@fastino-ai/pioneer-cli 0.1.0 → 0.2.1

package/datasets/Medical_NER_Dataset.json

@@ -0,0 +1,2609 @@
+{
+  "task_type": "ner",
+  "data": [
+    {
+      "data": {
+        "text": "The patient presented with persistent fatigue and joint discomfort. Laboratory analysis confirmed the diagnosis of rheumatoid arthritis. Methotrexate was initiated as the primary medication. Physical therapy was recommended to aid in mobility and reduce stiffness.",
+        "entities": [
+          [
+            "fatigue",
+            "SYMPTOM"
+          ],
+          [
+            "joint discomfort",
+            "SYMPTOM"
+          ],
+          [
+            "rheumatoid arthritis",
+            "DISEASE"
+          ],
+          [
+            "Methotrexate",
+            "MEDICATION"
+          ],
+          [
+            "Physical therapy",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "The patient presented with persistent fatigue and joint discomfort. Laboratory analysis confirmed the diagnosis of rheumatoid arthritis. Methotrexate was initiated as the primary medication. Physical therapy was recommended to aid in mobility and reduce stiffness.",
+      "entities": [
+        [
+          "fatigue",
+          "SYMPTOM"
+        ],
+        [
+          "joint discomfort",
+          "SYMPTOM"
+        ],
+        [
+          "rheumatoid arthritis",
+          "DISEASE"
+        ],
+        [
+          "Methotrexate",
+          "MEDICATION"
+        ],
+        [
+          "Physical therapy",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Upon evaluation, the patient presented with persistent cough and shortness of breath. Imaging revealed patchy infiltrates suggestive of pneumonia. Oral doxycycline was started as initial therapy, and supplemental oxygen was provided to maintain adequate saturation.",
+        "entities": [
+          [
+            "persistent cough",
+            "SYMPTOM"
+          ],
+          [
+            "shortness of breath",
+            "SYMPTOM"
+          ],
+          [
+            "pneumonia",
+            "DISEASE"
+          ],
+          [
+            "doxycycline",
+            "MEDICATION"
+          ],
+          [
+            "supplemental oxygen",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Upon evaluation, the patient presented with persistent cough and shortness of breath. Imaging revealed patchy infiltrates suggestive of pneumonia. Oral doxycycline was started as initial therapy, and supplemental oxygen was provided to maintain adequate saturation.",
+      "entities": [
+        [
+          "persistent cough",
+          "SYMPTOM"
+        ],
+        [
+          "shortness of breath",
+          "SYMPTOM"
+        ],
+        [
+          "pneumonia",
+          "DISEASE"
+        ],
+        [
+          "doxycycline",
+          "MEDICATION"
+        ],
+        [
+          "supplemental oxygen",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "The patient visited the clinic complaining of persistent chest discomfort and shortness of breath. Recent diagnostic imaging confirmed the presence of coronary artery disease. After discussion, the cardiologist initiated atorvastatin therapy and recommended a low-sodium diet as part of the management plan.",
+        "entities": [
+          [
+            "chest discomfort",
+            "SYMPTOM"
+          ],
+          [
+            "shortness of breath",
+            "SYMPTOM"
+          ],
+          [
+            "coronary artery disease",
+            "DISEASE"
+          ],
+          [
+            "atorvastatin",
+            "MEDICATION"
+          ],
+          [
+            "low-sodium diet",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "The patient visited the clinic complaining of persistent chest discomfort and shortness of breath. Recent diagnostic imaging confirmed the presence of coronary artery disease. After discussion, the cardiologist initiated atorvastatin therapy and recommended a low-sodium diet as part of the management plan.",
+      "entities": [
+        [
+          "chest discomfort",
+          "SYMPTOM"
+        ],
+        [
+          "shortness of breath",
+          "SYMPTOM"
+        ],
+        [
+          "coronary artery disease",
+          "DISEASE"
+        ],
+        [
+          "atorvastatin",
+          "MEDICATION"
+        ],
+        [
+          "low-sodium diet",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "The patient presented with persistent cough and was later diagnosed with chronic bronchitis. She was prescribed albuterol inhaler and advised to increase fluid intake for symptomatic relief.",
+        "entities": [
+          [
+            "persistent cough",
+            "SYMPTOM"
+          ],
+          [
+            "chronic bronchitis",
+            "DISEASE"
+          ],
+          [
+            "albuterol inhaler",
+            "MEDICATION"
+          ],
+          [
+            "increase fluid intake",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "The patient presented with persistent cough and was later diagnosed with chronic bronchitis. She was prescribed albuterol inhaler and advised to increase fluid intake for symptomatic relief.",
+      "entities": [
+        [
+          "persistent cough",
+          "SYMPTOM"
+        ],
+        [
+          "chronic bronchitis",
+          "DISEASE"
+        ],
+        [
+          "albuterol inhaler",
+          "MEDICATION"
+        ],
+        [
+          "increase fluid intake",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Mr. Lewis presented with persistent joint swelling and morning stiffness. After diagnostic imaging, he was diagnosed with rheumatoid arthritis. He began physical therapy sessions and was prescribed methotrexate for disease management.",
+        "entities": [
+          [
+            "joint swelling",
+            "SYMPTOM"
+          ],
+          [
+            "morning stiffness",
+            "SYMPTOM"
+          ],
+          [
+            "rheumatoid arthritis",
+            "DISEASE"
+          ],
+          [
+            "physical therapy",
+            "TREATMENT"
+          ],
+          [
+            "methotrexate",
+            "MEDICATION"
+          ]
+        ]
+      },
+      "text": "Mr. Lewis presented with persistent joint swelling and morning stiffness. After diagnostic imaging, he was diagnosed with rheumatoid arthritis. He began physical therapy sessions and was prescribed methotrexate for disease management.",
+      "entities": [
+        [
+          "joint swelling",
+          "SYMPTOM"
+        ],
+        [
+          "morning stiffness",
+          "SYMPTOM"
+        ],
+        [
+          "rheumatoid arthritis",
+          "DISEASE"
+        ],
+        [
+          "physical therapy",
+          "TREATMENT"
+        ],
+        [
+          "methotrexate",
+          "MEDICATION"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Upon examination, the patient reported persistent fatigue and joint stiffness. Laboratory results indicated elevated inflammatory markers, leading to a diagnosis of rheumatoid arthritis. Methotrexate was initiated as part of the treatment plan, alongside weekly physical therapy sessions to improve mobility.",
+        "entities": [
+          [
+            "fatigue",
+            "SYMPTOM"
+          ],
+          [
+            "joint stiffness",
+            "SYMPTOM"
+          ],
+          [
+            "rheumatoid arthritis",
+            "DISEASE"
+          ],
+          [
+            "Methotrexate",
+            "MEDICATION"
+          ],
+          [
+            "physical therapy",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Upon examination, the patient reported persistent fatigue and joint stiffness. Laboratory results indicated elevated inflammatory markers, leading to a diagnosis of rheumatoid arthritis. Methotrexate was initiated as part of the treatment plan, alongside weekly physical therapy sessions to improve mobility.",
+      "entities": [
+        [
+          "fatigue",
+          "SYMPTOM"
+        ],
+        [
+          "joint stiffness",
+          "SYMPTOM"
+        ],
+        [
+          "rheumatoid arthritis",
+          "DISEASE"
+        ],
+        [
+          "Methotrexate",
+          "MEDICATION"
+        ],
+        [
+          "physical therapy",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "A 62-year-old female with a history of coronary artery disease experienced severe chest discomfort and shortness of breath. She was given nitroglycerin during transport and later started on carvedilol for long-term management.",
+        "entities": [
+          [
+            "coronary artery disease",
+            "DISEASE"
+          ],
+          [
+            "chest discomfort",
+            "SYMPTOM"
+          ],
+          [
+            "shortness of breath",
+            "SYMPTOM"
+          ],
+          [
+            "nitroglycerin",
