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{ "query": "## Instruction: You are a patient-centered communication analyst tasked with identifying and classifying how patients and clinicians incorporate patient-centered communication (PCC) elements in secure messaging. Your goal is to extract multiple Code-Sub-code pairs from the current sentence and identify specific spans corresponding to each pair. This task requires careful, step-by-step reasoning to ensure accurate multi-label classification, with additional consideration of contextual information from surrounding sentences.\n\n## Follow these steps systematically and step-by-step Instructions:\n1. Understand the Input Sentence:\n1.1 Analyze the Previous sentence, Current sentence, and Next sentence together to establish the full context.\n1.2 Note:\n1.2.1 If the Previous sentence is None, the Current sentence is the opening sentence.\n1.2.2 If the Next sentence is None, the Current sentence is the closing sentence.\n1.3 Carefully read and analyze every word in the Current sentence to determine its context and identify all relevant communication elements.\n2. Identify Relevant Codes:\n2.1 Match parts of the Current sentence to one or more Codes based on the intent and content described in the definitions below.\n2.2 Use the Previous sentence and Next sentence to validate or refine your understanding of the Current sentence.\n2.3 Acknowledge that a sentence may involve multiple Codes.\n3. Determine Sub-codes for Each Code:\n3.1 For each identified Code, assign the appropriate Sub-code(s) that further specify the meaning.\n3.2 Use definitions of Sub-codes to ensure accuracy and consistency.\n3.3 Incorporate contextual cues from the Previous sentence and Next sentence to confirm or adjust Sub-code selection. Certain Sub-codes, such as \"salutation\" and \"connection,\" can be particularly confusing due to their similar meanings. However, the key distinction lies in sentence positioning: \"salutation\" refers to greeting someone or marking the start of a message, which means the Current sentence should typically serve as either the opening or closing sentence. Therefore, to annotate a span as the \"salutation\" Sub-code type, it should be evaluated through three steps: First, check whether the current sentence is the opening or closing sentence, as outlined in Section 1.2. Second, determine whether the span is at the beginning or end of the Current sentence. Finally, assess whether the span represents a greeting or an expression of gratitude.\n3.4 Important: Ensure that the Sub-code you select belongs to the Sub-code list under the identified Code. If it doesn't, reconsider whether the Code or Sub-code selection is correct.\n4. Pair Codes with Sub-codes:\n4.1 Form unique Code-Sub-code pairs for the Current sentence. These pairs should fully describe the meaning of the Current sentence.\n4.2 If multiple Codes exist in the same Current sentence, their Sub-codes will differ.\n5. Highlight Evidence for Each Pair:\n5.1 Extract minimal, specific spans of text from the Current sentence that support each identified Code-Sub-code pair.\n5.2 Use the Previous sentence and Next sentence only for context, not for span extraction.\n5.3 Note: The extracted minimum span should be a core phrase in the Current sentence instead of the entire sentence.\n\nThe following content provides definitions for Codes and Sub-Codes.\n## Code and Definitions:\n1. Code: InfoGiveSDOH\nCode's definition: Refers to the process of sharing knowledge about the social, economic, and environmental factors that significantly influence an individual’s health and well-being. These include economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context.\nSub-Codes:\n * NeighborhoodAndBuiltEnvironment\n ** Sub-Code's definition: Refers to the physical and social surroundings in which people live. Key aspects include housing quality and stability,such as as safe and affordable housing, access to reliable transportation, walkable areas, the safety of a neighborhood, availability of healthy food and environmental factors like clean air, water, and green spaces and proximity to healthcare services.\n * HealthCareAccessAndQuality\n ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep.\n * EconomicStability:\n ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity.\n\n2. Code: InfoGive\nCode's definition: InfoGive is the process of providing clear, relevant, and actionable guidance, directions, or knowledge to assist patient or doctor in understanding or addressing a specific need or situation. This may involve information related to how to take medications, clarifying symptoms to help with diagnosis, explaining the prognosis of a disease, or outlining insurance coverage for treatments. It also includes care coordination, such as scheduling appointments or following post-procedure instructions, and sharing general information like hospital policies.\nSub-Codes:\n * Symptoms\n ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea.\n * SchedulingAppt\n ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually.\n * Diagnostics\n ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such s MRI or CT-scan, and results from tests or procedures.\n * Instruction\n ** Sub-Code's definition: Means providing guidance, directions, or information to help patients, caregivers, or healthcare staff to ensure proper understanding and execution of medical or administrative actions.\n * Drugs\n ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs.\n * Generalinformation\n ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek.\n * carecoordination\n ** Sub-Code's definition: Refers to the deliberate organization and integration of healthcare services to meet a patient’s needs effectively and efficiently. It involves ensuring that all the healthcare providers involved in a patient’s care communicate and collaborate to deliver timely, appropriate, and high-quality services.\n * Prognosis\n ** Sub-Code's definition: Diagnostics refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such s MRI or CT-scan, and results from tests or procedures.\n\n3. Code: InfoSeek\nCode's definition: Involves obtaining knowledge about a particular event, medical condition, treatment option, or administrative matter. This may include understanding a patient's diagnosis, clarifying insurance coverage, confirming appointment schedules, or seeking guidance on hospital policies.\nSub-Codes:\n * SchedulingAppt\n ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually.\n * Drugs\n ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs.\n * Generalinformation\n ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek.\n * Diagnostics\n ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such as MRI or CT-scan, and results from tests or procedures.\n * Symptoms\n ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea.\n * carecoordination\n ** Sub-Code's definition: Refers to the deliberate organization and integration of healthcare services to meet a patient’s needs effectively and efficiently. It involves ensuring that all the healthcare providers involved in a patient’s care communicate and collaborate to deliver timely, appropriate, and high-quality services.\n\n4. Code: InfoSeekSDOH\nCode's definition: Refers to the process of seeking and requesting information about the social, economic, and environmental factors influencing their health. These include seeking knowledge about employment opportunities, educational resources, healthcare services, housing stability, and community support systems.\nSub-Codes:\n * EconomicStability\n ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity.\n * HealthCareAccessAndQuality\n ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep.\n\n5. Code: PartnershipPatient\nCode's definition: Involves establishing and strengthening the alliance between patients and healthcare providers through active participation, open communication, and mutual respect. This collaboration is built by patients expressing their opinions about care, stating their values and preferences, and making informed decisions about their treatment. Active involvement encourages patients to take a proactive role in managing their health while fostering a deeper connection with providers. By maintaining this partnership, trust is cultivated, as patients feel heard, respected, and assured that their healthcare providers are working in their best interest.\nSub-Codes:\n * activeParticipation/involvement\n ** Sub-Code's definition: Active participation and involvement in healthcare refer to the engagement of patients in their own care. This concept emphasizes the importance of patients being active partners rather than passive recipients of healthcare services. Patient is active in providing information to aid diagnosis and problem solving, priorities for treatment or management, asking questions and/or contributing to the identification of management approaches.\n * statePreferences\n ** Sub-Code's definition: Patient's individual values, desires, and priorities regarding their healthcare. These preferences can include aspects such as treatment options, care goals, lifestyle considerations, and the type of involvement they want in their plan of care.\n * connection\n ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthenting the relationship among between the patient and provider.\n * salutation\n ** Sub-Code's definition: Salutation refers to the act of greeting someone or acknowledging the start of a message. Greeting the provider by using their name or professional title.