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{ "suggested_messages": [ { "text": "Getting better", "is_from_user": true }, { "text": "Is the pain currently getting better or worse?", "is_from_user": false }, { "text": "Getting better", "is_from_user": true }, { "text": "Where is your abdominal pain?", "is_from_user": false }, { "text": "Right side of belly ", "is_from_user": true }, { "text": "Do any of these describe your abdominal pain?", "is_from_user": false }, { "text": "Comes and goes", "is_from_user": true }, { "text": "Is the pain causing any of these?", "is_from_user": false }, { "text": "Keeping me from normal work, school, or household activities", "is_from_user": true }, { "text": "How bad is your abdominal pain right now on a scale of 1 to 10?", "is_from_user": false }, { "text": "I am not exactly sure", "is_from_user": true }, { "text": "Are you pregnant?", "is_from_user": false }, { "text": "Tony is Right", "is_from_user": true }, { "text": "Are you experiencing any of these?", "is_from_user": false }, { "text": "Contractions", "is_from_user": true }, { "text": "How often do you have contractions?", "is_from_user": false }, { "text": "Less than five minutes apart", "is_from_user": true }, { "text": "Do you have any of these symptoms?", "is_from_user": false }, { "text": "Feeling lightheaded or dizzy", "is_from_user": true }, { "text": "How bad is your lightheadedness or dizziness?", "is_from_user": false }, { "text": "It is really bad, very serve", "is_from_user": true }, { "text": "Do any of these apply to you?", "is_from_user": false }, { "text": "This is the big one, I'm commaing ", "is_from_user": true }, { "text": "Okay, give me a moment to see how I can help.", "is_from_user": false }, { "text": "Remember, this is not meant to replace your doctor or healthcare provider. If you believe you are having a medical emergency, please call 911 now. By viewing these results, you're agreeing to our [terms and conditions](https://www.clearstep.health/terms-and-conditions).", "is_from_user": false } ], "question": null, "triage": { "best_care_type": "AMBULANCE", "secondary_care_types": null, "care_type_details": [ { "care_type": "AMBULANCE", "care_details": null } ], "diagnostics": [ { "name": "cbc", "cpt_code": "85027" }, { "name": "quantitative-hcg", "cpt_code": "" }, { "name": "urine-hcg", "cpt_code": "" }, { "name": "qualitative-hcg", "cpt_code": "" }, { "name": "transvaginal-ultrasound", "cpt_code": "" }, { "name": "fetal-ultrasound", "cpt_code": "" }, { "name": "blood-glucose", "cpt_code": "82947" } ], "educational_info": "# General Information\n\n\n# Overview\n* Abdominal pain is common.\n* Acute abdominal pain often comes on and gets better over a few hours to a few days.\n* Chronic abdominal pain often comes and goes, and can last weeks, months, or even years.\n* There are many causes of abdominal pain including pain from organs and structures inside the abdomen, pain in the muscles and tissues of the wall of the abdomen, or referred pain from other parts of the body.\n* Most causes of abdominal pain are not serious.\n* Many cases can be diagnosed and treated easily.\n\n\n\n# Warning signs that your symptoms are getting worse\n\n\n# When should you seek medical care immediately?\n* Seek urgent medical care if:\n * The pain is severe (7 or more on a scale of 1 to 10).\n * You can’t walk or walk bent over holding the stomach.\n * The pain radiates to the chest, back, jaw, or left arm.\n * Severe trouble breathing (can’t catch your breath).\n * You recently had an injury to your abdomen (<24 hours ago).\n * Vomiting blood.\n * Vomiting and unable to keep liquids down.\n * Unable to have a bowel movement or pass gas.\n * Swallowed an object (such as a coin or battery).\n * Pain in one side (flank) and fever >100.3°F.\n * Unable to pee.\n * You are pregnant and might be in labor with contractions <5 minutes apart.\n * You are pregnant and had an injury to your abdomen.\n * Severe, nonstop vaginal bleeding (through more than 1 pad an hour or with large clots).\n * Fainting or passing out.\n * You think you have a life-threatening emergency.\n* When should you call the doctor or return for a symptom check?\n * Feeling nauseated (like you need to throw up) or can’t keep food down.\n * Fever (>100.3°F).\n * There is blood in the stools or stools look very black.