+            "MEDICATION"
+          ],
+          [
+            "carvedilol",
+            "MEDICATION"
+          ]
+        ]
+      },
+      "text": "A 62-year-old female with a history of coronary artery disease experienced severe chest discomfort and shortness of breath. She was given nitroglycerin during transport and later started on carvedilol for long-term management.",
+      "entities": [
+        [
+          "coronary artery disease",
+          "DISEASE"
+        ],
+        [
+          "chest discomfort",
+          "SYMPTOM"
+        ],
+        [
+          "shortness of breath",
+          "SYMPTOM"
+        ],
+        [
+          "nitroglycerin",
+          "MEDICATION"
+        ],
+        [
+          "carvedilol",
+          "MEDICATION"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "The patient presented with persistent dry cough and mild chest discomfort. Further evaluation suggested early signs of bronchitis. Azithromycin was prescribed, and the patient was advised to use a humidifier as supportive care.",
+        "entities": [
+          [
+            "dry cough",
+            "SYMPTOM"
+          ],
+          [
+            "chest discomfort",
+            "SYMPTOM"
+          ],
+          [
+            "bronchitis",
+            "DISEASE"
+          ],
+          [
+            "Azithromycin",
+            "MEDICATION"
+          ],
+          [
+            "humidifier",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "The patient presented with persistent dry cough and mild chest discomfort. Further evaluation suggested early signs of bronchitis. Azithromycin was prescribed, and the patient was advised to use a humidifier as supportive care.",
+      "entities": [
+        [
+          "dry cough",
+          "SYMPTOM"
+        ],
+        [
+          "chest discomfort",
+          "SYMPTOM"
+        ],
+        [
+          "bronchitis",
+          "DISEASE"
+        ],
+        [
+          "Azithromycin",
+          "MEDICATION"
+        ],
+        [
+          "humidifier",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "The patient reports persistent chest discomfort and shortness of breath. An echocardiogram revealed signs of congestive heart failure. Initiated carvedilol therapy and advised sodium restriction as part of ongoing management.",
+        "entities": [
+          [
+            "chest discomfort",
+            "SYMPTOM"
+          ],
+          [
+            "shortness of breath",
+            "SYMPTOM"
+          ],
+          [
+            "congestive heart failure",
+            "DISEASE"
+          ],
+          [
+            "carvedilol",
+            "MEDICATION"
+          ],
+          [
+            "sodium restriction",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "The patient reports persistent chest discomfort and shortness of breath. An echocardiogram revealed signs of congestive heart failure. Initiated carvedilol therapy and advised sodium restriction as part of ongoing management.",
+      "entities": [
+        [
+          "chest discomfort",
+          "SYMPTOM"
+        ],
+        [
+          "shortness of breath",
+          "SYMPTOM"
+        ],
+        [
+          "congestive heart failure",
+          "DISEASE"
+        ],
+        [
+          "carvedilol",
+          "MEDICATION"
+        ],
+        [
+          "sodium restriction",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "The patient presents with persistent shortness of breath and chest discomfort. Past history includes hypertension and hypothyroidism. Initiated on losartan and levothyroxine. Advised to start daily aerobic exercise and monitor blood pressure regularly.",
+        "entities": [
+          [
+            "shortness of breath",
+            "SYMPTOM"
+          ],
+          [
+            "chest discomfort",
+            "SYMPTOM"
+          ],
+          [
+            "hypertension",
+            "DISEASE"
+          ],
+          [
+            "hypothyroidism",
+            "DISEASE"
+          ],
+          [
+            "losartan",
+            "MEDICATION"
+          ],
+          [
+            "levothyroxine",
+            "MEDICATION"
+          ],
+          [
+            "daily aerobic exercise",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "The patient presents with persistent shortness of breath and chest discomfort. Past history includes hypertension and hypothyroidism. Initiated on losartan and levothyroxine. Advised to start daily aerobic exercise and monitor blood pressure regularly.",
+      "entities": [
+        [
+          "shortness of breath",
+          "SYMPTOM"
+        ],
+        [
+          "chest discomfort",
+          "SYMPTOM"
+        ],
+        [
+          "hypertension",
+          "DISEASE"
+        ],
+        [
+          "hypothyroidism",
+          "DISEASE"
+        ],
+        [
+          "losartan",
+          "MEDICATION"
+        ],
+        [
+          "levothyroxine",
+          "MEDICATION"
+        ],
+        [
+          "daily aerobic exercise",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Ms. Carter presented with severe abdominal pain and persistent diarrhea. After evaluation, she was diagnosed with Crohn's disease. She was started on prednisone and advised to follow a low-residue diet.",
+        "entities": [
+          [
+            "abdominal pain",
+            "SYMPTOM"
+          ],
+          [
+            "diarrhea",
+            "SYMPTOM"
+          ],
+          [
+            "Crohn's disease",
+            "DISEASE"
+          ],
+          [
+            "prednisone",
+            "MEDICATION"
+          ],
+          [
+            "low-residue diet",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Ms. Carter presented with severe abdominal pain and persistent diarrhea. After evaluation, she was diagnosed with Crohn's disease. She was started on prednisone and advised to follow a low-residue diet.",
+      "entities": [
+        [
+          "abdominal pain",
+          "SYMPTOM"
+        ],
+        [
+          "diarrhea",
+          "SYMPTOM"
+        ],
+        [
+          "Crohn's disease",
+          "DISEASE"
+        ],
+        [
+          "prednisone",
+          "MEDICATION"
+        ],
+        [
+          "low-residue diet",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Upon examination, the patient reported persistent joint stiffness and moderate swelling in both hands. After further evaluation, rheumatoid arthritis was diagnosed. Methotrexate was initiated to manage inflammation, and the patient was advised to participate in weekly physical therapy sessions to maintain mobility.",
+        "entities": [
+          [
+            "joint stiffness",
+            "SYMPTOM"
+          ],
+          [
+            "swelling",
+            "SYMPTOM"
+          ],
+          [
+            "rheumatoid arthritis",
+            "DISEASE"
+          ],
+          [
+            "Methotrexate",
+            "MEDICATION"
+          ],
+          [
+            "physical therapy",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Upon examination, the patient reported persistent joint stiffness and moderate swelling in both hands. After further evaluation, rheumatoid arthritis was diagnosed. Methotrexate was initiated to manage inflammation, and the patient was advised to participate in weekly physical therapy sessions to maintain mobility.",
+      "entities": [
+        [
+          "joint stiffness",
+          "SYMPTOM"
+        ],
+        [
+          "swelling",
+          "SYMPTOM"
+        ],
+        [
+          "rheumatoid arthritis",
+          "DISEASE"
+        ],
+        [
+          "Methotrexate",
+          "MEDICATION"
+        ],
+        [
+          "physical therapy",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Patient reports persistent headaches and blurry vision over the past week. Neurological exam suggests early signs of migraine. Prescribed sumatriptan for acute episodes and advised to avoid known triggers. Follow-up appointment scheduled in two weeks.",
+        "entities": [
+          [
+            "headaches",
+            "SYMPTOM"
+          ],
+          [
+            "blurry vision",
+            "SYMPTOM"
+          ],
+          [
+            "migraine",
+            "DISEASE"
+          ],
+          [
+            "sumatriptan",
+            "MEDICATION"
+          ],
+          [
+            "avoid known triggers",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Patient reports persistent headaches and blurry vision over the past week. Neurological exam suggests early signs of migraine. Prescribed sumatriptan for acute episodes and advised to avoid known triggers. Follow-up appointment scheduled in two weeks.",
+      "entities": [
+        [
+          "headaches",
+          "SYMPTOM"
+        ],
+        [
+          "blurry vision",
+          "SYMPTOM"
+        ],
