulties. No acute risk but symptoms significantly impacting quality of life and function, warranting comprehensive mental health evaluation and treatment planning.'}
|
{'id': 980, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:59:50.055846'}
|
{'symptom_description': "I've been feeling really down and unmotivated for months now. I struggle to get out of bed, lost interest in my hobbies, and can't focus at work. My sleep is terrible - either I can't fall asleep or I sleep too much. I've gained weight because I'm stress eating. Sometimes I feel worthless and wonder what's the point of everything, but I don't have thoughts of hurting myself.", 'demographic_context': '34 year old female', 'duration': 'Symptoms gradually worsening over 6-8 months', 'severity_context': 'Affecting work performance and relationships, but still maintaining job and basic functions'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.92, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Do you have any thoughts of harming yourself or others?', 'Have you experienced any major life changes or stressors in the past year?', 'Have you ever been diagnosed with or treated for depression before?'], 'red_flags': ['Social withdrawal and isolation', 'Significant changes in sleep and eating patterns'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Presentation consistent with clinical depression symptoms including persistent low mood, anhedonia, sleep disturbance, and appetite changes. Duration and impact on functioning suggest need for mental health evaluation, but absence of suicidal ideation and maintained basic functioning indicate routine rather than urgent care.'}
|
{'id': 981, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T19:59:57.651215'}
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{'symptom_description': "I've been feeling really down and unmotivated for months now. Can't seem to enjoy things I used to love, like playing guitar or meeting friends. I'm sleeping way too much but still feel exhausted. Sometimes I just sit and stare at the wall for hours. I'm falling behind at work because I can't focus or make decisions. I'm not suicidal, but sometimes I wonder what's the point of it all.", 'demographic_context': '32-year-old female', 'duration': 'Gradually worsening over 6 months', 'severity_context': 'Affecting work performance and social relationships, but still functioning at basic level'}
|
{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.89, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Do you have any thoughts of harming yourself or others?', 'Have you experienced any significant life changes or stressors in the past year?', 'Have you ever been diagnosed with or treated for depression before?'], 'red_flags': ['Social withdrawal and isolation', 'Significant decline in work performance'], 'possible_conditions': ['Major Depressive Disorder', 'Persistent Depressive Disorder', 'Adjustment Disorder'], 'reasoning': 'Symptoms align with clinical criteria for depression including anhedonia, fatigue, concentration difficulties, and psychomotor retardation. Duration and impact on functioning suggest need for mental health evaluation, but absence of acute suicidal ideation makes this appropriate for routine referral.'}
|
{'id': 982, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T20:00:05.210926'}
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{'symptom_description': "I've been feeling really down and tired for months now. I can't seem to enjoy things I used to love, like playing guitar or meeting friends. I'm sleeping too much but still feel exhausted. Sometimes I just sit and stare at the wall for hours. Work is getting harder because I can't focus or make decisions like I used to. I'm not suicidal, but sometimes I wonder what's the point of it all.", 'demographic_context': '32-year-old female', 'duration': 'Gradually worsening over 6 months', 'severity_context': 'Affecting work performance and social relationships, but still functioning at basic level'}
|
{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.89, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Are there any thoughts of self-harm or suicide?', 'Is there any family history of depression or mental illness?', 'Have there been any significant life changes or stressors in the past year?'], 'red_flags': ['Social withdrawal and isolation', 'Significant decline in work performance'], 'possible_conditions': ['Major Depressive Disorder', 'Persistent Depressive Disorder', 'Adjustment Disorder'], 'reasoning': 'Symptoms align with clinical criteria for depression including anhedonia, fatigue, concentration difficulties, and psychomotor retardation. Duration and impact on functioning suggest need for psychiatric evaluation and possible medication management, but absence of acute suicidal ideation makes this appropriate for routine referral.'}
|
{'id': 983, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T20:00:12.892286'}