\n * Stools look black.\n * You are or might be pregnant.\n * Abdomen is tender to the touch.\n * Recently had an injury to the abdomen (>24 hours ago).\n * The pain lasts for at least 24 hours or is getting worse.\n * The pain feels different than other abdominal pain that you have had.\n * You have other questions or concerns.\n* Return to check your symptoms if the symptoms change, you have new symptoms, or you are unsure what to do.\n\n\n\n# What can you do to feel better?\n\n\n# Over the counter medications:\n* Depending on the cause, over-the-counter antacids may help.\n* Take Tylenol (acetaminophen) for pain or fever, unless you were told by a doctor not to take this medication.\n* Avoid NSAIDs (ibuprofen, Motrin, Aleve/Naproxen, etc). These medications may irritate your stomach. You can take NSAIDs if you have been told it is safe to do so by a doctor.\n* When taking over the counter medication be sure to follow dosing instructions on the label. Do not take these medications if you have been told not to by a doctor or pharmacist.\n\n\n\n# What you can do at home:\n* Keep a food journal.\n* Avoid drinking alcohol.\n* Advance your diet as tolerated.\n* Avoid eating foods that are very fatty or are rich, spicy, or acidic.\n* Avoid any other food or drink that makes you feel nauseated or gives you diarrhea.\n* Continue taking all home medications as prescribed by the doctor.\n\n\n\n# Next steps\n\n\n# Returning to school or work\n* You can return to work or school when you feel well enough and do not have something contagious.\n* Avoid returning to school or work if you have a fever, diarrhea, or vomiting.\n* If you are unsure when to return to school or work, you can discuss this with a healthcare provider.\n\n\n\n# What to expect at the doctor's office?\n* The healthcare provider may:\n * Ask questions about your medical history and symptoms such as:\n * Do you have any medical problems? Do you take any medicines? Do you have any allergies?\n * Where is the pain? What level is the pain on a scale of 1 to 10 (10 being the worst pain you have ever had)? What type of pain is it (dull, aching, cramping, sharp, etc)? How long has the pain lasted? What do you think is causing the pain? Does anything make it better or worse? Have you ever had this pain before? Do you have other symptoms?\n* Do a visual and/or a physical exam.\n* Order additional tests (such as urine tests, blood tests, or imaging tests like an X-ray or CT scan).\n* Recommend over the counter medications or prescribe new medications.\n* Refer you to a specialist for additional care.\n", "explanation_for_users": "We recommended this level of care because you have i think i have a life threatening emergency.", "explanation_for_providers": "This triage was recommended because the patient endorsed the following characteristics: i think i have a life threatening emergency.", "primary_care_summary": "[Call 911](tel:911) now", "primary_care_description": "911 is the emergency number in the United States to call when you think you or someone else might be having an immediately life-threatening medical emergency. A trained emergency response team will come to your location, provide life-saving medical care, and take you to the hospital that can best take care of your immediate medical needs.", "triage_level": "Call 911 Now" }, "notes": { "conversation_intro": { "user_submitted_text": null, "matched_complaints": null, "sex": "female", "age": 21 }, "positive_characteristics": { "primary": [ { "name": "female", "icd10": "" }, { "name": "pregnant", "icd10": "Z33.1" }, { "name": "i-think-i-have-a-life-threatening-emergency", "icd10": "Z76.89" } ], "secondary": null, "tertiary": [ { "name": "4-years-old-or-more", "icd10": "" }, { "name": "16-years-old-or-more", "icd10": "" }, { "name": "symptoms-are-better", "icd10": "" }, { "name": "mild-pain-comes-and-goes", "icd10": "R52" }, { "name": "severe-dizziness", "icd10": "R42" }, { "name": "feeling-dizzy-or-lightheaded", "icd10": "R42" }, { "name": "abdominal-pain-protocol", "icd10": "R10.9" }, { "name": "5-years-old-or-more", "icd10": "" }, { "name": "17-years-old-or-more", "icd10": "" }, { "name": "13-years-old-or-older", "icd10": "" }, { "name": "pain-keeps-you-from-working-or-going-to-school", "icd10": "R52" }, { "name": "mild-abdominal-pain", "icd10": "R10.9" }, { "name": "2-years-old-or-more", "icd10": "" }, { "name": "10-days-of-age-or-more", "icd10": "" }, { "name": "having-contractions-or-other-signs-of-labor", "icd10": "O75.89" }, { "name": "14-years-old-or-more", "icd10": "" }, { "name": "6-years-old-or-more", "icd10": "" }, { "name": "right-sided-abdominal-pain", "icd10": "R10.9" }, { "name": "regular-contractions-less-than-5-minutes-apart", "icd10": "" } ] }, "negative_characteristics": { "primary": [ { "name": "umbilical-cord-is-hanging-out-of-vagina", "icd10": "P96.82" }, { "name": "cant-control-the-urge-to-push-feels-like-baby-coming-now", "icd10": "O62.0" }, { "name": "unconscious", "icd10": "R40.20" } ], "secondary": null, "tertiary": [ { "name": "i-think-i-need-to-be-seen-and-the-problem-is-urgent", "icd10": "Z76.89" }, { "name": "male", "icd10": "" }, { "name": "gender-other", "icd10": "" }, { "name": "symptoms-not-improving", "icd10": "" }, { "name": "walks-bent-over-holding-stomach", "icd10": "R10.9" }, { "name": "i-think-i-need-to-be-seen-but-the-problem-is-not-urgent", "icd10": "Z76.89" }, { "name": "abdominal-pain-lasts-more-than-3-days", "icd10": "R10.9" }, { "name": "cant-stand-or-walk-at-all", "icd10": "R26.2" }, { "name": "passed-out-or-fainted-loss-of-consciousness", "icd10": "R55" }, { "name": "moderate-dizziness", "icd10": "R42" }, { "name": "left-sided-abdominal-pain", "icd10": "R10.9" }, { "name": "constant-stomach-pain-lasts-more-than-2-hours", "icd10": "R10.84" }, { "name": "mild-dizziness", "icd10": "R42" }, { "name": "abdominal-pain-lasts-3-days-or-less", "icd10": "R10.9" }, { "name": "frequent-stomach-pain", "icd10": "R10.10" }, { "name": "moderate-abdominal-pain", "icd10": "R10.9" }, { "name": "pregnancy-suspected-or-possible", "icd10": "" }, { "name": "chest-pain", "icd10": "R07.9" }, { "name": "vomiting", "icd10": "R11.10" }, { "name": "flank-pain", "icd10": "R10.9" }, { "name": "symptoms-getting-worse", "icd10": "" }, { "name": "severe-abdominal-pain", "icd10": "R10.9" }, { "name": "gush-of-clear-fluid", "icd10": "" } ] } }, "user_details": { "is_new_patient": null, "external_user_id": "" }, "conversation_id": "1f281f55-2f39-462d-845b-3cc123eeec94", "next_step": { "suggested_messages": [ { "text": "Getting better", "is_from_user": true }, { "text": "Is the pain currently getting better or worse?", "is_from_user": false }, { "text": "Getting better", "is_from_user": true }, { "text": "Where is your abdominal pain?", "is_from_user": false }, { "text": "Right side of belly ", "is_from_user": true }, { "text": "Do any of these describe your abdominal pain?", "is_from_user": false }, { "text": "Comes and goes", "is_from_user": true }, { "text": "Is the pain causing any of these?", "is_from_user": false }, { "text": "Keeping me from normal work, school, or household activities", "is_from_user": true }, { "text": "How bad is your abdominal pain right now on a scale of 1 to 10?", "is_from_user": false }, { "text": "I am not exactly sure", "is_from_user": true }, { "text": "Are you pregnant?", "is_from_user": false }, { "text": "Tony is Right", "is_from_user": true }, { "text": "Are you experiencing any of these?", "is_from_user": false }, { "text": "Contractions", "is_from_user": true }, { "text": "How often do you have contractions?", "is_from_user": false }, { "text": "Less than five minutes apart", "is_from_user": true }, { "text": "Do you have any of these symptoms?", "is_from_user": false }, { "text": "Feeling lightheaded or dizzy", "is_from_user": true }, { "text": "How bad is your lightheadedness or dizziness?", "is_from_user": false }, { "text": "It is really bad, very serve", "is_from_user": true }, { "text": "Do any of these apply to you?", "is_from_user": false }, { "text": "This is the big one, I'm commaing ", "is_from_user": true }, { "text": "Okay, give me a moment to see how I can help.", "is_from_user": false }, { "text": "Remember, this is not meant to replace your doctor or healthcare provider. If you believe you are having a medical emergency, please call 911 now. By viewing these results, you're agreeing to our [terms and conditions](https://www.clearstep.health/terms-and-conditions).", "is_from_user": false } ], "question": null, "triage": { "best_care_type": "AMBULANCE", "secondary_care_types": null, "care_type_details": [ { "care_type": "AMBULANCE", "care_details": null } ], "diagnostics": [ { "name": "cbc", "cpt_code": "85027" }, { "name": "quantitative-hcg", "cpt_code": "" }, { "name": "urine-hcg", "cpt_code": "" }, { "name": "qualitative-hcg", "cpt_code": "" }, { "name": "transvaginal-ultrasound", "cpt_code": "" }, { "name": "fetal-ultrasound", "cpt_code": "" }, { "name": "blood-glucose", "cpt_code": "82947" } ], "educational_info": "# General Information\n\n\n# Overview\n* Abdominal pain is common.