+        [
+          "migraine",
+          "DISEASE"
+        ],
+        [
+          "sumatriptan",
+          "MEDICATION"
+        ],
+        [
+          "avoid known triggers",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "The patient presented with persistent dry cough and occasional breathlessness over two weeks. Chest radiograph confirmed the diagnosis of bronchitis. Nebulized albuterol was administered to relieve airway constriction. Amoxicillin was prescribed for seven days to address the underlying infection.",
+        "entities": [
+          [
+            "dry cough",
+            "SYMPTOM"
+          ],
+          [
+            "breathlessness",
+            "SYMPTOM"
+          ],
+          [
+            "bronchitis",
+            "DISEASE"
+          ],
+          [
+            "Nebulized albuterol",
+            "TREATMENT"
+          ],
+          [
+            "Amoxicillin",
+            "MEDICATION"
+          ]
+        ]
+      },
+      "text": "The patient presented with persistent dry cough and occasional breathlessness over two weeks. Chest radiograph confirmed the diagnosis of bronchitis. Nebulized albuterol was administered to relieve airway constriction. Amoxicillin was prescribed for seven days to address the underlying infection.",
+      "entities": [
+        [
+          "dry cough",
+          "SYMPTOM"
+        ],
+        [
+          "breathlessness",
+          "SYMPTOM"
+        ],
+        [
+          "bronchitis",
+          "DISEASE"
+        ],
+        [
+          "Nebulized albuterol",
+          "TREATMENT"
+        ],
+        [
+          "Amoxicillin",
+          "MEDICATION"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Mr. Thompson visited the clinic complaining of persistent joint stiffness and swelling in his fingers. Laboratory results confirmed the presence of rheumatoid arthritis. Prednisone was prescribed for inflammation control, and he was referred to physical therapy for joint mobility improvement.",
+        "entities": [
+          [
+            "joint stiffness",
+            "SYMPTOM"
+          ],
+          [
+            "swelling in his fingers",
+            "SYMPTOM"
+          ],
+          [
+            "rheumatoid arthritis",
+            "DISEASE"
+          ],
+          [
+            "Prednisone",
+            "MEDICATION"
+          ],
+          [
+            "physical therapy",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Mr. Thompson visited the clinic complaining of persistent joint stiffness and swelling in his fingers. Laboratory results confirmed the presence of rheumatoid arthritis. Prednisone was prescribed for inflammation control, and he was referred to physical therapy for joint mobility improvement.",
+      "entities": [
+        [
+          "joint stiffness",
+          "SYMPTOM"
+        ],
+        [
+          "swelling in his fingers",
+          "SYMPTOM"
+        ],
+        [
+          "rheumatoid arthritis",
+          "DISEASE"
+        ],
+        [
+          "Prednisone",
+          "MEDICATION"
+        ],
+        [
+          "physical therapy",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "The patient reported persistent joint stiffness and swelling in both knees. Physical examination revealed tenderness and reduced range of motion. Laboratory tests confirmed the diagnosis of rheumatoid arthritis. Methotrexate was initiated alongside physiotherapy sessions to improve mobility.",
+        "entities": [
+          [
+            "joint stiffness",
+            "SYMPTOM"
+          ],
+          [
+            "swelling in both knees",
+            "SYMPTOM"
+          ],
+          [
+            "rheumatoid arthritis",
+            "DISEASE"
+          ],
+          [
+            "Methotrexate",
+            "MEDICATION"
+          ],
+          [
+            "physiotherapy",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "The patient reported persistent joint stiffness and swelling in both knees. Physical examination revealed tenderness and reduced range of motion. Laboratory tests confirmed the diagnosis of rheumatoid arthritis. Methotrexate was initiated alongside physiotherapy sessions to improve mobility.",
+      "entities": [
+        [
+          "joint stiffness",
+          "SYMPTOM"
+        ],
+        [
+          "swelling in both knees",
+          "SYMPTOM"
+        ],
+        [
+          "rheumatoid arthritis",
+          "DISEASE"
+        ],
+        [
+          "Methotrexate",
+          "MEDICATION"
+        ],
+        [
+          "physiotherapy",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "The patient presented with persistent cough and occasional shortness of breath. Evaluation revealed early-stage asthma. Prescribed salmeterol for airway management and recommended daily inhaler use. Follow-up in two weeks to assess response to treatment.",
+        "entities": [
+          [
+            "cough",
+            "SYMPTOM"
+          ],
+          [
+            "shortness of breath",
+            "SYMPTOM"
+          ],
+          [
+            "asthma",
+            "DISEASE"
+          ],
+          [
+            "salmeterol",
+            "MEDICATION"
+          ],
+          [
+            "daily inhaler use",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "The patient presented with persistent cough and occasional shortness of breath. Evaluation revealed early-stage asthma. Prescribed salmeterol for airway management and recommended daily inhaler use. Follow-up in two weeks to assess response to treatment.",
+      "entities": [
+        [
+          "cough",
+          "SYMPTOM"
+        ],
+        [
+          "shortness of breath",
+          "SYMPTOM"
+        ],
+        [
+          "asthma",
+          "DISEASE"
+        ],
+        [
+          "salmeterol",
+          "MEDICATION"
+        ],
+        [
+          "daily inhaler use",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Mr. Lee presented with persistent cough and intermittent fever. Chest imaging revealed signs consistent with pneumonia. He was started on azithromycin and advised to increase fluid intake. Follow-up appointment scheduled in one week.",
+        "entities": [
+          [
+            "cough",
+            "SYMPTOM"
+          ],
+          [
+            "fever",
+            "SYMPTOM"
+          ],
+          [
+            "pneumonia",
+            "DISEASE"
+          ],
+          [
+            "azithromycin",
+            "MEDICATION"
+          ],
+          [
+            "increase fluid intake",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Mr. Lee presented with persistent cough and intermittent fever. Chest imaging revealed signs consistent with pneumonia. He was started on azithromycin and advised to increase fluid intake. Follow-up appointment scheduled in one week.",
+      "entities": [
+        [
+          "cough",
+          "SYMPTOM"
+        ],
+        [
+          "fever",
+          "SYMPTOM"
+        ],
+        [
+          "pneumonia",
+          "DISEASE"
+        ],
+        [
+          "azithromycin",
+          "MEDICATION"
+        ],
+        [
+          "increase fluid intake",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "During the evaluation, the patient reported persistent joint stiffness and swelling in both knees, suggestive of early rheumatoid arthritis. Laboratory tests were ordered and a course of methotrexate was initiated to manage symptoms.",
+        "entities": [
+          [
+            "joint stiffness",
+            "SYMPTOM"
+          ],
+          [
+            "swelling in both knees",
+            "SYMPTOM"
+          ],
+          [
+            "rheumatoid arthritis",
+            "DISEASE"
+          ],
+          [
+            "methotrexate",
+            "MEDICATION"
+          ]
+        ]
+      },
+      "text": "During the evaluation, the patient reported persistent joint stiffness and swelling in both knees, suggestive of early rheumatoid arthritis. Laboratory tests were ordered and a course of methotrexate was initiated to manage symptoms.",
+      "entities": [
+        [
+          "joint stiffness",
+          "SYMPTOM"
+        ],
+        [
+          "swelling in both knees",
+          "SYMPTOM"
+        ],
+        [
+          "rheumatoid arthritis",
+          "DISEASE"
+        ],
+        [
+          "methotrexate",
+          "MEDICATION"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "The patient reported experiencing frequent shortness of breath and intermittent chest tightness. Upon examination, a diagnosis of chronic obstructive pulmonary disease was established. He was started on tiotropium inhaler and advised to participate in pulmonary rehabilitation sessions.",
+        "entities": [
+          [
+            "shortness of breath",
+            "SYMPTOM"
+          ],
+          [
+            "chest tightness",
+            "SYMPTOM"