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{'symptom_description': "I've been feeling really down and unmotivated for a while now. I struggle to get out of bed most mornings and have lost interest in activities I used to enjoy like playing guitar and meeting friends. My appetite has decreased, and I'm having trouble concentrating at work. I find myself crying sometimes for no clear reason and feeling worthless. My sleep is disturbed - I either can't fall asleep or wake up very early.", 'demographic_context': '32-year-old female', 'duration': 'Symptoms gradually worsening over past 4 months', 'severity_context': 'Affecting work performance and social relationships, but still maintaining basic daily functions and employment'}
|
{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.89, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Have you had any thoughts of harming yourself?', 'Have you experienced any significant life changes or stressors in the past 6 months?', 'Are you currently taking any medications?'], 'red_flags': ['Social withdrawal and isolation', 'Decreased work performance'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Presentation consistent with depression symptoms including low mood, anhedonia, sleep disturbance, and concentration issues. No immediate safety concerns but requires assessment and treatment planning. Duration and impact on functioning suggest need for mental health specialist evaluation.'}
|
{'id': 984, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T20:00:20.421378'}
|
{'symptom_description': "I've been feeling really down and exhausted lately. Can't seem to enjoy things I used to love, like my painting hobby or meeting friends. I'm sleeping way too much but still feel tired all the time. Some days it's hard to even get out of bed. My appetite has changed too - I'm eating less and lost about 10 pounds without trying. I can focus at work but it takes all my energy just to get through the day.", 'demographic_context': '32-year-old female', 'duration': 'Symptoms gradually worsening over past 4 months', 'severity_context': 'Able to maintain work but social life and hobbies significantly impacted, no thoughts of self-harm'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.89, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Are you having any thoughts of harming yourself or others?', 'Have you experienced any major life changes or stressors in the past 6 months?', 'Have you ever been diagnosed with or treated for depression before?'], 'red_flags': ['Significant weight loss without trying', 'Social withdrawal and isolation'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Presentation consistent with depressive symptoms including anhedonia, fatigue, sleep changes, and appetite changes. No acute safety concerns but symptoms are significantly impacting quality of life and warrant professional evaluation and treatment.'}
|
{'id': 985, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T20:00:28.858752'}
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{'symptom_description': "I've been feeling really down and unmotivated for a while now. I struggle to get out of bed most mornings, and things I used to enjoy just don't interest me anymore. My sleep is all over the place - sometimes I can't sleep at all, other times I sleep too much. I've noticed I'm eating less and lost some weight without trying. I can still function at work but everything feels like a huge effort.", 'demographic_context': '32-year-old female', 'duration': 'Symptoms gradually worsening over past 4-5 months', 'severity_context': 'Able to maintain work but social life and daily activities significantly affected. No current thoughts of self-harm.'}
|
{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.89, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Have you had any thoughts of harming yourself?', 'Have you experienced any similar episodes in the past?', 'Are there any recent major life changes or stressors?'], 'red_flags': ['Unintentional weight loss', 'Progressive social withdrawal'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Presentation consistent with depressive symptoms including anhedonia, sleep disturbance, and appetite changes. Duration and impact suggest need for mental health evaluation, but absence of acute safety concerns makes this appropriate for routine referral.'}
|
{'id': 986, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T20:00:36.019569'}
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{'symptom_description': "I've been feeling really down and unmotivated for months now. I struggle to get out of bed most mornings, and things I used to enjoy don't interest me anymore. My sleep is terrible - I either can't fall asleep or sleep too much. I've gained about 15 pounds because I'm either not eating or binge eating. Sometimes I just sit and cry for no reason. Work is getting harder because I can't concentrate or make decisions like I used to.", 'demographic_context': '32-year-old female', 'duration': 'Approximately 6 months with gradual worsening', 'severity_context': 'Affecting daily function and work performance but still maintaining employment and basic self-care'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.95, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Are you having any thoughts of harming yourself or others?', 'Have you experienced any major life changes or stressors in the past year?', 'Do you have any family history of depression or other mental health conditions?'], 'red_flags': ['Weight changes and disturbed eating patterns', 'Significant impact on work performance'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Presentation suggests classic symptoms of depression including anhedonia, sleep disturbance, appetite changes, and concentration difficulties. Symptoms are significant but not acute or crisis-level, making routine mental health evaluation appropriate for proper assessment and treatment planning.'}