\n * Appreciation/Gratitude\n ** Sub-Code's definition: Involves appreciation and gratitude that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the provider's efforts and responses to their concerns.\n * Alignment\n ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are \"on the same page\" and thinking about an issue in the same manner.\n * expressOpinions\n ** Sub-Code's definition: Refers to patients actively sharing their thoughts and concerns about their care and treatment. Patients can give feedback on their experiences with healthcare services, including what they found helpful or what could be improved.\n * signoff\n ** Sub-Code's definition: Indicating that the message is complete. A way of ending the message in a polite manner.\n * build trust\n ** Sub-Code's definition: It means fostering a sense of confidence and reliability, where the patient feels assured that their provider is acting in their best interest. This involves the patient believing that the provider is honest, competent, and committed to their well-being while respecting their confidentiality.\n\n6. Code: PartnershipProvider\nCode's definition: It refers to fostering a collaborative and equitable relationship between healthcare providers and patients. It involves equalizing the status between them, ensuring that patients feel valued and empowered in the decision-making process. This partnership is built by inviting patients to collaborate in their care, actively seeking their opinions, confirming their understanding of information, acknowledging the expertise they have gained through personal experiences, and maintaining open, respectful communication.\nSub-Codes:\n * inviteCollaboration\n ** Sub-Code's definition: Inviting patients to participate in decisions related to their condition (through informed consent, therapy plan or self-management) and contribute to provider learning through their expert knowledge acquired during patient's illness and hospitalization.\n * maintainCommunication\n ** Sub-Code's definition: It involves keeping the patient informed and engaged throughout their care process. It involves clearly communicating that more details or updates will be provided at a later time, ensuring the patient is aware of what to expect.\n * connection\n ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthening the relationship between the patient and provider.\n * salutation\n ** Sub-Code's definition: Refers to the act of greeting someone or acknowledging the start of a message. Greet the patient by using their name or professional title.\n * Appreciation/Gratitude\n ** Sub-Code's definition: Involves appreciation and gratitude that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the patient's efforts and responses to their concerns.\n * signoff\n ** Sub-Code's definition: Indicating that the message is complete. A way of ending the message in a polite manner.\n * Alignment\n ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are \"on the same page\" and thinking about an issue in the same manner.\n * checkingUnderstanding/clarification\n ** Sub-Code's definition: Confirming that the patient fully grasps the information being communicated, ensuring that they comprehend key concepts related to their condition, treatment options, or care plan. This involves actively engaging with the patient to assess their understanding, addressing any questions or uncertainties, and ensuring alignment between the provider's message and the patient’s perspective.\n * build trust\n ** Sub-Code's definition: Trust fosters a positive relationship, enhances patient satisfaction, and leads to better health outcomes. Trust is built when patients feel heard, respected, and confident that their provider has their best interests at heart. Providers can demonstrate trust by following through on their promises to the patients, respect their time, explaining diagnosis and treatment honestly and making sure patients can reach out with concerns and know how to access care when necessary.\n\n7. Code: SharedDecisionPatient\nCode's definition: Patients actively engage in exploring various treatment options, asking questions. Once fully informed, the patient gives approval of the decision, ensuring it aligns with their values and goals while being confident in the chosen path forward.\nSub-Codes:\n * ApprovalofDecision/Reinforcement\n ** Sub-Code's definition: Affirmation of a choice or decision. The patient agrees with the chosen plan or decision after understanding the available options and their implications.\n * ExploreOptions\n ** Sub-Code's definition: Indicators that a patient is interested in learning more about all options include asking detailed questions, expressing curiosity about alternatives, seeking clarification on treatment options, engaging in discussions about how options align with personal goals, and requesting additional resources to gather more information.\n * SeekingApproval\n ** Sub-Code's definition: Patient asks and/or seeks permission from the provider.\n\n8. Code: SharedDecisionProvider\nCode's definition: Statements or questions that express an opportunity for a two-way exchange of information toward a decision about treatment options, evaluation of a decision, or alternative decisions including: exploring options, summarizing and confirming understanding, mutual agreement and making a decision together, encouraging questions, and showing approval.\nSub-Codes:\n * Approval/Reinforcement\n ** Sub-Code's definition: Reinforcing a made decision via expression of positive reinforcement or validation of the patient's involvement in the decision-making process.\n * EncourageQuestions\n ** Sub-Code's definition: Prompts to ask additional questions or seek more information.\n * SummarizeConfirmUnderstanding\n ** Sub-Code's definition: The provider or decision-maker recaps the key points of the discussion in concise, clear language. This includes summarizing the options, risks, benefits, and any other important details that were shared. It may also involve highlighting the patient's values, concerns that were expressed. After summarizing, the provider checks with the patient or participant to ensure they understood the information accurately.\n * ShareOptions\n ** Sub-Code's definition: It involves identifying, presenting, and discussing the possible options available for a particular decision or problem. It includes outlining all viable alternatives, including their risks, benefits, and potential outcomes.\n * MakeDecision\n ** Sub-Code's definition: It refers to the collaborative process where both the provider and the patient jointly choose a course of action moving forward after considering all available options, risks, benefits, and personal preferences.\n\n9. Code: Socioemotional/Empathy\nCode's definition: It involves recognizing and responding to emotional cues such as unease, sadness, appreciation, gratitude, reward, and approval. It requires understanding and validating the patient's feelings, providing reassurance, acknowledging errors transparently, and offering positive reinforcement, reward and approval.\nSub-Codes:\n * AcknowledgeSituation\n ** Sub-Code's definition: Refers to a provider's and patient's willingness to recognize, take responsibility for, and address mistakes/difficult/unfortunate situations that occur in care. It is concerned with clear, compassionate, and honest language among both parties to mitigate misunderstandings. It also includes expressions of politeness to soften communication to show sensitivity and sympathy.\n * ExpressConcern/unease\n ** Sub-Code's definition: Expressions of concern, worry, nervousness. It involves expressing their anxiety by voicing fears, asking repeated questions, or expressing doubts about their treatment.\n * Reassurance\n ** Sub-Code's definition: Encouragement or attempt to ease concern or sadness. It involves providing comfort and confidence to patients who may be feeling anxious or uncertain. It includes affirming that their concerns are being taken seriously, explaining procedures or treatments clearly, and ensuring them that they are receiving appropriate care.\n * Sadness/fear\n ** Sub-Code's definition: Expression of sadness, fear, dread, anxiety. Sadness can arise from receiving a difficult diagnosis, dealing with chronic illness, or experiencing loss.\n * PositiveRemarks\n ** Sub-Code's definition: Reward refers to the positive reinforcement or recognition given to patients for their efforts or achievements related to their health. This can include messages that acknowledge a patient's progress, adherence to treatment plans, or healthy behaviors\n\nEnsure your reasoning is step-by-step to capture all relevant Code-Sub-code pairs and their corresponding spans accurately. Remember, the Sub-code must belong to the list of Sub-codes under the identified Code. If a Sub-code does not match the Code, revisit your Code and Sub-code selection to correct any inconsistencies.\nPlease output your final result without any explanation and reasoning, you must output the JSON format like {\"results\": [{\"Code\": \"<Identified Code>_1\", \"Sub-code\": \"<Identified Sub-code>_1\", \"Span\": \"<Extracted span>_1\"},...,{\"Code\": \"<Identified Code>_n\", \"Sub-code\": \"<Identified Sub-code>_n\", \"Span\": \"<Extracted span>_n\"}]}\n\n\nINPUT: Provider said the following sentences:\n Previous sentence: None\n Current sentence: Hi there, 1) He definitely needs/ an appt to review the PET scan with Dr. Person1, Im sorry that wasn't set up earlier, we can set something up for MM/DD/YYYY.\n Next sentence: In person or telemed?\n\nOUTPUT:", "answer": "{\"results\": [{\"Code\": \"PartnershipProvider\", \"Sub-code\": \"salutation\", \"Span\": \"Hi there\"}, {\"Code\": \"InfoGive\", \"Sub-code\": \"SchedulingAppt\", \"Span\": \"He definitely needs/\"}]}" }