+          ],
+          [
+            "chronic obstructive pulmonary disease",
+            "DISEASE"
+          ],
+          [
+            "tiotropium inhaler",
+            "MEDICATION"
+          ],
+          [
+            "pulmonary rehabilitation sessions",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "The patient reported experiencing frequent shortness of breath and intermittent chest tightness. Upon examination, a diagnosis of chronic obstructive pulmonary disease was established. He was started on tiotropium inhaler and advised to participate in pulmonary rehabilitation sessions.",
+      "entities": [
+        [
+          "shortness of breath",
+          "SYMPTOM"
+        ],
+        [
+          "chest tightness",
+          "SYMPTOM"
+        ],
+        [
+          "chronic obstructive pulmonary disease",
+          "DISEASE"
+        ],
+        [
+          "tiotropium inhaler",
+          "MEDICATION"
+        ],
+        [
+          "pulmonary rehabilitation sessions",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Ms. Carter reports persistent joint stiffness and morning swelling. Previous assessments indicate rheumatoid arthritis. She is currently prescribed methotrexate and receives weekly physiotherapy sessions to improve mobility.",
+        "entities": [
+          [
+            "joint stiffness",
+            "SYMPTOM"
+          ],
+          [
+            "morning swelling",
+            "SYMPTOM"
+          ],
+          [
+            "rheumatoid arthritis",
+            "DISEASE"
+          ],
+          [
+            "methotrexate",
+            "MEDICATION"
+          ],
+          [
+            "physiotherapy sessions",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Ms. Carter reports persistent joint stiffness and morning swelling. Previous assessments indicate rheumatoid arthritis. She is currently prescribed methotrexate and receives weekly physiotherapy sessions to improve mobility.",
+      "entities": [
+        [
+          "joint stiffness",
+          "SYMPTOM"
+        ],
+        [
+          "morning swelling",
+          "SYMPTOM"
+        ],
+        [
+          "rheumatoid arthritis",
+          "DISEASE"
+        ],
+        [
+          "methotrexate",
+          "MEDICATION"
+        ],
+        [
+          "physiotherapy sessions",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Patient reports persistent headaches and blurred vision over the past week. Examination revealed elevated intraocular pressure. Diagnosed with glaucoma and prescribed latanoprost eye drops nightly. Scheduled for follow-up after four weeks to assess response to treatment.",
+        "entities": [
+          [
+            "headaches",
+            "SYMPTOM"
+          ],
+          [
+            "blurred vision",
+            "SYMPTOM"
+          ],
+          [
+            "glaucoma",
+            "DISEASE"
+          ],
+          [
+            "latanoprost",
+            "MEDICATION"
+          ]
+        ]
+      },
+      "text": "Patient reports persistent headaches and blurred vision over the past week. Examination revealed elevated intraocular pressure. Diagnosed with glaucoma and prescribed latanoprost eye drops nightly. Scheduled for follow-up after four weeks to assess response to treatment.",
+      "entities": [
+        [
+          "headaches",
+          "SYMPTOM"
+        ],
+        [
+          "blurred vision",
+          "SYMPTOM"
+        ],
+        [
+          "glaucoma",
+          "DISEASE"
+        ],
+        [
+          "latanoprost",
+          "MEDICATION"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Mr. Daniels presented with persistent cough and shortness of breath. Chest radiograph indicated early signs of chronic obstructive pulmonary disease. He was started on tiotropium bromide and scheduled for pulmonary rehabilitation sessions.",
+        "entities": [
+          [
+            "cough",
+            "SYMPTOM"
+          ],
+          [
+            "shortness of breath",
+            "SYMPTOM"
+          ],
+          [
+            "chronic obstructive pulmonary disease",
+            "DISEASE"
+          ],
+          [
+            "tiotropium bromide",
+            "MEDICATION"
+          ],
+          [
+            "pulmonary rehabilitation",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Mr. Daniels presented with persistent cough and shortness of breath. Chest radiograph indicated early signs of chronic obstructive pulmonary disease. He was started on tiotropium bromide and scheduled for pulmonary rehabilitation sessions.",
+      "entities": [
+        [
+          "cough",
+          "SYMPTOM"
+        ],
+        [
+          "shortness of breath",
+          "SYMPTOM"
+        ],
+        [
+          "chronic obstructive pulmonary disease",
+          "DISEASE"
+        ],
+        [
+          "tiotropium bromide",
+          "MEDICATION"
+        ],
+        [
+          "pulmonary rehabilitation",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Upon assessment, Mr. Daniels reported persistent joint stiffness and swelling in his hands, which he attributes to his rheumatoid arthritis. He has been taking methotrexate weekly and receives physical therapy to help maintain mobility.",
+        "entities": [
+          [
+            "joint stiffness",
+            "SYMPTOM"
+          ],
+          [
+            "swelling in his hands",
+            "SYMPTOM"
+          ],
+          [
+            "rheumatoid arthritis",
+            "DISEASE"
+          ],
+          [
+            "methotrexate",
+            "MEDICATION"
+          ],
+          [
+            "physical therapy",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Upon assessment, Mr. Daniels reported persistent joint stiffness and swelling in his hands, which he attributes to his rheumatoid arthritis. He has been taking methotrexate weekly and receives physical therapy to help maintain mobility.",
+      "entities": [
+        [
+          "joint stiffness",
+          "SYMPTOM"
+        ],
+        [
+          "swelling in his hands",
+          "SYMPTOM"
+        ],
+        [
+          "rheumatoid arthritis",
+          "DISEASE"
+        ],
+        [
+          "methotrexate",
+          "MEDICATION"
+        ],
+        [
+          "physical therapy",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "The patient presented with persistent joint swelling and morning stiffness, leading to a diagnosis of rheumatoid arthritis. Methotrexate was initiated for disease management, and physical therapy was recommended to maintain mobility.",
+        "entities": [
+          [
+            "joint swelling",
+            "SYMPTOM"
+          ],
+          [
+            "morning stiffness",
+            "SYMPTOM"
+          ],
+          [
+            "rheumatoid arthritis",
+            "DISEASE"
+          ],
+          [
+            "Methotrexate",
+            "MEDICATION"
+          ],
+          [
+            "physical therapy",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "The patient presented with persistent joint swelling and morning stiffness, leading to a diagnosis of rheumatoid arthritis. Methotrexate was initiated for disease management, and physical therapy was recommended to maintain mobility.",
+      "entities": [
+        [
+          "joint swelling",
+          "SYMPTOM"
+        ],
+        [
+          "morning stiffness",
+          "SYMPTOM"
+        ],
+        [
+          "rheumatoid arthritis",
+          "DISEASE"
+        ],
+        [
+          "Methotrexate",
+          "MEDICATION"
+        ],
+        [
+          "physical therapy",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "The patient presented with persistent cough and low-grade fever. A chest X-ray suggested early stages of pneumonia. She was started on azithromycin for five days and advised to rest and increase fluid intake.",
+        "entities": [
+          [
+            "persistent cough",
+            "SYMPTOM"
+          ],
+          [
+            "low-grade fever",
+            "SYMPTOM"
+          ],
+          [
+            "pneumonia",
+            "DISEASE"
+          ],
+          [
+            "azithromycin",
+            "MEDICATION"
+          ],
+          [
+            "rest",
+            "TREATMENT"
+          ],
+          [
+            "increase fluid intake",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "The patient presented with persistent cough and low-grade fever. A chest X-ray suggested early stages of pneumonia. She was started on azithromycin for five days and advised to rest and increase fluid intake.",
+      "entities": [
+        [
+          "persistent cough",
+          "SYMPTOM"
+        ],
+        [
+          "low-grade fever",
+          "SYMPTOM"
+        ],
+        [
+          "pneumonia",
+          "DISEASE"
+        ],
+        [
+          "azithromycin",
+          "MEDICATION"