\n* Acute abdominal pain often comes on and gets better over a few hours to a few days.\n* Chronic abdominal pain often comes and goes, and can last weeks, months, or even years.\n* There are many causes of abdominal pain including pain from organs and structures inside the abdomen, pain in the muscles and tissues of the wall of the abdomen, or referred pain from other parts of the body.\n* Most causes of abdominal pain are not serious.\n* Many cases can be diagnosed and treated easily.\n\n\n\n# Warning signs that your symptoms are getting worse\n\n\n# When should you seek medical care immediately?\n* Seek urgent medical care if:\n * The pain is severe (7 or more on a scale of 1 to 10).\n * You can’t walk or walk bent over holding the stomach.\n * The pain radiates to the chest, back, jaw, or left arm.\n * Severe trouble breathing (can’t catch your breath).\n * You recently had an injury to your abdomen (<24 hours ago).\n * Vomiting blood.\n * Vomiting and unable to keep liquids down.\n * Unable to have a bowel movement or pass gas.\n * Swallowed an object (such as a coin or battery).\n * Pain in one side (flank) and fever >100.3°F.\n * Unable to pee.\n * You are pregnant and might be in labor with contractions <5 minutes apart.\n * You are pregnant and had an injury to your abdomen.\n * Severe, nonstop vaginal bleeding (through more than 1 pad an hour or with large clots).\n * Fainting or passing out.\n * You think you have a life-threatening emergency.\n* When should you call the doctor or return for a symptom check?\n * Feeling nauseated (like you need to throw up) or can’t keep food down.\n * Fever (>100.3°F).\n * There is blood in the stools or stools look very black.\n * Stools look black.\n * You are or might be pregnant.\n * Abdomen is tender to the touch.\n * Recently had an injury to the abdomen (>24 hours ago).\n * The pain lasts for at least 24 hours or is getting worse.\n * The pain feels different than other abdominal pain that you have had.\n * You have other questions or concerns.\n* Return to check your symptoms if the symptoms change, you have new symptoms, or you are unsure what to do.\n\n\n\n# What can you do to feel better?\n\n\n# Over the counter medications:\n* Depending on the cause, over-the-counter antacids may help.\n* Take Tylenol (acetaminophen) for pain or fever, unless you were told by a doctor not to take this medication.\n* Avoid NSAIDs (ibuprofen, Motrin, Aleve/Naproxen, etc). These medications may irritate your stomach. You can take NSAIDs if you have been told it is safe to do so by a doctor.\n* When taking over the counter medication be sure to follow dosing instructions on the label. Do not take these medications if you have been told not to by a doctor or pharmacist.\n\n\n\n# What you can do at home:\n* Keep a food journal.\n* Avoid drinking alcohol.\n* Advance your diet as tolerated.\n* Avoid eating foods that are very fatty or are rich, spicy, or acidic.\n* Avoid any other food or drink that makes you feel nauseated or gives you diarrhea.\n* Continue taking all home medications as prescribed by the doctor.\n\n\n\n# Next steps\n\n\n# Returning to school or work\n* You can return to work or school when you feel well enough and do not have something contagious.\n* Avoid returning to school or work if you have a fever, diarrhea, or vomiting.\n* If you are unsure when to return to school or work, you can discuss this with a healthcare provider.\n\n\n\n# What to expect at the doctor's office?\n* The healthcare provider may:\n * Ask questions about your medical history and symptoms such as:\n * Do you have any medical problems? Do you take any medicines? Do you have any allergies?\n * Where is the pain? What level is the pain on a scale of 1 to 10 (10 being the worst pain you have ever had)? What type of pain is it (dull, aching, cramping, sharp, etc)? How long has the pain lasted? What do you think is causing the pain? Does anything make it better or worse? Have you ever had this pain before? Do you have other symptoms?