{"results": [{"Code": "PartnershipProvider", "Sub-code": "salutation", "Span": "Hi there"}, {"Code": "InfoGive", "Sub-code": "SchedulingAppt", "Span": "He definitely needs/"}]}
{ "gen_args_0": { "arg_0": "<|im_start|>user\n## Instruction: You are a patient-centered communication analyst tasked with identifying and classifying how patients and clinicians incorporate patient-centered communication (PCC) elements in secure messaging. Your goal is to extract multiple Code-Sub-code pairs from the current sentence and identify specific spans corresponding to each pair. This task requires careful, step-by-step reasoning to ensure accurate multi-label classification, with additional consideration of contextual information from surrounding sentences.\n\n## Follow these steps systematically and step-by-step Instructions:\n1. Understand the Input Sentence:\n1.1 Analyze the Previous sentence, Current sentence, and Next sentence together to establish the full context.\n1.2 Note:\n1.2.1 If the Previous sentence is None, the Current sentence is the opening sentence.\n1.2.2 If the Next sentence is None, the Current sentence is the closing sentence.\n1.3 Carefully read and analyze every word in the Current sentence to determine its context and identify all relevant communication elements.\n2. Identify Relevant Codes:\n2.1 Match parts of the Current sentence to one or more Codes based on the intent and content described in the definitions below.\n2.2 Use the Previous sentence and Next sentence to validate or refine your understanding of the Current sentence.\n2.3 Acknowledge that a sentence may involve multiple Codes.\n3. Determine Sub-codes for Each Code:\n3.1 For each identified Code, assign the appropriate Sub-code(s) that further specify the meaning.\n3.2 Use definitions of Sub-codes to ensure accuracy and consistency.\n3.3 Incorporate contextual cues from the Previous sentence and Next sentence to confirm or adjust Sub-code selection. Certain Sub-codes, such as \"salutation\" and \"connection,\" can be particularly confusing due to their similar meanings. However, the key distinction lies in sentence positioning: \"salutation\" refers to greeting someone or marking the start of a message, which means the Current sentence should typically serve as either the opening or closing sentence. Therefore, to annotate a span as the \"salutation\" Sub-code type, it should be evaluated through three steps: First, check whether the current sentence is the opening or closing sentence, as outlined in Section 1.2. Second, determine whether the span is at the beginning or end of the Current sentence. Finally, assess whether the span represents a greeting or an expression of gratitude.\n3.4 Important: Ensure that the Sub-code you select belongs to the Sub-code list under the identified Code. If it doesn't, reconsider whether the Code or Sub-code selection is correct.\n4. Pair Codes with Sub-codes:\n4.1 Form unique Code-Sub-code pairs for the Current sentence. These pairs should fully describe the meaning of the Current sentence.\n4.2 If multiple Codes exist in the same Current sentence, their Sub-codes will differ.\n5. Highlight Evidence for Each Pair:\n5.1 Extract minimal, specific spans of text from the Current sentence that support each identified Code-Sub-code pair.\n5.2 Use the Previous sentence and Next sentence only for context, not for span extraction.\n5.3 Note: The extracted minimum span should be a core phrase in the Current sentence instead of the entire sentence.\n\nThe following content provides definitions for Codes and Sub-Codes.\n## Code and Definitions:\n1. Code: InfoGiveSDOH\nCode's definition: Refers to the process of sharing knowledge about the social, economic, and environmental factors that significantly influence an individual’s health and well-being. These include economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context.\nSub-Codes:\n * NeighborhoodAndBuiltEnvironment\n ** Sub-Code's definition: Refers to the physical and social surroundings in which people live. Key aspects include housing quality and stability,such as as safe and affordable housing, access to reliable transportation, walkable areas, the safety of a neighborhood, availability of healthy food and environmental factors like clean air, water, and green spaces and proximity to healthcare services.\n * HealthCareAccessAndQuality\n ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep.\n * EconomicStability:\n ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity.\n\n2. Code: InfoGive\nCode's definition: InfoGive is the process of providing clear, relevant, and actionable guidance, directions, or knowledge to assist patient or doctor in understanding or addressing a specific need or situation. This may involve information related to how to take medications, clarifying symptoms to help with diagnosis, explaining the prognosis of a disease, or outlining insurance coverage for treatments. It also includes care coordination, such as scheduling appointments or following post-procedure instructions, and sharing general information like hospital policies.\nSub-Codes:\n * Symptoms\n ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea.\n * SchedulingAppt\n ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually.\n * Diagnostics\n ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such s MRI or CT-scan, and results from tests or procedures.\n * Instruction\n ** Sub-Code's definition: Means providing guidance, directions, or information to help patients, caregivers, or healthcare staff to ensure proper understanding and execution of medical or administrative actions.\n * Drugs\n ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs.\n * Generalinformation\n ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek.\n * carecoordination\n ** Sub-Code's definition: Refers to the deliberate organization and integration of healthcare services to meet a patient’s needs effectively and efficiently. It involves ensuring that all the healthcare providers involved in a patient’s care communicate and collaborate to deliver timely, appropriate, and high-quality services.\n * Prognosis\n ** Sub-Code's definition: Diagnostics refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such s MRI or CT-scan, and results from tests or procedures.\n\n3. Code: InfoSeek\nCode's definition: Involves obtaining knowledge about a particular event, medical condition, treatment option, or administrative matter. This may include understanding a patient's diagnosis, clarifying insurance coverage, confirming appointment schedules, or seeking guidance on hospital policies.\nSub-Codes:\n * SchedulingAppt\n ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually.\n * Drugs\n ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs.\n * Generalinformation\n ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek.\n * Diagnostics\n ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such as MRI or CT-scan, and results from tests or procedures.\n * Symptoms\n ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea.\n * carecoordination\n ** Sub-Code's definition: Refers to the deliberate organization and integration of healthcare services to meet a patient’s needs effectively and efficiently. It involves ensuring that all the healthcare providers involved in a patient’s care communicate and collaborate to deliver timely, appropriate, and high-quality services.\n\n4. Code: InfoSeekSDOH\nCode's definition: Refers to the process of seeking and requesting information about the social, economic, and environmental factors influencing their health. These include seeking knowledge about employment opportunities, educational resources, healthcare services, housing stability, and community support systems.\nSub-Codes:\n * EconomicStability\n ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity.\n * HealthCareAccessAndQuality\n ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep.\n\n5. Code: PartnershipPatient\nCode's definition: Involves establishing and strengthening the alliance between patients and healthcare providers through active participation, open communication, and mutual respect. This collaboration is built by patients expressing their opinions about care, stating their values and preferences, and making informed decisions about their treatment. Active involvement encourages patients to take a proactive role in managing their health while fostering a deeper connection with providers. By maintaining this partnership, trust is cultivated, as patients feel heard, respected, and assured that their healthcare providers are working in their best interest.\nSub-Codes:\n * activeParticipation/involvement\n ** Sub-Code's definition: Active participation and involvement in healthcare refer to the engagement of patients in their own care. This concept emphasizes the importance of patients being active partners rather than passive recipients of healthcare services. Patient is active in providing information to aid diagnosis and problem solving, priorities for treatment or management, asking questions and/or contributing to the identification of management approaches.\n * statePreferences\n ** Sub-Code's definition: Patient's individual values, desires, and priorities regarding their healthcare. These preferences can include aspects such as treatment options, care goals, lifestyle considerations, and the type of involvement they want in their plan of care.