{"id": "c01-t01", "conversation_id": "c01", "turn": 1, "content": "Patient reports persistent fatigue for three weeks; sleep is normal at 7-8 hours nightly.", "tags": ["intake", "fatigue"], "query": "What is the duration of the fatigue complaint?", "expected": "three weeks"}
{"id": "c01-t02", "conversation_id": "c01", "turn": 2, "content": "Hemoglobin returned at 11.2 g/dL on the panel ordered last visit; below the 13.5 reference floor.", "tags": ["lab", "hemoglobin"], "query": "Was the hemoglobin within the reference range?", "expected": "no"}
{"id": "c01-t03", "conversation_id": "c01", "turn": 3, "content": "Started ferrous sulfate 325 mg twice daily; counseled on iron-rich diet and citrus pairing.", "tags": ["plan", "iron"], "query": "What dose of ferrous sulfate was started?", "expected": "325 mg twice daily"}
{"id": "c02-t01", "conversation_id": "c02", "turn": 1, "content": "55-year-old with chest tightness on exertion; no rest pain; shortness of breath after one flight of stairs.", "tags": ["intake", "cardiac"], "query": "Does the patient have rest pain?", "expected": "no"}
{"id": "c02-t02", "conversation_id": "c02", "turn": 2, "content": "ECG shows normal sinus rhythm without ST changes; troponin negative on first draw.", "tags": ["ecg", "troponin"], "query": "Was troponin elevated?", "expected": "no"}
{"id": "c02-t03", "conversation_id": "c02", "turn": 3, "content": "Stress echo ordered; counseled to hold strenuous activity until results return.", "tags": ["plan", "stress-echo"], "query": "What test was ordered next?", "expected": "stress echo"}
{"id": "c03-t01", "conversation_id": "c03", "turn": 1, "content": "Postpartum day 4; mild fever 38.3 C and tender right breast quadrant; otherwise well.", "tags": ["intake", "postpartum"], "query": "What is the patient's temperature?", "expected": "38.3 C"}
{"id": "c03-t02", "conversation_id": "c03", "turn": 2, "content": "Mastitis suspected; ultrasound rules out abscess; latch reviewed with lactation consultant.", "tags": ["diagnosis", "mastitis"], "query": "Did imaging show an abscess?", "expected": "no"}
{"id": "c03-t03", "conversation_id": "c03", "turn": 3, "content": "Started dicloxacillin 500 mg four times daily for 10 days; warm compresses and continued nursing.", "tags": ["plan", "antibiotic"], "query": "How long is the antibiotic course?", "expected": "10 days"}
{"id": "c04-t01", "conversation_id": "c04", "turn": 1, "content": "Type 2 diabetic with last A1c 8.4 percent; metformin 1000 mg twice daily and adherent.", "tags": ["intake", "diabetes"], "query": "What is the patient's A1c?", "expected": "8.4 percent"}
{"id": "c04-t02", "conversation_id": "c04", "turn": 2, "content": "Random plasma glucose today 220 mg/dL; reports nocturia and increased thirst.", "tags": ["glucose", "symptoms"], "query": "Is the random glucose above 200?", "expected": "yes"}
{"id": "c04-t03", "conversation_id": "c04", "turn": 3, "content": "Added empagliflozin 10 mg daily; counseled on volume depletion and DKA precautions.", "tags": ["plan", "sglt2"], "query": "What new medication was added?", "expected": "empagliflozin"}
{"id": "c05-t01", "conversation_id": "c05", "turn": 1, "content": "9-year-old with two-day history of cough, rhinorrhea, and tactile fever; appetite preserved.", "tags": ["intake", "pediatric"], "query": "Has the child lost their appetite?", "expected": "no"}
{"id": "c05-t02", "conversation_id": "c05", "turn": 2, "content": "Rapid strep negative; lungs clear bilaterally; no respiratory distress.", "tags": ["exam", "strep"], "query": "Was the strep test positive?", "expected": "no"}