\n* Do a visual and/or a physical exam.\n* Order additional tests (such as urine tests, blood tests, or imaging tests like an X-ray or CT scan).\n* Recommend over the counter medications or prescribe new medications.\n* Refer you to a specialist for additional care.\n", "explanation_for_users": "We recommended this level of care because you have i think i have a life threatening emergency.", "explanation_for_providers": "This triage was recommended because the patient endorsed the following characteristics: i think i have a life threatening emergency.", "primary_care_summary": "[Call 911](tel:911) now", "primary_care_description": "911 is the emergency number in the United States to call when you think you or someone else might be having an immediately life-threatening medical emergency. A trained emergency response team will come to your location, provide life-saving medical care, and take you to the hospital that can best take care of your immediate medical needs.", "triage_level": "Call 911 Now" }, "notes": { "conversation_intro": { "user_submitted_text": null, "matched_complaints": null, "sex": "female", "age": 21 }, "positive_characteristics": { "primary": [ { "name": "female", "icd10": "" }, { "name": "pregnant", "icd10": "Z33.1" }, { "name": "i-think-i-have-a-life-threatening-emergency", "icd10": "Z76.89" } ], "secondary": null, "tertiary": [ { "name": "4-years-old-or-more", "icd10": "" }, { "name": "16-years-old-or-more", "icd10": "" }, { "name": "symptoms-are-better", "icd10": "" }, { "name": "mild-pain-comes-and-goes", "icd10": "R52" }, { "name": "severe-dizziness", "icd10": "R42" }, { "name": "feeling-dizzy-or-lightheaded", "icd10": "R42" }, { "name": "abdominal-pain-protocol", "icd10": "R10.9" }, { "name": "5-years-old-or-more", "icd10": "" }, { "name": "17-years-old-or-more", "icd10": "" }, { "name": "13-years-old-or-older", "icd10": "" }, { "name": "pain-keeps-you-from-working-or-going-to-school", "icd10": "R52" }, { "name": "mild-abdominal-pain", "icd10": "R10.9" }, { "name": "2-years-old-or-more", "icd10": "" }, { "name": "10-days-of-age-or-more", "icd10": "" }, { "name": "having-contractions-or-other-signs-of-labor", "icd10": "O75.89" }, { "name": "14-years-old-or-more", "icd10": "" }, { "name": "6-years-old-or-more", "icd10": "" }, { "name": "right-sided-abdominal-pain", "icd10": "R10.9" }, { "name": "regular-contractions-less-than-5-minutes-apart", "icd10": "" } ] }, "negative_characteristics": { "primary": [ { "name": "umbilical-cord-is-hanging-out-of-vagina", "icd10": "P96.82" }, { "name": "cant-control-the-urge-to-push-feels-like-baby-coming-now", "icd10": "O62.0" }, { "name": "unconscious", "icd10": "R40.20" } ], "secondary": null, "tertiary": [ { "name": "i-think-i-need-to-be-seen-and-the-problem-is-urgent", "icd10": "Z76.89" }, { "name": "male", "icd10": "" }, { "name": "gender-other", "icd10": "" }, { "name": "symptoms-not-improving", "icd10": "" }, { "name": "walks-bent-over-holding-stomach", "icd10": "R10.9" }, { "name": "i-think-i-need-to-be-seen-but-the-problem-is-not-urgent", "icd10": "Z76.89" }, { "name": "abdominal-pain-lasts-more-than-3-days", "icd10": "R10.9" }, { "name": "cant-stand-or-walk-at-all", "icd10": "R26.2" }, { "name": "passed-out-or-fainted-loss-of-consciousness", "icd10": "R55" }, { "name": "moderate-dizziness", "icd10": "R42" }, { "name": "left-sided-abdominal-pain", "icd10": "R10.9" }, { "name": "constant-stomach-pain-lasts-more-than-2-hours", "icd10": "R10.84" }, { "name": "mild-dizziness", "icd10": "R42" }, { "name": "abdominal-pain-lasts-3-days-or-less", "icd10": "R10.9" }, { "name": "frequent-stomach-pain", "icd10": "R10.10" }, { "name": "moderate-abdominal-pain", "icd10": "R10.9" }, { "name": "pregnancy-suspected-or-possible", "icd10": "" }, { "name": "chest-pain", "icd10": "R07.9" }, { "name": "vomiting", "icd10": "R11.10" }, { "name": "flank-pain", "icd10": "R10.9" }, { "name": "symptoms-getting-worse", "icd10": "" }, { "name": "severe-abdominal-pain", "icd10": "R10.9" }, { "name": "gush-of-clear-fluid", "icd10": "" } ] } } }, "patient_information": { "fhir_id": "", "first_name": "", "last_name": "", "pcp_npi": "", "date_of_birth": "", "home_phone": "", "work_phone": "", "mobile_phone": "", "email": "", "address": { "lines": "", "city": "", "state": "", "country": "", "postal_code": "" } } }