\n * connection\n ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthenting the relationship among between the patient and provider.\n * salutation\n ** Sub-Code's definition: Salutation refers to the act of greeting someone or acknowledging the start of a message. Greeting the provider by using their name or professional title.\n * Appreciation/Gratitude\n ** Sub-Code's definition: Involves appreciation and gratitude that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the provider's efforts and responses to their concerns.\n * Alignment\n ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are \"on the same page\" and thinking about an issue in the same manner.\n * expressOpinions\n ** Sub-Code's definition: Refers to patients actively sharing their thoughts and concerns about their care and treatment. Patients can give feedback on their experiences with healthcare services, including what they found helpful or what could be improved.\n * signoff\n ** Sub-Code's definition: Indicating that the message is complete. A way of ending the message in a polite manner.\n * build trust\n ** Sub-Code's definition: It means fostering a sense of confidence and reliability, where the patient feels assured that their provider is acting in their best interest. This involves the patient believing that the provider is honest, competent, and committed to their well-being while respecting their confidentiality.\n\n6. Code: PartnershipProvider\nCode's definition: It refers to fostering a collaborative and equitable relationship between healthcare providers and patients. It involves equalizing the status between them, ensuring that patients feel valued and empowered in the decision-making process. This partnership is built by inviting patients to collaborate in their care, actively seeking their opinions, confirming their understanding of information, acknowledging the expertise they have gained through personal experiences, and maintaining open, respectful communication.\nSub-Codes:\n * inviteCollaboration\n ** Sub-Code's definition: Inviting patients to participate in decisions related to their condition (through informed consent, therapy plan or self-management) and contribute to provider learning through their expert knowledge acquired during patient's illness and hospitalization.\n * maintainCommunication\n ** Sub-Code's definition: It involves keeping the patient informed and engaged throughout their care process. It involves clearly communicating that more details or updates will be provided at a later time, ensuring the patient is aware of what to expect.\n * connection\n ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthening the relationship between the patient and provider.\n * salutation\n ** Sub-Code's definition: Refers to the act of greeting someone or acknowledging the start of a message. Greet the patient by using their name or professional title.\n * Appreciation/Gratitude\n ** Sub-Code's definition: Involves appreciation and gratitude that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the patient's efforts and responses to their concerns.\n * signoff\n ** Sub-Code's definition: Indicating that the message is complete. A way of ending the message in a polite manner.\n * Alignment\n ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are \"on the same page\" and thinking about an issue in the same manner.\n * checkingUnderstanding/clarification\n ** Sub-Code's definition: Confirming that the patient fully grasps the information being communicated, ensuring that they comprehend key concepts related to their condition, treatment options, or care plan. This involves actively engaging with the patient to assess their understanding, addressing any questions or uncertainties, and ensuring alignment between the provider's message and the patient’s perspective.\n * build trust\n ** Sub-Code's definition: Trust fosters a positive relationship, enhances patient satisfaction, and leads to better health outcomes. Trust is built when patients feel heard, respected, and confident that their provider has their best interests at heart. Providers can demonstrate trust by following through on their promises to the patients, respect their time, explaining diagnosis and treatment honestly and making sure patients can reach out with concerns and know how to access care when necessary.\n\n7. Code: SharedDecisionPatient\nCode's definition: Patients actively engage in exploring various treatment options, asking questions. Once fully informed, the patient gives approval of the decision, ensuring it aligns with their values and goals while being confident in the chosen path forward.\nSub-Codes:\n * ApprovalofDecision/Reinforcement\n ** Sub-Code's definition: Affirmation of a choice or decision. The patient agrees with the chosen plan or decision after understanding the available options and their implications.\n * ExploreOptions\n ** Sub-Code's definition: Indicators that a patient is interested in learning more about all options include asking detailed questions, expressing curiosity about alternatives, seeking clarification on treatment options, engaging in discussions about how options align with personal goals, and requesting additional resources to gather more information.\n * SeekingApproval\n ** Sub-Code's definition: Patient asks and/or seeks permission from the provider.\n\n8. Code: SharedDecisionProvider\nCode's definition: Statements or questions that express an opportunity for a two-way exchange of information toward a decision about treatment options, evaluation of a decision, or alternative decisions including: exploring options, summarizing and confirming understanding, mutual agreement and making a decision together, encouraging questions, and showing approval.\nSub-Codes:\n * Approval/Reinforcement\n ** Sub-Code's definition: Reinforcing a made decision via expression of positive reinforcement or validation of the patient's involvement in the decision-making process.\n * EncourageQuestions\n ** Sub-Code's definition: Prompts to ask additional questions or seek more information.\n * SummarizeConfirmUnderstanding\n ** Sub-Code's definition: The provider or decision-maker recaps the key points of the discussion in concise, clear language. This includes summarizing the options, risks, benefits, and any other important details that were shared. It may also involve highlighting the patient's values, concerns that were expressed. After summarizing, the provider checks with the patient or participant to ensure they understood the information accurately.\n * ShareOptions\n ** Sub-Code's definition: It involves identifying, presenting, and discussing the possible options available for a particular decision or problem. It includes outlining all viable alternatives, including their risks, benefits, and potential outcomes.\n * MakeDecision\n ** Sub-Code's definition: It refers to the collaborative process where both the provider and the patient jointly choose a course of action moving forward after considering all available options, risks, benefits, and personal preferences.\n\n9. Code: Socioemotional/Empathy\nCode's definition: It involves recognizing and responding to emotional cues such as unease, sadness, appreciation, gratitude, reward, and approval. It requires understanding and validating the patient's feelings, providing reassurance, acknowledging errors transparently, and offering positive reinforcement, reward and approval.\nSub-Codes:\n * AcknowledgeSituation\n ** Sub-Code's definition: Refers to a provider's and patient's willingness to recognize, take responsibility for, and address mistakes/difficult/unfortunate situations that occur in care. It is concerned with clear, compassionate, and honest language among both parties to mitigate misunderstandings. It also includes expressions of politeness to soften communication to show sensitivity and sympathy.\n * ExpressConcern/unease\n ** Sub-Code's definition: Expressions of concern, worry, nervousness. It involves expressing their anxiety by voicing fears, asking repeated questions, or expressing doubts about their treatment.\n * Reassurance\n ** Sub-Code's definition: Encouragement or attempt to ease concern or sadness. It involves providing comfort and confidence to patients who may be feeling anxious or uncertain. It includes affirming that their concerns are being taken seriously, explaining procedures or treatments clearly, and ensuring them that they are receiving appropriate care.\n * Sadness/fear\n ** Sub-Code's definition: Expression of sadness, fear, dread, anxiety. Sadness can arise from receiving a difficult diagnosis, dealing with chronic illness, or experiencing loss.\n * PositiveRemarks\n ** Sub-Code's definition: Reward refers to the positive reinforcement or recognition given to patients for their efforts or achievements related to their health. This can include messages that acknowledge a patient's progress, adherence to treatment plans, or healthy behaviors\n\nEnsure your reasoning is step-by-step to capture all relevant Code-Sub-code pairs and their corresponding spans accurately. Remember, the Sub-code must belong to the list of Sub-codes under the identified Code. If a Sub-code does not match the Code, revisit your Code and Sub-code selection to correct any inconsistencies.\nPlease output your final result without any explanation and reasoning, you must output the JSON format like {\"results\": [{\"Code\": \"<Identified Code>_1\", \"Sub-code\": \"<Identified Sub-code>_1\", \"Span\": \"<Extracted span>_1\"},...,{\"Code\": \"<Identified Code>_n\", \"Sub-code\": \"<Identified Sub-code>_n\", \"Span\": \"<Extracted span>_n\"}]}\n\n\nINPUT: Patient said the following sentences:\n Previous sentence: None\n Current sentence: Dr. Person1 has sent an order for a new PET scan (attached).