|
{'id': 987, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T20:00:43.914772'}
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{'symptom_description': "I've been feeling really down and unmotivated for months now. I struggle to get out of bed, lost interest in my hobbies, and keep withdrawing from friends. My work performance is suffering because I can't concentrate. I'm always tired but have trouble sleeping. Sometimes I feel worthless and wonder what's the point of everything.", 'demographic_context': '32-year-old female', 'duration': 'Gradually worsening over 6 months', 'severity_context': 'Affecting daily function and work performance but able to maintain basic self-care and employment'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.92, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Are you having any thoughts of harming yourself or others?', 'Have you experienced any major life changes or stressors in the past year?', 'Do you have a family history of depression or other mental health conditions?'], 'red_flags': ['Social isolation and withdrawal', 'Declining work performance'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Symptoms align with clinical criteria for depression including persistent low mood, anhedonia, sleep disturbance, and concentration difficulties. Duration and impact on functioning suggest need for mental health evaluation and treatment, but absence of acute safety concerns makes this appropriate for routine referral.'}
|
{'id': 988, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T20:00:50.970525'}
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{'symptom_description': "I've been feeling really down and unmotivated for a while now. Getting out of bed is a struggle, and I've lost interest in things I used to enjoy like playing guitar and meeting friends. My sleep is terrible - I either can't fall asleep or sleep too much. I'm eating less than usual and have lost about 10 pounds without trying. Sometimes I feel worthless and wonder what's the point of everything.", 'demographic_context': '32-year-old female', 'duration': 'Symptoms gradually worsening over past 4-5 months', 'severity_context': 'Affecting work performance and social relationships but still functioning at basic level, no current thoughts of self-harm'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.89, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Have you had any thoughts of harming yourself or others?', 'Is there any family history of depression or other mental health conditions?', 'Have you experienced any significant life changes or stressors in the past year?'], 'red_flags': ['Unintentional weight loss', 'Social withdrawal and isolation'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Presentation consistent with depressive symptoms including anhedonia, sleep disturbance, appetite changes, and mood symptoms. Duration and impact suggest need for mental health evaluation, but absence of acute suicide risk or severe functional impairment indicates routine rather than urgent care appropriate.'}
|
{'id': 989, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T20:00:58.534188'}
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{'symptom_description': "I've been feeling really down and unmotivated for months now. I struggle to get out of bed most mornings, and things I used to enjoy don't interest me anymore. My sleep is all over the place - I either can't fall asleep or sleep too much. I've gained about 15 pounds because I'm stress eating. Sometimes I feel like I'm just going through the motions of life without really being present.", 'demographic_context': '32-year-old female', 'duration': 'Symptoms gradually worsening over past 6 months', 'severity_context': 'Affecting work performance and social relationships but still functioning; no thoughts of self-harm'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.92, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Are you having any thoughts of harming yourself or others?', 'Have you experienced any major life changes or stressors in the past year?', 'Have you ever been diagnosed with or treated for depression before?'], 'red_flags': ['Social withdrawal and isolation', 'Significant changes in sleep and eating patterns'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Presentation consistent with depressive symptoms including anhedonia, sleep disturbance, appetite changes, and mood symptoms. No acute safety concerns, but symptoms are significantly impacting quality of life and warrant professional mental health evaluation and treatment.'}
|
{'id': 990, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T20:01:05.937984'}