{"id": "c05-t03", "conversation_id": "c05", "turn": 3, "content": "Reassured viral; supportive care with fluids, acetaminophen for fever; return if dyspnea or new rash.", "tags": ["plan", "viral"], "query": "What antibiotic was prescribed?", "expected": "none"}
{"id": "c06-t01", "conversation_id": "c06", "turn": 1, "content": "Migraine without aura, three episodes per week, escalating from monthly over six months.", "tags": ["intake", "headache"], "query": "How many migraines per week?", "expected": "three"}
{"id": "c06-t02", "conversation_id": "c06", "turn": 2, "content": "Currently using sumatriptan PRN with partial relief; no preventive started.", "tags": ["meds", "triptan"], "query": "Is the patient on a preventive?", "expected": "no"}
{"id": "c06-t03", "conversation_id": "c06", "turn": 3, "content": "Started topiramate 25 mg nightly; titration plan to 100 mg over four weeks.", "tags": ["plan", "preventive"], "query": "What preventive was started?", "expected": "topiramate"}
{"id": "c07-t01", "conversation_id": "c07", "turn": 1, "content": "Hypertension follow-up; home BP averaging 152/94 mm Hg over two weeks.", "tags": ["intake", "htn"], "query": "Is the home BP at goal?", "expected": "no"}
{"id": "c07-t02", "conversation_id": "c07", "turn": 2, "content": "Currently lisinopril 20 mg daily; potassium normal at 4.2 mmol/L.", "tags": ["meds", "ace"], "query": "What is the current ACE inhibitor dose?", "expected": "20 mg daily"}
{"id": "c07-t03", "conversation_id": "c07", "turn": 3, "content": "Added amlodipine 5 mg daily; recheck in four weeks.", "tags": ["plan", "ccb"], "query": "What was added to the regimen?", "expected": "amlodipine"}
{"id": "c08-t01", "conversation_id": "c08", "turn": 1, "content": "Annual visit; non-smoker, occasional alcohol, regular jogger five times a week.", "tags": ["intake", "lifestyle"], "query": "Does the patient smoke?", "expected": "no"}
{"id": "c08-t02", "conversation_id": "c08", "turn": 2, "content": "LDL 168 mg/dL; family history of early MI in father at age 52.", "tags": ["lipids", "history"], "query": "Is there family history of early MI?", "expected": "yes"}
{"id": "c08-t03", "conversation_id": "c08", "turn": 3, "content": "Started rosuvastatin 20 mg nightly; lifestyle counseling; recheck lipid panel in 12 weeks.", "tags": ["plan", "statin"], "query": "What statin was started?", "expected": "rosuvastatin"}
{"id": "c09-t01", "conversation_id": "c09", "turn": 1, "content": "70-year-old with new urinary frequency and dysuria, no flank pain or fever.", "tags": ["intake", "uti"], "query": "Does the patient have flank pain?", "expected": "no"}
{"id": "c09-t02", "conversation_id": "c09", "turn": 2, "content": "Urinalysis with leukocyte esterase positive and 50 WBC per HPF; nitrites negative.", "tags": ["lab", "ua"], "query": "Are nitrites positive?", "expected": "no"}
{"id": "c09-t03", "conversation_id": "c09", "turn": 3, "content": "Started nitrofurantoin 100 mg twice daily for five days; encouraged hydration.", "tags": ["plan", "abx"], "query": "What antibiotic was prescribed?", "expected": "nitrofurantoin"}
{"id": "c10-t01", "conversation_id": "c10", "turn": 1, "content": "Adolescent with seasonal allergic rhinitis; sneezing and itchy eyes worse outdoors.", "tags": ["intake", "allergy"], "query": "Are eye symptoms present?", "expected": "yes"}
{"id": "c10-t02", "conversation_id": "c10", "turn": 2, "content": "Uses cetirizine 10 mg daily with partial benefit; no nasal steroid yet.", "tags": ["meds", "antihistamine"], "query": "Is the patient on a nasal steroid?", "expected": "no"}