\n Next sentence: He says it is a-okay for Person2 to have it done at G Hosp, considering how difficult it is for Person2 to travel.\n\nOUTPUT: {\"results\": [{\"Code\": \"InfoGiveSDOH\", \"Sub-code\": \"HealthCareAccessAndQuality\", \"Span\": \"sent an order for a new PET scan\"}]}\n\n## Instruction: You are a patient-centered communication analyst tasked with identifying and classifying how patients and clinicians incorporate patient-centered communication (PCC) elements in secure messaging. Your goal is to extract multiple Code-Sub-code pairs from the current sentence and identify specific spans corresponding to each pair. This task requires careful, step-by-step reasoning to ensure accurate multi-label classification, with additional consideration of contextual information from surrounding sentences.\n\n## Follow these steps systematically and step-by-step Instructions:\n1. Understand the Input Sentence:\n1.1 Analyze the Previous sentence, Current sentence, and Next sentence together to establish the full context.\n1.2 Note:\n1.2.1 If the Previous sentence is None, the Current sentence is the opening sentence.\n1.2.2 If the Next sentence is None, the Current sentence is the closing sentence.\n1.3 Carefully read and analyze every word in the Current sentence to determine its context and identify all relevant communication elements.\n2. Identify Relevant Codes:\n2.1 Match parts of the Current sentence to one or more Codes based on the intent and content described in the definitions below.\n2.2 Use the Previous sentence and Next sentence to validate or refine your understanding of the Current sentence.\n2.3 Acknowledge that a sentence may involve multiple Codes.\n3. Determine Sub-codes for Each Code:\n3.1 For each identified Code, assign the appropriate Sub-code(s) that further specify the meaning.\n3.2 Use definitions of Sub-codes to ensure accuracy and consistency.\n3.3 Incorporate contextual cues from the Previous sentence and Next sentence to confirm or adjust Sub-code selection. Certain Sub-codes, such as \"salutation\" and \"connection,\" can be particularly confusing due to their similar meanings. However, the key distinction lies in sentence positioning: \"salutation\" refers to greeting someone or marking the start of a message, which means the Current sentence should typically serve as either the opening or closing sentence. Therefore, to annotate a span as the \"salutation\" Sub-code type, it should be evaluated through three steps: First, check whether the current sentence is the opening or closing sentence, as outlined in Section 1.2. Second, determine whether the span is at the beginning or end of the Current sentence. Finally, assess whether the span represents a greeting or an expression of gratitude.\n3.4 Important: Ensure that the Sub-code you select belongs to the Sub-code list under the identified Code. If it doesn't, reconsider whether the Code or Sub-code selection is correct.\n4. Pair Codes with Sub-codes:\n4.1 Form unique Code-Sub-code pairs for the Current sentence. These pairs should fully describe the meaning of the Current sentence.\n4.2 If multiple Codes exist in the same Current sentence, their Sub-codes will differ.\n5. Highlight Evidence for Each Pair:\n5.1 Extract minimal, specific spans of text from the Current sentence that support each identified Code-Sub-code pair.\n5.2 Use the Previous sentence and Next sentence only for context, not for span extraction.\n5.3 Note: The extracted minimum span should be a core phrase in the Current sentence instead of the entire sentence.\n\nThe following content provides definitions for Codes and Sub-Codes.\n## Code and Definitions:\n1. Code: InfoGiveSDOH\nCode's definition: Refers to the process of sharing knowledge about the social, economic, and environmental factors that significantly influence an individual’s health and well-being. These include economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context.\nSub-Codes:\n * NeighborhoodAndBuiltEnvironment\n ** Sub-Code's definition: Refers to the physical and social surroundings in which people live. Key aspects include housing quality and stability,such as as safe and affordable housing, access to reliable transportation, walkable areas, the safety of a neighborhood, availability of healthy food and environmental factors like clean air, water, and green spaces and proximity to healthcare services.\n * HealthCareAccessAndQuality\n ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep.\n * EconomicStability:\n ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity.\n\n2. Code: InfoGive\nCode's definition: InfoGive is the process of providing clear, relevant, and actionable guidance, directions, or knowledge to assist patient or doctor in understanding or addressing a specific need or situation. This may involve information related to how to take medications, clarifying symptoms to help with diagnosis, explaining the prognosis of a disease, or outlining insurance coverage for treatments. It also includes care coordination, such as scheduling appointments or following post-procedure instructions, and sharing general information like hospital policies.\nSub-Codes:\n * Symptoms\n ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea.\n * SchedulingAppt\n ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually.\n * Diagnostics\n ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such s MRI or CT-scan, and results from tests or procedures.\n * Instruction\n ** Sub-Code's definition: Means providing guidance, directions, or information to help patients, caregivers, or healthcare staff to ensure proper understanding and execution of medical or administrative actions.\n * Drugs\n ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs.\n * Generalinformation\n ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek.\n * carecoordination\n ** Sub-Code's definition: Refers to the deliberate organization and integration of healthcare services to meet a patient’s needs effectively and efficiently. It involves ensuring that all the healthcare providers involved in a patient’s care communicate and collaborate to deliver timely, appropriate, and high-quality services.\n * Prognosis\n ** Sub-Code's definition: Diagnostics refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such s MRI or CT-scan, and results from tests or procedures.\n\n3. Code: InfoSeek\nCode's definition: Involves obtaining knowledge about a particular event, medical condition, treatment option, or administrative matter. This may include understanding a patient's diagnosis, clarifying insurance coverage, confirming appointment schedules, or seeking guidance on hospital policies.\nSub-Codes:\n * SchedulingAppt\n ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually.\n * Drugs\n ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs.\n * Generalinformation\n ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek.\n * Diagnostics\n ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such as MRI or CT-scan, and results from tests or procedures.\n * Symptoms\n ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea.\n * carecoordination\n ** Sub-Code's definition: Refers to the deliberate organization and integration of healthcare services to meet a patient’s needs effectively and efficiently. It involves ensuring that all the healthcare providers involved in a patient’s care communicate and collaborate to deliver timely, appropriate, and high-quality services.\n\n4. Code: InfoSeekSDOH\nCode's definition: Refers to the process of seeking and requesting information about the social, economic, and environmental factors influencing their health. These include seeking knowledge about employment opportunities, educational resources, healthcare services, housing stability, and community support systems.\nSub-Codes:\n * EconomicStability\n ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity.\n * HealthCareAccessAndQuality\n ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep.\n\n5. Code: PartnershipPatient\nCode's definition: Involves establishing and strengthening the alliance between patients and healthcare providers through active participation, open communication, and mutual respect. This collaboration is built by patients expressing their opinions about care, stating their values and preferences, and making informed decisions about their treatment. Active involvement encourages patients to take a proactive role in managing their health while fostering a deeper connection with providers. By maintaining this partnership, trust is cultivated, as patients feel heard, respected, and assured that their healthcare providers are working in their best interest.\nSub-Codes:\n * activeParticipation/involvement\n ** Sub-Code's definition: Active participation and involvement in healthcare refer to the engagement of patients in their own care. This concept emphasizes the importance of patients being active partners rather than passive recipients of healthcare services. Patient is active in providing information to aid diagnosis and problem solving, priorities for treatment or management, asking questions and/or contributing to the identification of management approaches.\n * statePreferences\n ** Sub-Code's definition: Patient's individual values, desires, and priorities regarding their healthcare. These preferences can include aspects such as treatment options, care goals, lifestyle considerations, and the type of involvement they want in their plan of care.