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{'symptom_description': "I've been feeling really down and unmotivated for months now. I struggle to get out of bed most mornings, and things I used to enjoy just don't interest me anymore. My sleep is all over the place - either I can't fall asleep or I sleep too much. I've gained about 15 pounds because I'm either not eating or binge eating. I can still function at work but it takes all my energy, and I've been withdrawing from friends and family.", 'demographic_context': '32-year-old female', 'duration': 'Approximately 6 months with gradual worsening', 'severity_context': 'Able to maintain work but social life and daily activities significantly impacted. No current thoughts of self-harm.'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.95, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Have you had any thoughts of harming yourself or others?', 'Is there any family history of depression or other mental health conditions?', 'Have you experienced any significant life changes or stressors in the past year?'], 'red_flags': ['Social isolation and withdrawal', 'Significant changes in eating and sleeping patterns'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Presentation shows classic symptoms of depression including anhedonia, sleep disturbance, appetite changes, and social withdrawal. Symptoms are significant but patient maintains functionality at work and denies acute safety concerns, making this appropriate for routine mental health evaluation.'}
|
{'id': 991, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T20:01:14.238783'}
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{'symptom_description': "I've been feeling really down and unmotivated for months now. I struggle to get out of bed most mornings, and things I used to enjoy just don't interest me anymore. My sleep is all over the place - sometimes I can't sleep at all, other times I sleep too much. I've noticed I'm eating less and lost some weight without trying. Sometimes I find myself crying for no clear reason. Work is getting harder because I can't concentrate like I used to.", 'demographic_context': '32-year-old female', 'duration': 'Approximately 4 months with gradual worsening', 'severity_context': 'Affecting daily function and work performance but still maintaining job and basic self-care'}
|
{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.95, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Are you having any thoughts of harming yourself or others?', 'Have you experienced any major life changes or stressors in the past 6 months?', 'Is there any family history of depression or other mental health conditions?'], 'red_flags': ['Weight loss without intention', 'Persistent low mood affecting function'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Symptoms align with clinical criteria for depression including persistent low mood, anhedonia, sleep disturbance, appetite changes, and concentration difficulties. Duration and impact on function suggest need for mental health evaluation, but absence of acute safety concerns makes this appropriate for routine referral.'}
|
{'id': 992, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T20:01:21.968130'}
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{'symptom_description': "I've been feeling really overwhelmed and exhausted lately. Can't seem to enjoy things I used to love, like my painting hobby or meeting friends. My sleep is all over the place - I lie awake for hours, then feel tired all day. Sometimes I just sit and stare at my phone for hours, not really doing anything. My appetite has decreased and I've lost about 8 pounds without trying.", 'demographic_context': '34-year-old female', 'duration': 'Symptoms gradually worsening over past 4 months', 'severity_context': 'Still functioning at work but struggling to concentrate. Social life has declined significantly. No thoughts of self-harm.'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.92, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Are there any recent major life changes or stressors?', 'Have you experienced similar episodes in the past?', 'Are you having any thoughts of harming yourself or others?', 'How is your support system at home?'], 'red_flags': ['Unintentional weight loss', 'Social withdrawal', 'Significant change in daily functioning'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Burnout Syndrome'], 'reasoning': 'Presentation suggests moderate depression with classic symptoms (anhedonia, sleep disturbance, appetite changes, social withdrawal). No acute safety concerns, but symptoms are significantly impacting quality of life and warrant professional mental health evaluation and treatment.'}
|
{'id': 993, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T20:01:29.148420'}
