🩺 Record Detail

Patient Info

Name: Unknown
Age: Unknown
Date: 2025-09-08 05:18:56

Transcript

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{"type": "transcription", "speaker": "Identifying", "segmentId": "8cf7a099-2ed6-486e-abce-b48a470253b3", "text": "Hi doctor, my name is Junaid and I've been suffering from fever and headache from last", "start": "00:00", "end": "00:06", "start_sec": 0.0, "end_sec": 6.14, "roman": "Hi doctor, my name is Junaid and I've been suffering from fever and headache from last", "native": "Hi doctor, my name is Junaid and I've been suffering from fever and headache from last", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "transcription", "speaker": "Identifying", "segmentId": "05c95938-ffad-4187-a851-d04a7db1e3c3", "text": "two days.", "start": "00:06", "end": "00:06", "start_sec": 6.14, "end_sec": 6.76, "roman": "two days.", "native": "two days.", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "transcription", "speaker": "Identifying", "segmentId": "dc98256d-afe3-4104-a77a-16fa27673f74", "text": "Okay, let me take your temperature.", "start": "00:09", "end": "00:12", "start_sec": 9.88, "end_sec": 12.0, "roman": "Okay, let me take your temperature.", "native": "Okay, let me take your temperature.", "nativeScript": "Latin", "romanDiffersFromNative": false}
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{"type": "transcription", "speaker": "Identifying", "segmentId": "4d2d44bd-499b-42fb-a5a3-3cad55aa92e2", "text": "Usually it's viral nowadays, your temperature is around 102 Fahrenheit, so you have still", "start": "00:14", "end": "00:21", "start_sec": 14.38, "end_sec": 21.48, "roman": "Usually it's viral nowadays, your temperature is around 102 Fahrenheit, so you have still", "native": "Usually it's viral nowadays, your temperature is around 102 Fahrenheit, so you have still", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "transcription", "speaker": "Identifying", "segmentId": "2fb21798-c860-4864-9eb4-b9e225f66732", "text": "have the temperature and you told me about your sore throat, that could also be an issue,", "start": "00:21", "end": "00:26", "start_sec": 21.48, "end_sec": 26.74, "roman": "have the temperature and you told me about your sore throat, that could also be an issue,", "native": "have the temperature and you told me about your sore throat, that could also be an issue,", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "transcription", "speaker": "Identifying", "segmentId": "2e36b364-a973-4960-8955-fefd95c1ffa0", "text": "let me check.", "start": "00:26", "end": "00:27", "start_sec": 26.84, "end_sec": 27.66, "roman": "let me check.", "native": "let me check.", "nativeScript": "Latin", "romanDiffersFromNative": false}
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{"type": "transcription", "speaker": "Identifying", "segmentId": "89f6f11d-90f0-4ee2-907b-54d039b35f6b", "text": "for your throat, I'm also gonna check your blood pressure.", "start": "00:39", "end": "00:43", "start_sec": 39.6, "end_sec": 43.5, "roman": "for your throat, I'm also gonna check your blood pressure.", "native": "for your throat, I'm also gonna check your blood pressure.", "nativeScript": "Latin", "romanDiffersFromNative": false}
{"type": "transcription", "speaker": "Identifying", "segmentId": "e26f1603-cbf0-4f08-95b1-7e39b5a2b48d", "text": "Doctor, I've been having this issue from last three days.", "start": "00:44", "end": "00:47", "start_sec": 44.58, "end_sec": 47.14, "roman": "Doctor, I've been having this issue from last three days.", "native": "Doctor, I've been having this issue from last three days.", "nativeScript": "Latin", "romanDiffersFromNative": false}
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{"type": "transcription", "speaker": "Identifying", "segmentId": "49fc08fb-a92c-42a0-96d2-af4cdf54c01e", "text": "recommending a Tylenol, take after every six hours.", "start": "01:01", "end": "01:06", "start_sec": 61.94, "end_sec": 66.26, "roman": "recommending a Tylenol, take after every six hours.", "native": "recommending a Tylenol, take after every six hours.", "nativeScript": "Latin", "romanDiffersFromNative": false}
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{"type": "finalTranscript", "data": {"transcript": [{"speaker": "Patient", "text": "Hi doctor, my name is Junaid and I've been suffering from fever and headache from last two days."}, {"speaker": "Doctor", "text": "Okay, let me take your temperature. Usually it's viral nowadays, your temperature is around 102 Fahrenheit, so you have still have the temperature and you told me about your sore throat, that could also be an issue, let me check. Your throat is slightly not working, it's a sore throat, so I'll give you a medicine for your throat, I'm also gonna check your blood pressure."}, {"speaker": "Patient", "text": "Doctor, I've been having this issue from last three days."}, {"speaker": "Doctor", "text": "Yeah, your BP is normal, so there's nothing there. Do you take any other medication?"}, {"speaker": "Patient", "text": "Yeah, I take medicine for cholesterol."}, {"speaker": "Doctor", "text": "Yeah, that is okay, good to go, you can keep taking your cholesterol medicine and I'm also recommending a Tylenol, take after every six hours."}, {"speaker": "Patient", "text": "Thank you doctor, thank you very much."}], "speakers": {"Doctor": "Usually asks diagnostic questions or gives medical instructions", "Patient": "Usually describes symptoms or answers", "Family Member": "Third-party participant when contextually clear"}}, "isFinal": true}

Clinical Notes

Subjective

  • Patient: Junaid

  • Primary Concern: Fever and headache

    • Experiencing fever and headache for the last two days.
    • Reports a sore throat.

Objective

  • Vital Signs:

    • Temperature: 102°F
    • Blood Pressure: Normal
  • Medical History:

    • Takes medication for cholesterol.

Assessment

  1. Viral Infection: Likely due to fever, headache, and sore throat.
  2. Sore Throat: Possibly related to the viral infection.

Plan

  1. Medications:

    • Recommend Tylenol to be taken every six hours for fever and headache relief.
  2. Monitoring:

    • Continue monitoring temperature and symptoms.
    • Maintain current cholesterol medication regimen.
  3. Follow-Up:

    • Advise follow-up if symptoms persist or worsen.

Medications | Name | Brand | Dosage | Frequency | Duration (Days) | |---------------|-------|----------|-----------------------------------------|-----------------| | Tylenol | – | unspecified | Every six hours | unspecified | | Cholesterol medication | – | unspecified | As currently prescribed | unspecified |

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