\n * connection\n ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthenting the relationship among between the patient and provider.\n * salutation\n ** Sub-Code's definition: Salutation refers to the act of greeting someone or acknowledging the start of a message. Greeting the provider by using their name or professional title.\n * Appreciation/Gratitude\n ** Sub-Code's definition: Involves appreciation and gratitude that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the provider's efforts and responses to their concerns.\n * Alignment\n ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are \"on the same page\" and thinking about an issue in the same manner.\n * expressOpinions\n ** Sub-Code's definition: Refers to patients actively sharing their thoughts and concerns about their care and treatment. Patients can give feedback on their experiences with healthcare services, including what they found helpful or what could be improved.\n * signoff\n ** Sub-Code's definition: Indicating that the message is complete. A way of ending the message in a polite manner.\n * build trust\n ** Sub-Code's definition: It means fostering a sense of confidence and reliability, where the patient feels assured that their provider is acting in their best interest. This involves the patient believing that the provider is honest, competent, and committed to their well-being while respecting their confidentiality.\n\n6. Code: PartnershipProvider\nCode's definition: It refers to fostering a collaborative and equitable relationship between healthcare providers and patients. It involves equalizing the status between them, ensuring that patients feel valued and empowered in the decision-making process. This partnership is built by inviting patients to collaborate in their care, actively seeking their opinions, confirming their understanding of information, acknowledging the expertise they have gained through personal experiences, and maintaining open, respectful communication.\nSub-Codes:\n * inviteCollaboration\n ** Sub-Code's definition: Inviting patients to participate in decisions related to their condition (through informed consent, therapy plan or self-management) and contribute to provider learning through their expert knowledge acquired during patient's illness and hospitalization.\n * maintainCommunication\n ** Sub-Code's definition: It involves keeping the patient informed and engaged throughout their care process. It involves clearly communicating that more details or updates will be provided at a later time, ensuring the patient is aware of what to expect.\n * connection\n ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthening the relationship between the patient and provider.\n * salutation\n ** Sub-Code's definition: Refers to the act of greeting someone or acknowledging the start of a message. Greet the patient by using their name or professional title.\n * Appreciation/Gratitude\n ** Sub-Code's definition: Involves appreciation and gratitude that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the patient's efforts and responses to their concerns.\n * signoff\n ** Sub-Code's definition: Indicating that the message is complete. A way of ending the message in a polite manner.\n * Alignment\n ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are \"on the same page\" and thinking about an issue in the same manner.\n * checkingUnderstanding/clarification\n ** Sub-Code's definition: Confirming that the patient fully grasps the information being communicated, ensuring that they comprehend key concepts related to their condition, treatment options, or care plan. This involves actively engaging with the patient to assess their understanding, addressing any questions or uncertainties, and ensuring alignment between the provider's message and the patient’s perspective.\n * build trust\n ** Sub-Code's definition: Trust fosters a positive relationship, enhances patient satisfaction, and leads to better health outcomes. Trust is built when patients feel heard, respected, and confident that their provider has their best interests at heart. Providers can demonstrate trust by following through on their promises to the patients, respect their time, explaining diagnosis and treatment honestly and making sure patients can reach out with concerns and know how to access care when necessary.\n\n7. Code: SharedDecisionPatient\nCode's definition: Patients actively engage in exploring various treatment options, asking questions. Once fully informed, the patient gives approval of the decision, ensuring it aligns with their values and goals while being confident in the chosen path forward.\nSub-Codes:\n * ApprovalofDecision/Reinforcement\n ** Sub-Code's definition: Affirmation of a choice or decision. The patient agrees with the chosen plan or decision after understanding the available options and their implications.\n * ExploreOptions\n ** Sub-Code's definition: Indicators that a patient is interested in learning more about all options include asking detailed questions, expressing curiosity about alternatives, seeking clarification on treatment options, engaging in discussions about how options align with personal goals, and requesting additional resources to gather more information.\n * SeekingApproval\n ** Sub-Code's definition: Patient asks and/or seeks permission from the provider.\n\n8. Code: SharedDecisionProvider\nCode's definition: Statements or questions that express an opportunity for a two-way exchange of information toward a decision about treatment options, evaluation of a decision, or alternative decisions including: exploring options, summarizing and confirming understanding, mutual agreement and making a decision together, encouraging questions, and showing approval.\nSub-Codes:\n * Approval/Reinforcement\n ** Sub-Code's definition: Reinforcing a made decision via expression of positive reinforcement or validation of the patient's involvement in the decision-making process.\n * EncourageQuestions\n ** Sub-Code's definition: Prompts to ask additional questions or seek more information.\n * SummarizeConfirmUnderstanding\n ** Sub-Code's definition: The provider or decision-maker recaps the key points of the discussion in concise, clear language. This includes summarizing the options, risks, benefits, and any other important details that were shared. It may also involve highlighting the patient's values, concerns that were expressed. After summarizing, the provider checks with the patient or participant to ensure they understood the information accurately.\n * ShareOptions\n ** Sub-Code's definition: It involves identifying, presenting, and discussing the possible options available for a particular decision or problem. It includes outlining all viable alternatives, including their risks, benefits, and potential outcomes.\n * MakeDecision\n ** Sub-Code's definition: It refers to the collaborative process where both the provider and the patient jointly choose a course of action moving forward after considering all available options, risks, benefits, and personal preferences.\n\n9. Code: Socioemotional/Empathy\nCode's definition: It involves recognizing and responding to emotional cues such as unease, sadness, appreciation, gratitude, reward, and approval. It requires understanding and validating the patient's feelings, providing reassurance, acknowledging errors transparently, and offering positive reinforcement, reward and approval.\nSub-Codes:\n * AcknowledgeSituation\n ** Sub-Code's definition: Refers to a provider's and patient's willingness to recognize, take responsibility for, and address mistakes/difficult/unfortunate situations that occur in care. It is concerned with clear, compassionate, and honest language among both parties to mitigate misunderstandings. It also includes expressions of politeness to soften communication to show sensitivity and sympathy.\n * ExpressConcern/unease\n ** Sub-Code's definition: Expressions of concern, worry, nervousness. It involves expressing their anxiety by voicing fears, asking repeated questions, or expressing doubts about their treatment.\n * Reassurance\n ** Sub-Code's definition: Encouragement or attempt to ease concern or sadness. It involves providing comfort and confidence to patients who may be feeling anxious or uncertain. It includes affirming that their concerns are being taken seriously, explaining procedures or treatments clearly, and ensuring them that they are receiving appropriate care.\n * Sadness/fear\n ** Sub-Code's definition: Expression of sadness, fear, dread, anxiety. Sadness can arise from receiving a difficult diagnosis, dealing with chronic illness, or experiencing loss.\n * PositiveRemarks\n ** Sub-Code's definition: Reward refers to the positive reinforcement or recognition given to patients for their efforts or achievements related to their health. This can include messages that acknowledge a patient's progress, adherence to treatment plans, or healthy behaviors\n\nEnsure your reasoning is step-by-step to capture all relevant Code-Sub-code pairs and their corresponding spans accurately. Remember, the Sub-code must belong to the list of Sub-codes under the identified Code. If a Sub-code does not match the Code, revisit your Code and Sub-code selection to correct any inconsistencies.\nPlease output your final result without any explanation and reasoning, you must output the JSON format like {\"results\": [{\"Code\": \"<Identified Code>_1\", \"Sub-code\": \"<Identified Sub-code>_1\", \"Span\": \"<Extracted span>_1\"},...,{\"Code\": \"<Identified Code>_n\", \"Sub-code\": \"<Identified Sub-code>_n\", \"Span\": \"<Extracted span>_n\"}]}\n\n\nINPUT: Patient said the following sentences:\n Previous sentence: None\n Current sentence: Hi Person1, Thanks for your reply.