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{'symptom_description': "I've been feeling overwhelmed and exhausted lately. Can't seem to enjoy things I used to love, like reading or meeting friends. My sleep is really messed up - I lay awake for hours, then feel groggy all day. I'm having trouble concentrating at work and keep forgetting small tasks. Sometimes I just sit and cry for no real reason. I'm not suicidal, but I just feel kind of empty and hopeless.", 'demographic_context': '32-year-old female', 'duration': 'Symptoms gradually worsening over past 4-5 months', 'severity_context': 'Affecting work performance and social relationships, but still maintaining basic daily functions'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.89, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Are you having any thoughts of harming yourself or others?', 'Have you experienced any significant life changes or stressors in the past 6 months?', 'Have you ever been diagnosed with or treated for depression before?'], 'red_flags': ['Social withdrawal and isolation', 'Declining work performance'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Anxiety Disorder'], 'reasoning': 'Symptoms align with clinical criteria for depression including mood changes, anhedonia, sleep disturbance, and concentration issues. No immediate safety concerns, but symptoms are significantly impacting quality of life and require professional evaluation and intervention.'}
|
{'id': 994, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T20:01:36.834473'}
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{'symptom_description': "I've been feeling really down and tired all the time. Can't seem to enjoy things I used to love, like painting or meeting friends. My sleep is all over the place - sometimes I lie awake for hours, other times I sleep too much but still wake up exhausted. I'm finding it hard to focus at work and keep forgetting simple things. Sometimes I just sit and cry for no real reason.", 'demographic_context': '32 year old female', 'duration': 'Symptoms gradually worsening over past 4 months', 'severity_context': 'Affecting work performance and social relationships but still maintaining daily functions. No suicidal thoughts.'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.92, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Are there any thoughts of self-harm or suicide?', 'Have you experienced any significant life changes or stressors in the past 6 months?', 'Is there any family history of depression or other mental health conditions?'], 'red_flags': ['Social withdrawal', 'Declining work performance'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Anxiety Disorder'], 'reasoning': 'Symptoms align with clinical criteria for depression including persistent low mood, anhedonia, sleep disturbance, and cognitive difficulties. Duration and impact on functioning suggest need for mental health evaluation, but absence of acute risk factors makes this appropriate for routine referral.'}
|
{'id': 995, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T20:01:44.192751'}
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{'symptom_description': "I've been feeling really down and unmotivated for months now. Can't seem to enjoy things I used to love, like playing guitar or meeting friends. I'm sleeping way too much but still feel exhausted. Some days I can barely get out of bed to go to work. My appetite has changed too - I'm eating a lot less and lost about 10 pounds without trying. My mind feels foggy and I'm having trouble concentrating at work.", 'demographic_context': '32-year-old female', 'duration': 'Symptoms gradually worsening over 4-5 months', 'severity_context': 'Functioning but struggling - maintaining work but social life and hobbies severely impacted. No current thoughts of self-harm.'}
|
{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.89, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Have you had any thoughts of harming yourself?', 'Have you experienced any similar episodes in the past?', 'Are there any significant life changes or stressors that preceded these symptoms?'], 'red_flags': ['Significant unintentional weight loss', 'Social withdrawal and isolation'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Presentation strongly suggests clinical depression with classic symptoms including anhedonia, fatigue, sleep changes, appetite changes, and concentration difficulties. No acute safety concerns, but symptoms are significantly impacting quality of life and warrant professional evaluation and treatment.'}
|
{'id': 996, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T20:01:51.710104'}
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{'symptom_description': "I've been feeling really down and unmotivated for months now. I struggle to get out of bed most mornings and have lost interest in activities I used to enjoy like playing guitar and meeting friends. My sleep is terrible - I lie awake for hours at night worrying about everything. I'm eating less than usual and have lost about 10 pounds without trying. Sometimes I feel like I'm just going through the motions of life.", 'demographic_context': '32 year old female', 'duration': 'Approximately 6 months of progressive symptoms', 'severity_context': 'Affecting daily function and work performance but still maintaining job and basic self-care. No thoughts of self-harm.'}
|
{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.89, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Have you had any thoughts of harming yourself or others?', 'Have you experienced any previous episodes like this?', 'Are there any significant life changes or stressors that preceded these symptoms?'], 'red_flags': ['Unintentional weight loss', 'Progressive social withdrawal'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Generalized Anxiety Disorder'], 'reasoning': 'Presentation consistent with depressive symptoms including anhedonia, sleep disturbance, appetite changes, and mood symptoms. Duration and impact suggest clinical depression requiring mental health evaluation, but absence of acute safety concerns makes this appropriate for routine referral.'}