+        ],
+        [
+          "rest",
+          "TREATMENT"
+        ],
+        [
+          "increase fluid intake",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Ms. Carter presented with persistent fatigue, occasional palpitations, and shortness of breath on exertion. She was diagnosed with iron deficiency anemia and started on ferrous sulfate. Dietary counseling was provided as part of her management plan.",
+        "entities": [
+          [
+            "fatigue",
+            "SYMPTOM"
+          ],
+          [
+            "palpitations",
+            "SYMPTOM"
+          ],
+          [
+            "shortness of breath on exertion",
+            "SYMPTOM"
+          ],
+          [
+            "iron deficiency anemia",
+            "DISEASE"
+          ],
+          [
+            "ferrous sulfate",
+            "MEDICATION"
+          ],
+          [
+            "Dietary counseling",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Ms. Carter presented with persistent fatigue, occasional palpitations, and shortness of breath on exertion. She was diagnosed with iron deficiency anemia and started on ferrous sulfate. Dietary counseling was provided as part of her management plan.",
+      "entities": [
+        [
+          "fatigue",
+          "SYMPTOM"
+        ],
+        [
+          "palpitations",
+          "SYMPTOM"
+        ],
+        [
+          "shortness of breath on exertion",
+          "SYMPTOM"
+        ],
+        [
+          "iron deficiency anemia",
+          "DISEASE"
+        ],
+        [
+          "ferrous sulfate",
+          "MEDICATION"
+        ],
+        [
+          "Dietary counseling",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "During the appointment, Mr. Lewis described episodes of chest tightness and shortness of breath, especially when climbing stairs. He was diagnosed with angina and prescribed nitroglycerin tablets. Cardiac stress testing was scheduled as a further evaluation.",
+        "entities": [
+          [
+            "chest tightness",
+            "SYMPTOM"
+          ],
+          [
+            "shortness of breath",
+            "SYMPTOM"
+          ],
+          [
+            "angina",
+            "DISEASE"
+          ],
+          [
+            "nitroglycerin tablets",
+            "MEDICATION"
+          ],
+          [
+            "Cardiac stress testing",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "During the appointment, Mr. Lewis described episodes of chest tightness and shortness of breath, especially when climbing stairs. He was diagnosed with angina and prescribed nitroglycerin tablets. Cardiac stress testing was scheduled as a further evaluation.",
+      "entities": [
+        [
+          "chest tightness",
+          "SYMPTOM"
+        ],
+        [
+          "shortness of breath",
+          "SYMPTOM"
+        ],
+        [
+          "angina",
+          "DISEASE"
+        ],
+        [
+          "nitroglycerin tablets",
+          "MEDICATION"
+        ],
+        [
+          "Cardiac stress testing",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "The patient complains of persistent fatigue and shortness of breath, which started after being diagnosed with congestive heart failure. She was prescribed carvedilol and furosemide, and is currently undergoing cardiac rehabilitation sessions.",
+        "entities": [
+          [
+            "fatigue",
+            "SYMPTOM"
+          ],
+          [
+            "shortness of breath",
+            "SYMPTOM"
+          ],
+          [
+            "congestive heart failure",
+            "DISEASE"
+          ],
+          [
+            "carvedilol",
+            "MEDICATION"
+          ],
+          [
+            "furosemide",
+            "MEDICATION"
+          ],
+          [
+            "cardiac rehabilitation",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "The patient complains of persistent fatigue and shortness of breath, which started after being diagnosed with congestive heart failure. She was prescribed carvedilol and furosemide, and is currently undergoing cardiac rehabilitation sessions.",
+      "entities": [
+        [
+          "fatigue",
+          "SYMPTOM"
+        ],
+        [
+          "shortness of breath",
+          "SYMPTOM"
+        ],
+        [
+          "congestive heart failure",
+          "DISEASE"
+        ],
+        [
+          "carvedilol",
+          "MEDICATION"
+        ],
+        [
+          "furosemide",
+          "MEDICATION"
+        ],
+        [
+          "cardiac rehabilitation",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Mr. Castillo reported persistent joint swelling and stiffness, particularly in the mornings. His medical history includes rheumatoid arthritis and he is currently prescribed methotrexate for disease management. Physical therapy sessions have been initiated to improve mobility.",
+        "entities": [
+          [
+            "joint swelling",
+            "SYMPTOM"
+          ],
+          [
+            "stiffness",
+            "SYMPTOM"
+          ],
+          [
+            "rheumatoid arthritis",
+            "DISEASE"
+          ],
+          [
+            "methotrexate",
+            "MEDICATION"
+          ],
+          [
+            "Physical therapy",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Mr. Castillo reported persistent joint swelling and stiffness, particularly in the mornings. His medical history includes rheumatoid arthritis and he is currently prescribed methotrexate for disease management. Physical therapy sessions have been initiated to improve mobility.",
+      "entities": [
+        [
+          "joint swelling",
+          "SYMPTOM"
+        ],
+        [
+          "stiffness",
+          "SYMPTOM"
+        ],
+        [
+          "rheumatoid arthritis",
+          "DISEASE"
+        ],
+        [
+          "methotrexate",
+          "MEDICATION"
+        ],
+        [
+          "Physical therapy",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Ms. Daniels was diagnosed with hypothyroidism after presenting with persistent fatigue and unexplained weight gain. Levothyroxine was prescribed to regulate her hormone levels, and she was advised to follow up in eight weeks to monitor her response to the medication.",
+        "entities": [
+          [
+            "hypothyroidism",
+            "DISEASE"
+          ],
+          [
+            "fatigue",
+            "SYMPTOM"
+          ],
+          [
+            "weight gain",
+            "SYMPTOM"
+          ],
+          [
+            "Levothyroxine",
+            "MEDICATION"
+          ]
+        ]
+      },
+      "text": "Ms. Daniels was diagnosed with hypothyroidism after presenting with persistent fatigue and unexplained weight gain. Levothyroxine was prescribed to regulate her hormone levels, and she was advised to follow up in eight weeks to monitor her response to the medication.",
+      "entities": [
+        [
+          "hypothyroidism",
+          "DISEASE"
+        ],
+        [
+          "fatigue",
+          "SYMPTOM"
+        ],
+        [
+          "weight gain",
+          "SYMPTOM"
+        ],
+        [
+          "Levothyroxine",
+          "MEDICATION"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Mr. Johnson complained of persistent shortness of breath and was found to have elevated blood pressure. He was diagnosed with congestive heart failure and started on carvedilol. Lifestyle modifications were discussed as part of his management plan.",
+        "entities": [
+          [
+            "shortness of breath",
+            "SYMPTOM"
+          ],
+          [
+            "elevated blood pressure",
+            "SYMPTOM"
+          ],
+          [
+            "congestive heart failure",
+            "DISEASE"
+          ],
+          [
+            "carvedilol",
+            "MEDICATION"
+          ],
+          [
+            "Lifestyle modifications",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Mr. Johnson complained of persistent shortness of breath and was found to have elevated blood pressure. He was diagnosed with congestive heart failure and started on carvedilol. Lifestyle modifications were discussed as part of his management plan.",
+      "entities": [
+        [
+          "shortness of breath",
+          "SYMPTOM"
+        ],
+        [
+          "elevated blood pressure",
+          "SYMPTOM"
+        ],
+        [
+          "congestive heart failure",
+          "DISEASE"
+        ],
+        [
+          "carvedilol",
+          "MEDICATION"
+        ],
+        [
+          "Lifestyle modifications",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "During the consultation, Mr. Ramirez reported persistent shortness of breath and intermittent chest discomfort. He has a prior history of chronic obstructive pulmonary disease and was recently started on tiotropium inhaler. Pulmonary rehabilitation was recommended to improve exercise tolerance.",