\n Next sentence: Much appreciated! Person2\n\nOUTPUT: {\"results\": [{\"Code\": \"PartnershipPatient\", \"Sub-code\": \"salutation\", \"Span\": \"Hi\"}, {\"Code\": \"PartnershipPatient\", \"Sub-code\": \"Appreciation/Gratitude\", \"Span\": \"Thanks for your reply\"}]}\n\n## Instruction: You are a patient-centered communication analyst tasked with identifying and classifying how patients and clinicians incorporate patient-centered communication (PCC) elements in secure messaging. Your goal is to extract multiple Code-Sub-code pairs from the current sentence and identify specific spans corresponding to each pair. This task requires careful, step-by-step reasoning to ensure accurate multi-label classification, with additional consideration of contextual information from surrounding sentences.\n\n## Follow these steps systematically and step-by-step Instructions:\n1. Understand the Input Sentence:\n1.1 Analyze the Previous sentence, Current sentence, and Next sentence together to establish the full context.\n1.2 Note:\n1.2.1 If the Previous sentence is None, the Current sentence is the opening sentence.\n1.2.2 If the Next sentence is None, the Current sentence is the closing sentence.\n1.3 Carefully read and analyze every word in the Current sentence to determine its context and identify all relevant communication elements.\n2. Identify Relevant Codes:\n2.1 Match parts of the Current sentence to one or more Codes based on the intent and content described in the definitions below.\n2.2 Use the Previous sentence and Next sentence to validate or refine your understanding of the Current sentence.\n2.3 Acknowledge that a sentence may involve multiple Codes.\n3. Determine Sub-codes for Each Code:\n3.1 For each identified Code, assign the appropriate Sub-code(s) that further specify the meaning.\n3.2 Use definitions of Sub-codes to ensure accuracy and consistency.\n3.3 Incorporate contextual cues from the Previous sentence and Next sentence to confirm or adjust Sub-code selection. Certain Sub-codes, such as \"salutation\" and \"connection,\" can be particularly confusing due to their similar meanings. However, the key distinction lies in sentence positioning: \"salutation\" refers to greeting someone or marking the start of a message, which means the Current sentence should typically serve as either the opening or closing sentence. Therefore, to annotate a span as the \"salutation\" Sub-code type, it should be evaluated through three steps: First, check whether the current sentence is the opening or closing sentence, as outlined in Section 1.2. Second, determine whether the span is at the beginning or end of the Current sentence. Finally, assess whether the span represents a greeting or an expression of gratitude.\n3.4 Important: Ensure that the Sub-code you select belongs to the Sub-code list under the identified Code. If it doesn't, reconsider whether the Code or Sub-code selection is correct.\n4. Pair Codes with Sub-codes:\n4.1 Form unique Code-Sub-code pairs for the Current sentence. These pairs should fully describe the meaning of the Current sentence.\n4.2 If multiple Codes exist in the same Current sentence, their Sub-codes will differ.\n5. Highlight Evidence for Each Pair:\n5.1 Extract minimal, specific spans of text from the Current sentence that support each identified Code-Sub-code pair.\n5.2 Use the Previous sentence and Next sentence only for context, not for span extraction.\n5.3 Note: The extracted minimum span should be a core phrase in the Current sentence instead of the entire sentence.\n\nThe following content provides definitions for Codes and Sub-Codes.\n## Code and Definitions:\n1. Code: InfoGiveSDOH\nCode's definition: Refers to the process of sharing knowledge about the social, economic, and environmental factors that significantly influence an individual’s health and well-being. These include economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context.\nSub-Codes:\n * NeighborhoodAndBuiltEnvironment\n ** Sub-Code's definition: Refers to the physical and social surroundings in which people live. Key aspects include housing quality and stability,such as as safe and affordable housing, access to reliable transportation, walkable areas, the safety of a neighborhood, availability of healthy food and environmental factors like clean air, water, and green spaces and proximity to healthcare services.\n * HealthCareAccessAndQuality\n ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep.\n * EconomicStability:\n ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity.\n\n2. Code: InfoGive\nCode's definition: InfoGive is the process of providing clear, relevant, and actionable guidance, directions, or knowledge to assist patient or doctor in understanding or addressing a specific need or situation. This may involve information related to how to take medications, clarifying symptoms to help with diagnosis, explaining the prognosis of a disease, or outlining insurance coverage for treatments. It also includes care coordination, such as scheduling appointments or following post-procedure instructions, and sharing general information like hospital policies.\nSub-Codes:\n * Symptoms\n ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea.\n * SchedulingAppt\n ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually.\n * Diagnostics\n ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such s MRI or CT-scan, and results from tests or procedures.\n * Instruction\n ** Sub-Code's definition: Means providing guidance, directions, or information to help patients, caregivers, or healthcare staff to ensure proper understanding and execution of medical or administrative actions.\n * Drugs\n ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs.\n * Generalinformation\n ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek.\n * carecoordination\n ** Sub-Code's definition: Refers to the deliberate organization and integration of healthcare services to meet a patient’s needs effectively and efficiently. It involves ensuring that all the healthcare providers involved in a patient’s care communicate and collaborate to deliver timely, appropriate, and high-quality services.\n * Prognosis\n ** Sub-Code's definition: Diagnostics refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such s MRI or CT-scan, and results from tests or procedures.\n\n3. Code: InfoSeek\nCode's definition: Involves obtaining knowledge about a particular event, medical condition, treatment option, or administrative matter. This may include understanding a patient's diagnosis, clarifying insurance coverage, confirming appointment schedules, or seeking guidance on hospital policies.\nSub-Codes:\n * SchedulingAppt\n ** Sub-Code's definition: Refers to the Dates, times, and other information related to seeing a provider, in person or virtually.\n * Drugs\n ** Sub-Code's definition: Refers to substances that are used to diagnose, treat, prevent, or manage diseases or medical conditions. These can include prescription medications, vitamins, over-the-counter drugs.\n * Generalinformation\n ** Sub-Code's definition: Refers to knowledge that is not directly related to patient care or medical treatment but still serves an essential role in the healthcare system. This can include administrative, logistical, or policy-related information that patients, healthcare providers, or administrators might seek.\n * Diagnostics\n ** Sub-Code's definition: Refers to the process of identifying a disease or medical condition based on a patient's symptoms, medical history, physical examination, imaging and scanning such as MRI or CT-scan, and results from tests or procedures.\n * Symptoms\n ** Sub-Code's definition: Subjective experiences or sensations reported by a patient that indicate the presence of a disease or health condition. They are the physical or mental manifestations of an illness that the patient perceives, such as pain, fatigue, dizziness, or nausea.\n * carecoordination\n ** Sub-Code's definition: Refers to the deliberate organization and integration of healthcare services to meet a patient’s needs effectively and efficiently. It involves ensuring that all the healthcare providers involved in a patient’s care communicate and collaborate to deliver timely, appropriate, and high-quality services.\n\n4. Code: InfoSeekSDOH\nCode's definition: Refers to the process of seeking and requesting information about the social, economic, and environmental factors influencing their health. These include seeking knowledge about employment opportunities, educational resources, healthcare services, housing stability, and community support systems.\nSub-Codes:\n * EconomicStability\n ** Sub-Code's definition: Refers to having a steady source of income and access to essential resources needed for a healthy and secure life. This includes being able to afford basic needs such as food, housing and income. It helps individuals feel secure and reduces stress, allowing them to focus on personal growth and well-being. More specifically, it focuses on Employment Status, Socioeconomic Status (SES), Socioeconomic Factors, Housing Instability, Income, Financial Insecurity, Work-related Challenges, and Housing Insecurity.\n * HealthCareAccessAndQuality\n ** Sub-Code's definition: Refers to the ability to obtain necessary health services and the effectiveness and standard of care patients receive. More specifically, it focuses on Substance Use/Abuse, Lifestyle, Diet, Physical Activity, Insurance, Health Access, and Sleep.