|
{'id': 997, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T20:01:59.046330'}
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{'symptom_description': "I've been feeling really down and unmotivated for months now. Can't seem to enjoy things I used to love, like playing guitar or meeting friends. I'm sleeping way too much but still feel exhausted. Sometimes I just sit and stare at the wall for hours. I'm falling behind at work because I can't focus or make decisions. I'm not suicidal, but sometimes I wonder what's the point of it all.", 'demographic_context': '28-year-old female', 'duration': 'Gradually worsening over 6 months', 'severity_context': 'Affecting work performance and social relationships, but still functioning in daily life'}
|
{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.95, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Are there any thoughts of self-harm or suicide?', 'Is there any family history of depression or other mental health conditions?', 'Are there any recent major life changes or stressors?'], 'red_flags': ['Social withdrawal and isolation', 'Significant decline in work performance'], 'possible_conditions': ['Major Depressive Disorder', 'Persistent Depressive Disorder', 'Adjustment Disorder'], 'reasoning': 'Symptoms align with clinical criteria for depression including anhedonia, fatigue, poor concentration, and psychomotor retardation. Duration exceeds 2 weeks and impacts multiple life domains. No immediate safety concerns, making routine referral appropriate.'}
|
{'id': 998, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T20:02:06.095212'}
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{'symptom_description': "I've been feeling really down and exhausted for months now. I can't seem to enjoy things I used to love, like meeting friends or playing music. I'm sleeping way too much but still feel tired. Some days I can barely get out of bed to go to work. My appetite has changed and I've lost about 10 pounds without trying. I keep having these thoughts that I'm worthless, though I would never hurt myself.", 'demographic_context': '28-year-old female', 'duration': 'Approximately 4 months', 'severity_context': 'Affecting daily function and work performance but still maintaining employment and basic self-care'}
|
{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.95, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Are there any current thoughts of self-harm or suicide?', 'Is there a family history of depression or other mental health conditions?', 'Have there been any significant life changes or stressors in the past 6 months?'], 'red_flags': ['Weight loss without intention', 'Social withdrawal and isolation'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder with Depressed Mood', 'Persistent Depressive Disorder'], 'reasoning': 'Symptoms align with clinical criteria for depression including persistent low mood, anhedonia, fatigue, sleep changes, and weight loss. Duration exceeds 2 months and impacts daily functioning. No immediate safety concerns but requires professional evaluation and treatment.'}
|
{'id': 999, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T20:02:13.543240'}
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{'symptom_description': "I've been feeling down and unmotivated for months now. I struggle to get out of bed most mornings and have lost interest in activities I used to enjoy like playing guitar and seeing friends. My sleep is pretty irregular - I either can't fall asleep or sleep too much. I've noticed I'm eating less and lost some weight without trying. Sometimes I feel worthless and wonder what's the point of everything, but I don't have thoughts of hurting myself.", 'demographic_context': '32 year old female', 'duration': 'Approximately 4 months', 'severity_context': 'Affecting daily function and work performance but still maintaining job and basic self-care'}
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{'primary_specialty': 'Mental Health', 'urgency_level': 'Routine', 'confidence_score': 0.89, 'secondary_specialty': 'Primary Care', 'critical_questions': ['Have you had any thoughts of self-harm or suicide?', 'Have you experienced any similar episodes in the past?', 'Are you currently taking any medications?'], 'red_flags': ['Unintentional weight loss', 'Social withdrawal'], 'possible_conditions': ['Major Depressive Disorder', 'Adjustment Disorder', 'Persistent Depressive Disorder'], 'reasoning': 'Symptoms align with clinical criteria for depression including persistent low mood, anhedonia, sleep disturbance, and appetite changes. No immediate safety concerns but requires evaluation and treatment. Duration and impact on functioning suggest need for mental health specialist intervention.'}
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{'id': 1000, 'target_specialty': 'Mental Health', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T20:02:20.930429'}
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