+        "entities": [
+          [
+            "shortness of breath",
+            "SYMPTOM"
+          ],
+          [
+            "chest discomfort",
+            "SYMPTOM"
+          ],
+          [
+            "chronic obstructive pulmonary disease",
+            "DISEASE"
+          ],
+          [
+            "tiotropium inhaler",
+            "MEDICATION"
+          ],
+          [
+            "Pulmonary rehabilitation",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "During the consultation, Mr. Ramirez reported persistent shortness of breath and intermittent chest discomfort. He has a prior history of chronic obstructive pulmonary disease and was recently started on tiotropium inhaler. Pulmonary rehabilitation was recommended to improve exercise tolerance.",
+      "entities": [
+        [
+          "shortness of breath",
+          "SYMPTOM"
+        ],
+        [
+          "chest discomfort",
+          "SYMPTOM"
+        ],
+        [
+          "chronic obstructive pulmonary disease",
+          "DISEASE"
+        ],
+        [
+          "tiotropium inhaler",
+          "MEDICATION"
+        ],
+        [
+          "Pulmonary rehabilitation",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Mr. Lee presented with persistent shortness of breath and a productive cough. After evaluation, he was diagnosed with pneumonia. He was started on levofloxacin and advised to rest at home with increased fluid intake.",
+        "entities": [
+          [
+            "shortness of breath",
+            "SYMPTOM"
+          ],
+          [
+            "productive cough",
+            "SYMPTOM"
+          ],
+          [
+            "pneumonia",
+            "DISEASE"
+          ],
+          [
+            "levofloxacin",
+            "MEDICATION"
+          ],
+          [
+            "rest at home",
+            "TREATMENT"
+          ],
+          [
+            "increased fluid intake",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Mr. Lee presented with persistent shortness of breath and a productive cough. After evaluation, he was diagnosed with pneumonia. He was started on levofloxacin and advised to rest at home with increased fluid intake.",
+      "entities": [
+        [
+          "shortness of breath",
+          "SYMPTOM"
+        ],
+        [
+          "productive cough",
+          "SYMPTOM"
+        ],
+        [
+          "pneumonia",
+          "DISEASE"
+        ],
+        [
+          "levofloxacin",
+          "MEDICATION"
+        ],
+        [
+          "rest at home",
+          "TREATMENT"
+        ],
+        [
+          "increased fluid intake",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Mr. Hill reported persistent headaches and blurry vision for the past two weeks. He was diagnosed with migraine and prescribed sumatriptan. He was also advised to reduce caffeine intake as part of his treatment plan.",
+        "entities": [
+          [
+            "headaches",
+            "SYMPTOM"
+          ],
+          [
+            "blurry vision",
+            "SYMPTOM"
+          ],
+          [
+            "migraine",
+            "DISEASE"
+          ],
+          [
+            "sumatriptan",
+            "MEDICATION"
+          ],
+          [
+            "reduce caffeine intake",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Mr. Hill reported persistent headaches and blurry vision for the past two weeks. He was diagnosed with migraine and prescribed sumatriptan. He was also advised to reduce caffeine intake as part of his treatment plan.",
+      "entities": [
+        [
+          "headaches",
+          "SYMPTOM"
+        ],
+        [
+          "blurry vision",
+          "SYMPTOM"
+        ],
+        [
+          "migraine",
+          "DISEASE"
+        ],
+        [
+          "sumatriptan",
+          "MEDICATION"
+        ],
+        [
+          "reduce caffeine intake",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Mr. Lee reports fatigue and occasional shortness of breath over the past month. Physical exam reveals mild ankle swelling. Echocardiogram indicates reduced left ventricular function, consistent with heart failure. Prescribed carvedilol and advised daily sodium restriction.",
+        "entities": [
+          [
+            "fatigue",
+            "SYMPTOM"
+          ],
+          [
+            "shortness of breath",
+            "SYMPTOM"
+          ],
+          [
+            "ankle swelling",
+            "SYMPTOM"
+          ],
+          [
+            "heart failure",
+            "DISEASE"
+          ],
+          [
+            "carvedilol",
+            "MEDICATION"
+          ],
+          [
+            "sodium restriction",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Mr. Lee reports fatigue and occasional shortness of breath over the past month. Physical exam reveals mild ankle swelling. Echocardiogram indicates reduced left ventricular function, consistent with heart failure. Prescribed carvedilol and advised daily sodium restriction.",
+      "entities": [
+        [
+          "fatigue",
+          "SYMPTOM"
+        ],
+        [
+          "shortness of breath",
+          "SYMPTOM"
+        ],
+        [
+          "ankle swelling",
+          "SYMPTOM"
+        ],
+        [
+          "heart failure",
+          "DISEASE"
+        ],
+        [
+          "carvedilol",
+          "MEDICATION"
+        ],
+        [
+          "sodium restriction",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Mr. Lee presented with persistent cough and low-grade fever. Chest radiograph indicated early signs of pneumonia. Azithromycin was prescribed, and he was advised to increase fluid intake as supportive care.",
+        "entities": [
+          [
+            "cough",
+            "SYMPTOM"
+          ],
+          [
+            "low-grade fever",
+            "SYMPTOM"
+          ],
+          [
+            "pneumonia",
+            "DISEASE"
+          ],
+          [
+            "Azithromycin",
+            "MEDICATION"
+          ],
+          [
+            "increase fluid intake",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Mr. Lee presented with persistent cough and low-grade fever. Chest radiograph indicated early signs of pneumonia. Azithromycin was prescribed, and he was advised to increase fluid intake as supportive care.",
+      "entities": [
+        [
+          "cough",
+          "SYMPTOM"
+        ],
+        [
+          "low-grade fever",
+          "SYMPTOM"
+        ],
+        [
+          "pneumonia",
+          "DISEASE"
+        ],
+        [
+          "Azithromycin",
+          "MEDICATION"
+        ],
+        [
+          "increase fluid intake",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Mr. Chen visited the clinic complaining of persistent headaches and blurred vision. After examination, he was diagnosed with hypertension. The physician prescribed amlodipine and advised dietary sodium restriction as part of his management plan.",
+        "entities": [
+          [
+            "persistent headaches",
+            "SYMPTOM"
+          ],
+          [
+            "blurred vision",
+            "SYMPTOM"
+          ],
+          [
+            "hypertension",
+            "DISEASE"
+          ],
+          [
+            "amlodipine",
+            "MEDICATION"
+          ],
+          [
+            "dietary sodium restriction",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Mr. Chen visited the clinic complaining of persistent headaches and blurred vision. After examination, he was diagnosed with hypertension. The physician prescribed amlodipine and advised dietary sodium restriction as part of his management plan.",
+      "entities": [
+        [
+          "persistent headaches",
+          "SYMPTOM"
+        ],
+        [
+          "blurred vision",
+          "SYMPTOM"
+        ],
+        [
+          "hypertension",
+          "DISEASE"
+        ],
+        [
+          "amlodipine",
+          "MEDICATION"
+        ],
+        [
+          "dietary sodium restriction",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Mr. Garrison presented with persistent cough and mild fever. Examination revealed bilateral wheezing. He was diagnosed with bronchitis and prescribed azithromycin for five days. Steam inhalation was recommended as supportive care.",
+        "entities": [
+          [
+            "cough",
+            "SYMPTOM"
+          ],
+          [
+            "fever",
+            "SYMPTOM"
+          ],
+          [
+            "wheezing",
+            "SYMPTOM"
+          ],
+          [
+            "bronchitis",
+            "DISEASE"
+          ],
+          [
+            "azithromycin",
+            "MEDICATION"
+          ],
+          [
+            "Steam inhalation",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Mr. Garrison presented with persistent cough and mild fever. Examination revealed bilateral wheezing. He was diagnosed with bronchitis and prescribed azithromycin for five days. Steam inhalation was recommended as supportive care.",