{"id": "c10-t03", "conversation_id": "c10", "turn": 3, "content": "Added fluticasone nasal spray two sprays each nostril daily; counseled on technique.", "tags": ["plan", "intranasal"], "query": "What new medication was added?", "expected": "fluticasone nasal spray"}
{"id": "c11-t01", "conversation_id": "c11", "turn": 1, "content": "Hypothyroidism on levothyroxine 75 mcg; recent fatigue and 4 lb weight gain.", "tags": ["intake", "thyroid"], "query": "What is the levothyroxine dose?", "expected": "75 mcg"}
{"id": "c11-t02", "conversation_id": "c11", "turn": 2, "content": "TSH 6.8 mIU/L; free T4 low-normal at 0.9 ng/dL.", "tags": ["lab", "tsh"], "query": "Is the TSH elevated?", "expected": "yes"}
{"id": "c11-t03", "conversation_id": "c11", "turn": 3, "content": "Increased levothyroxine to 88 mcg daily; recheck TSH in eight weeks.", "tags": ["plan", "dose-up"], "query": "What is the new levothyroxine dose?", "expected": "88 mcg"}
{"id": "c12-t01", "conversation_id": "c12", "turn": 1, "content": "Asthma follow-up; using albuterol four times per week and waking once nightly.", "tags": ["intake", "asthma"], "query": "How many nights with awakening?", "expected": "one"}
{"id": "c12-t02", "conversation_id": "c12", "turn": 2, "content": "Spirometry shows FEV1 78 percent predicted with bronchodilator response.", "tags": ["pft", "spirometry"], "query": "Is there bronchodilator response?", "expected": "yes"}
{"id": "c12-t03", "conversation_id": "c12", "turn": 3, "content": "Stepped up to budesonide-formoterol 80/4.5 two puffs twice daily.", "tags": ["plan", "ics-laba"], "query": "What controller was started?", "expected": "budesonide-formoterol"}
{"id": "c13-t01", "conversation_id": "c13", "turn": 1, "content": "Pregnant 28 weeks with new lower-extremity swelling and mild headache.", "tags": ["intake", "ob"], "query": "How many weeks pregnant?", "expected": "28"}
{"id": "c13-t02", "conversation_id": "c13", "turn": 2, "content": "Office BP 148/96 mm Hg; urine protein-to-creatinine ratio 0.4.", "tags": ["bp", "preeclampsia"], "query": "Is the BP at goal?", "expected": "no"}
{"id": "c13-t03", "conversation_id": "c13", "turn": 3, "content": "Admitted for preeclampsia evaluation; magnesium and antenatal steroids planned.", "tags": ["plan", "admit"], "query": "What is the admission diagnosis?", "expected": "preeclampsia"}
{"id": "c14-t01", "conversation_id": "c14", "turn": 1, "content": "GERD daily symptoms despite omeprazole 20 mg once daily for four weeks.", "tags": ["intake", "gerd"], "query": "What is the current PPI dose?", "expected": "20 mg once daily"}
{"id": "c14-t02", "conversation_id": "c14", "turn": 2, "content": "Stepped up to omeprazole 20 mg twice daily; reviewed timing 30 minutes before meals.", "tags": ["plan", "step-up"], "query": "What is the new PPI dose?", "expected": "20 mg twice daily"}
{"id": "c14-t03", "conversation_id": "c14", "turn": 3, "content": "Improved within two weeks; discussed lifestyle measures and weight loss.", "tags": ["follow-up", "improved"], "query": "Did the symptoms improve?", "expected": "yes"}
{"id": "c15-t01", "conversation_id": "c15", "turn": 1, "content": "Knee pain bilateral, worse on the right, climbing stairs aggravates symptoms.", "tags": ["intake", "ortho"], "query": "Which knee is worse?", "expected": "right"}
{"id": "c15-t02", "conversation_id": "c15", "turn": 2, "content": "X-ray shows medial joint-space narrowing on the right; mild on the left.", "tags": ["xray", "oa"], "query": "Where is the joint-space narrowing?", "expected": "medial right"}
{"id": "c15-t03", "conversation_id": "c15", "turn": 3, "content": "Initiated topical diclofenac and physical therapy referral.", "tags": ["plan", "nsaid"], "query": "What topical was started?", "expected": "diclofenac"}