+      "entities": [
+        [
+          "cough",
+          "SYMPTOM"
+        ],
+        [
+          "fever",
+          "SYMPTOM"
+        ],
+        [
+          "wheezing",
+          "SYMPTOM"
+        ],
+        [
+          "bronchitis",
+          "DISEASE"
+        ],
+        [
+          "azithromycin",
+          "MEDICATION"
+        ],
+        [
+          "Steam inhalation",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Mr. Chen presented with shortness of breath and persistent cough. On examination, he was diagnosed with chronic obstructive pulmonary disease. Inhaled tiotropium was prescribed to manage his condition, along with pulmonary rehabilitation sessions.",
+        "entities": [
+          [
+            "shortness of breath",
+            "SYMPTOM"
+          ],
+          [
+            "persistent cough",
+            "SYMPTOM"
+          ],
+          [
+            "chronic obstructive pulmonary disease",
+            "DISEASE"
+          ],
+          [
+            "tiotropium",
+            "MEDICATION"
+          ],
+          [
+            "pulmonary rehabilitation",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Mr. Chen presented with shortness of breath and persistent cough. On examination, he was diagnosed with chronic obstructive pulmonary disease. Inhaled tiotropium was prescribed to manage his condition, along with pulmonary rehabilitation sessions.",
+      "entities": [
+        [
+          "shortness of breath",
+          "SYMPTOM"
+        ],
+        [
+          "persistent cough",
+          "SYMPTOM"
+        ],
+        [
+          "chronic obstructive pulmonary disease",
+          "DISEASE"
+        ],
+        [
+          "tiotropium",
+          "MEDICATION"
+        ],
+        [
+          "pulmonary rehabilitation",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Mr. Thompson reported severe fatigue and persistent cough over the past two weeks. Physical exam revealed wheezing and decreased breath sounds. Chest radiograph confirmed the presence of pneumonia. He was prescribed azithromycin and advised to rest and maintain hydration.",
+        "entities": [
+          [
+            "fatigue",
+            "SYMPTOM"
+          ],
+          [
+            "cough",
+            "SYMPTOM"
+          ],
+          [
+            "wheezing",
+            "SYMPTOM"
+          ],
+          [
+            "pneumonia",
+            "DISEASE"
+          ],
+          [
+            "azithromycin",
+            "MEDICATION"
+          ],
+          [
+            "rest",
+            "TREATMENT"
+          ],
+          [
+            "hydration",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Mr. Thompson reported severe fatigue and persistent cough over the past two weeks. Physical exam revealed wheezing and decreased breath sounds. Chest radiograph confirmed the presence of pneumonia. He was prescribed azithromycin and advised to rest and maintain hydration.",
+      "entities": [
+        [
+          "fatigue",
+          "SYMPTOM"
+        ],
+        [
+          "cough",
+          "SYMPTOM"
+        ],
+        [
+          "wheezing",
+          "SYMPTOM"
+        ],
+        [
+          "pneumonia",
+          "DISEASE"
+        ],
+        [
+          "azithromycin",
+          "MEDICATION"
+        ],
+        [
+          "rest",
+          "TREATMENT"
+        ],
+        [
+          "hydration",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "On examination, the patient reported persistent joint stiffness and fatigue. Laboratory results confirmed the diagnosis of rheumatoid arthritis. Methotrexate was prescribed, and physical therapy sessions were initiated as part of the management plan.",
+        "entities": [
+          [
+            "joint stiffness",
+            "SYMPTOM"
+          ],
+          [
+            "fatigue",
+            "SYMPTOM"
+          ],
+          [
+            "rheumatoid arthritis",
+            "DISEASE"
+          ],
+          [
+            "Methotrexate",
+            "MEDICATION"
+          ],
+          [
+            "physical therapy",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "On examination, the patient reported persistent joint stiffness and fatigue. Laboratory results confirmed the diagnosis of rheumatoid arthritis. Methotrexate was prescribed, and physical therapy sessions were initiated as part of the management plan.",
+      "entities": [
+        [
+          "joint stiffness",
+          "SYMPTOM"
+        ],
+        [
+          "fatigue",
+          "SYMPTOM"
+        ],
+        [
+          "rheumatoid arthritis",
+          "DISEASE"
+        ],
+        [
+          "Methotrexate",
+          "MEDICATION"
+        ],
+        [
+          "physical therapy",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "During the appointment, Mr. Lee reported frequent headaches and episodes of blurred vision. His blood work indicated elevated glucose levels, suggesting early onset of diabetes mellitus. The physician advised starting metformin and recommended a low-carbohydrate diet as part of his management plan.",
+        "entities": [
+          [
+            "headaches",
+            "SYMPTOM"
+          ],
+          [
+            "blurred vision",
+            "SYMPTOM"
+          ],
+          [
+            "diabetes mellitus",
+            "DISEASE"
+          ],
+          [
+            "metformin",
+            "MEDICATION"
+          ],
+          [
+            "low-carbohydrate diet",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "During the appointment, Mr. Lee reported frequent headaches and episodes of blurred vision. His blood work indicated elevated glucose levels, suggesting early onset of diabetes mellitus. The physician advised starting metformin and recommended a low-carbohydrate diet as part of his management plan.",
+      "entities": [
+        [
+          "headaches",
+          "SYMPTOM"
+        ],
+        [
+          "blurred vision",
+          "SYMPTOM"
+        ],
+        [
+          "diabetes mellitus",
+          "DISEASE"
+        ],
+        [
+          "metformin",
+          "MEDICATION"
+        ],
+        [
+          "low-carbohydrate diet",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Ms. Carter reported experiencing frequent heartburn and difficulty swallowing. She was diagnosed with gastroesophageal reflux disease and started on omeprazole 20mg daily. Lifestyle modifications, including elevating the head of her bed and avoiding spicy foods, were also recommended.",
+        "entities": [
+          [
+            "heartburn",
+            "SYMPTOM"
+          ],
+          [
+            "difficulty swallowing",
+            "SYMPTOM"
+          ],
+          [
+            "gastroesophageal reflux disease",
+            "DISEASE"
+          ],
+          [
+            "omeprazole",
+            "MEDICATION"
+          ],
+          [
+            "Lifestyle modifications",
+            "TREATMENT"
+          ],
+          [
+            "elevating the head of her bed",
+            "TREATMENT"
+          ],
+          [
+            "avoiding spicy foods",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Ms. Carter reported experiencing frequent heartburn and difficulty swallowing. She was diagnosed with gastroesophageal reflux disease and started on omeprazole 20mg daily. Lifestyle modifications, including elevating the head of her bed and avoiding spicy foods, were also recommended.",
+      "entities": [
+        [
+          "heartburn",
+          "SYMPTOM"
+        ],
+        [
+          "difficulty swallowing",
+          "SYMPTOM"
+        ],
+        [
+          "gastroesophageal reflux disease",
+          "DISEASE"
+        ],
+        [
+          "omeprazole",
+          "MEDICATION"
+        ],
+        [
+          "Lifestyle modifications",
+          "TREATMENT"
+        ],
+        [
+          "elevating the head of her bed",
+          "TREATMENT"
+        ],
+        [
+          "avoiding spicy foods",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Mr. Watson reports increasing shortness of breath over the past week, accompanied by a persistent cough. On examination, bilateral wheezing was noted. He was diagnosed with chronic obstructive pulmonary disease and started on Salmeterol inhaler twice daily. Pulmonary rehabilitation was recommended as part of his ongoing care.",
+        "entities": [
+          [
+            "shortness of breath",
+            "SYMPTOM"
+          ],
+          [
+            "persistent cough",
+            "SYMPTOM"
+          ],
+          [
+            "chronic obstructive pulmonary disease",
+            "DISEASE"
+          ],
+          [
+            "Salmeterol",
+            "MEDICATION"
+          ],
+          [
+            "Pulmonary rehabilitation",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Mr. Watson reports increasing shortness of breath over the past week, accompanied by a persistent cough. On examination, bilateral wheezing was noted. He was diagnosed with chronic obstructive pulmonary disease and started on Salmeterol inhaler twice daily. Pulmonary rehabilitation was recommended as part of his ongoing care.",
+      "entities": [
+        [
+          "shortness of breath",
+          "SYMPTOM"
+        ],
+        [
+          "persistent cough",
+          "SYMPTOM"
+        ],
+        [
+          "chronic obstructive pulmonary disease",
+          "DISEASE"
+        ],
+        [
+          "Salmeterol",
+          "MEDICATION"
+        ],
+        [
+          "Pulmonary rehabilitation",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Mr. Adams reported persistent night sweats and unexplained weight loss. On examination, enlarged cervical lymph nodes were found. A biopsy confirmed Hodgkin lymphoma. He was started on the ABVD protocol and received supportive care for neutropenia.",
+        "entities": [
+          [
+            "night sweats",
+            "SYMPTOM"
+          ],
+          [
+            "unexplained weight loss",
+            "SYMPTOM"
+          ],
+          [
+            "enlarged cervical lymph nodes",
+            "SYMPTOM"
+          ],
+          [
+            "Hodgkin lymphoma",
+            "DISEASE"
+          ],
+          [
+            "ABVD protocol",
+            "TREATMENT"
+          ],
+          [
+            "supportive care for neutropenia",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Mr. Adams reported persistent night sweats and unexplained weight loss. On examination, enlarged cervical lymph nodes were found. A biopsy confirmed Hodgkin lymphoma. He was started on the ABVD protocol and received supportive care for neutropenia.",
+      "entities": [
+        [
+          "night sweats",
+          "SYMPTOM"
+        ],
+        [
+          "unexplained weight loss",
+          "SYMPTOM"
+        ],
+        [
+          "enlarged cervical lymph nodes",
+          "SYMPTOM"
+        ],
+        [
+          "Hodgkin lymphoma",
+          "DISEASE"
+        ],
+        [
+          "ABVD protocol",
+          "TREATMENT"
+        ],
+        [
+          "supportive care for neutropenia",
+          "TREATMENT"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Ms. Patel reports persistent joint pain and swelling, particularly in her wrists and knees. She has a history of rheumatoid arthritis and is currently prescribed methotrexate. During the visit, she was given a corticosteroid injection to help control the inflammation.",
+        "entities": [
+          [
+            "joint pain",
+            "SYMPTOM"
+          ],
+          [
+            "swelling",
+            "SYMPTOM"
+          ],
+          [
+            "rheumatoid arthritis",
+            "DISEASE"
+          ],
+          [
+            "methotrexate",
+            "MEDICATION"
+          ],
+          [
+            "corticosteroid injection",
+            "TREATMENT"
+          ],
+          [
+            "inflammation",
+            "SYMPTOM"
+          ]
+        ]
+      },
+      "text": "Ms. Patel reports persistent joint pain and swelling, particularly in her wrists and knees. She has a history of rheumatoid arthritis and is currently prescribed methotrexate. During the visit, she was given a corticosteroid injection to help control the inflammation.",
+      "entities": [
+        [
+          "joint pain",
+          "SYMPTOM"
+        ],
+        [
+          "swelling",
+          "SYMPTOM"
+        ],
+        [
+          "rheumatoid arthritis",
+          "DISEASE"
+        ],
+        [
+          "methotrexate",
+          "MEDICATION"
+        ],
+        [
+          "corticosteroid injection",
+          "TREATMENT"
+        ],
+        [
+          "inflammation",
+          "SYMPTOM"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "The patient presented with persistent cough and shortness of breath. Imaging revealed early-stage emphysema. Pulmonary rehabilitation was initiated, and fluticasone inhaler was prescribed. The patient will return in three months for reassessment.",
+        "entities": [
+          [
+            "cough",
+            "SYMPTOM"
+          ],
+          [
+            "shortness of breath",
+            "SYMPTOM"
+          ],
+          [
+            "emphysema",
+            "DISEASE"
+          ],
+          [
+            "Pulmonary rehabilitation",
+            "TREATMENT"
+          ],
+          [
+            "fluticasone inhaler",
+            "MEDICATION"
+          ]
+        ]
+      },
+      "text": "The patient presented with persistent cough and shortness of breath. Imaging revealed early-stage emphysema. Pulmonary rehabilitation was initiated, and fluticasone inhaler was prescribed. The patient will return in three months for reassessment.",
+      "entities": [
+        [
+          "cough",
+          "SYMPTOM"
+        ],
+        [
+          "shortness of breath",
+          "SYMPTOM"
+        ],
+        [
+          "emphysema",
+          "DISEASE"
+        ],
+        [
+          "Pulmonary rehabilitation",
+          "TREATMENT"
+        ],
+        [
+          "fluticasone inhaler",
+          "MEDICATION"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Upon examination, the patient reported persistent fatigue and intermittent chest discomfort. Electrocardiogram findings were consistent with atrial fibrillation. Metoprolol was prescribed for rate control. The cardiologist recommended anticoagulation therapy with apixaban to reduce stroke risk.",
+        "entities": [
+          [
+            "fatigue",
+            "SYMPTOM"
+          ],
+          [
+            "chest discomfort",
+            "SYMPTOM"
+          ],
+          [
+            "atrial fibrillation",
+            "DISEASE"
+          ],
+          [
+            "Metoprolol",
+            "MEDICATION"
+          ],
+          [
+            "anticoagulation therapy",
+            "TREATMENT"
+          ],
+          [
+            "apixaban",
+            "MEDICATION"
+          ],
+          [
+            "stroke",
+            "DISEASE"
+          ]
+        ]
+      },
+      "text": "Upon examination, the patient reported persistent fatigue and intermittent chest discomfort. Electrocardiogram findings were consistent with atrial fibrillation. Metoprolol was prescribed for rate control. The cardiologist recommended anticoagulation therapy with apixaban to reduce stroke risk.",
+      "entities": [
+        [
+          "fatigue",
+          "SYMPTOM"
+        ],
+        [
+          "chest discomfort",
+          "SYMPTOM"
+        ],
+        [
+          "atrial fibrillation",
+          "DISEASE"
+        ],
+        [
+          "Metoprolol",
+          "MEDICATION"
+        ],
+        [
+          "anticoagulation therapy",
+          "TREATMENT"
+        ],
+        [
+          "apixaban",
+          "MEDICATION"
+        ],
+        [
+          "stroke",
+          "DISEASE"
+        ]
+      ]
+    },
+    {
+      "data": {
+        "text": "Mr. Lawson reports persistent fatigue and shortness of breath over the past month. He has a known history of congestive heart failure and started on carvedilol during his last appointment. An echocardiogram was ordered to monitor cardiac function, and he is advised to limit sodium intake as part of his management plan.",
+        "entities": [
+          [
+            "fatigue",
+            "SYMPTOM"
+          ],
+          [
+            "shortness of breath",
+            "SYMPTOM"
+          ],
+          [
+            "congestive heart failure",
+            "DISEASE"
+          ],
+          [
+            "carvedilol",
+            "MEDICATION"
+          ],
+          [
+            "echocardiogram",
+            "TREATMENT"
+          ],
+          [
+            "sodium intake",
+            "TREATMENT"
+          ]
+        ]
+      },
+      "text": "Mr. Lawson reports persistent fatigue and shortness of breath over the past month. He has a known history of congestive heart failure and started on carvedilol during his last appointment. An echocardiogram was ordered to monitor cardiac function, and he is advised to limit sodium intake as part of his management plan.",
+      "entities": [
+        [
+          "fatigue",
+          "SYMPTOM"
+        ],
+        [
+          "shortness of breath",
+          "SYMPTOM"
+        ],
+        [
+          "congestive heart failure",
+          "DISEASE"
+        ],
+        [
+          "carvedilol",
+          "MEDICATION"
+        ],
+        [
+          "echocardiogram",
+          "TREATMENT"
+        ],
+        [
+          "sodium intake",
+          "TREATMENT"
+        ]
+      ]
+    }
+  ]
+}