\n\n5. Code: PartnershipPatient\nCode's definition: Involves establishing and strengthening the alliance between patients and healthcare providers through active participation, open communication, and mutual respect. This collaboration is built by patients expressing their opinions about care, stating their values and preferences, and making informed decisions about their treatment. Active involvement encourages patients to take a proactive role in managing their health while fostering a deeper connection with providers. By maintaining this partnership, trust is cultivated, as patients feel heard, respected, and assured that their healthcare providers are working in their best interest.\nSub-Codes:\n * activeParticipation/involvement\n ** Sub-Code's definition: Active participation and involvement in healthcare refer to the engagement of patients in their own care. This concept emphasizes the importance of patients being active partners rather than passive recipients of healthcare services. Patient is active in providing information to aid diagnosis and problem solving, priorities for treatment or management, asking questions and/or contributing to the identification of management approaches.\n * statePreferences\n ** Sub-Code's definition: Patient's individual values, desires, and priorities regarding their healthcare. These preferences can include aspects such as treatment options, care goals, lifestyle considerations, and the type of involvement they want in their plan of care.\n * connection\n ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthenting the relationship among between the patient and provider.\n * salutation\n ** Sub-Code's definition: Salutation refers to the act of greeting someone or acknowledging the start of a message. Greeting the provider by using their name or professional title.\n * Appreciation/Gratitude\n ** Sub-Code's definition: Involves appreciation and gratitude that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the provider's efforts and responses to their concerns.\n * Alignment\n ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are \"on the same page\" and thinking about an issue in the same manner.\n * expressOpinions\n ** Sub-Code's definition: Refers to patients actively sharing their thoughts and concerns about their care and treatment. Patients can give feedback on their experiences with healthcare services, including what they found helpful or what could be improved.\n * signoff\n ** Sub-Code's definition: Indicating that the message is complete. A way of ending the message in a polite manner.\n * build trust\n ** Sub-Code's definition: It means fostering a sense of confidence and reliability, where the patient feels assured that their provider is acting in their best interest. This involves the patient believing that the provider is honest, competent, and committed to their well-being while respecting their confidentiality.\n\n6. Code: PartnershipProvider\nCode's definition: It refers to fostering a collaborative and equitable relationship between healthcare providers and patients. It involves equalizing the status between them, ensuring that patients feel valued and empowered in the decision-making process. This partnership is built by inviting patients to collaborate in their care, actively seeking their opinions, confirming their understanding of information, acknowledging the expertise they have gained through personal experiences, and maintaining open, respectful communication.\nSub-Codes:\n * inviteCollaboration\n ** Sub-Code's definition: Inviting patients to participate in decisions related to their condition (through informed consent, therapy plan or self-management) and contribute to provider learning through their expert knowledge acquired during patient's illness and hospitalization.\n * maintainCommunication\n ** Sub-Code's definition: It involves keeping the patient informed and engaged throughout their care process. It involves clearly communicating that more details or updates will be provided at a later time, ensuring the patient is aware of what to expect.\n * connection\n ** Sub-Code's definition: Information that is not directly related to the medical issue being discussed, strengthening the relationship between the patient and provider.\n * salutation\n ** Sub-Code's definition: Refers to the act of greeting someone or acknowledging the start of a message. Greet the patient by using their name or professional title.\n * Appreciation/Gratitude\n ** Sub-Code's definition: Involves appreciation and gratitude that are expressed when patients acknowledge the care and support they receive. It also includes expressions of how much they value the patient's efforts and responses to their concerns.\n * signoff\n ** Sub-Code's definition: Indicating that the message is complete. A way of ending the message in a polite manner.\n * Alignment\n ** Sub-Code's definition: Confirmation or seeking confirmation that the patient and provider are \"on the same page\" and thinking about an issue in the same manner.\n * checkingUnderstanding/clarification\n ** Sub-Code's definition: Confirming that the patient fully grasps the information being communicated, ensuring that they comprehend key concepts related to their condition, treatment options, or care plan. This involves actively engaging with the patient to assess their understanding, addressing any questions or uncertainties, and ensuring alignment between the provider's message and the patient’s perspective.\n * build trust\n ** Sub-Code's definition: Trust fosters a positive relationship, enhances patient satisfaction, and leads to better health outcomes. Trust is built when patients feel heard, respected, and confident that their provider has their best interests at heart. Providers can demonstrate trust by following through on their promises to the patients, respect their time, explaining diagnosis and treatment honestly and making sure patients can reach out with concerns and know how to access care when necessary.\n\n7. Code: SharedDecisionPatient\nCode's definition: Patients actively engage in exploring various treatment options, asking questions. Once fully informed, the patient gives approval of the decision, ensuring it aligns with their values and goals while being confident in the chosen path forward.\nSub-Codes:\n * ApprovalofDecision/Reinforcement\n ** Sub-Code's definition: Affirmation of a choice or decision. The patient agrees with the chosen plan or decision after understanding the available options and their implications.\n * ExploreOptions\n ** Sub-Code's definition: Indicators that a patient is interested in learning more about all options include asking detailed questions, expressing curiosity about alternatives, seeking clarification on treatment options, engaging in discussions about how options align with personal goals, and requesting additional resources to gather more information.\n * SeekingApproval\n ** Sub-Code's definition: Patient asks and/or seeks permission from the provider.\n\n8. Code: SharedDecisionProvider\nCode's definition: Statements or questions that express an opportunity for a two-way exchange of information toward a decision about treatment options, evaluation of a decision, or alternative decisions including: exploring options, summarizing and confirming understanding, mutual agreement and making a decision together, encouraging questions, and showing approval.\nSub-Codes:\n * Approval/Reinforcement\n ** Sub-Code's definition: Reinforcing a made decision via expression of positive reinforcement or validation of the patient's involvement in the decision-making process.\n * EncourageQuestions\n ** Sub-Code's definition: Prompts to ask additional questions or seek more information.\n * SummarizeConfirmUnderstanding\n ** Sub-Code's definition: The provider or decision-maker recaps the key points of the discussion in concise, clear language. This includes summarizing the options, risks, benefits, and any other important details that were shared. It may also involve highlighting the patient's values, concerns that were expressed. After summarizing, the provider checks with the patient or participant to ensure they understood the information accurately.\n * ShareOptions\n ** Sub-Code's definition: It involves identifying, presenting, and discussing the possible options available for a particular decision or problem. It includes outlining all viable alternatives, including their risks, benefits, and potential outcomes.\n * MakeDecision\n ** Sub-Code's definition: It refers to the collaborative process where both the provider and the patient jointly choose a course of action moving forward after considering all available options, risks, benefits, and personal preferences.\n\n9. Code: Socioemotional/Empathy\nCode's definition: It involves recognizing and responding to emotional cues such as unease, sadness, appreciation, gratitude, reward, and approval. It requires understanding and validating the patient's feelings, providing reassurance, acknowledging errors transparently, and offering positive reinforcement, reward and approval.\nSub-Codes:\n * AcknowledgeSituation\n ** Sub-Code's definition: Refers to a provider's and patient's willingness to recognize, take responsibility for, and address mistakes/difficult/unfortunate situations that occur in care. It is concerned with clear, compassionate, and honest language among both parties to mitigate misunderstandings. It also includes expressions of politeness to soften communication to show sensitivity and sympathy.\n * ExpressConcern/unease\n ** Sub-Code's definition: Expressions of concern, worry, nervousness. It involves expressing their anxiety by voicing fears, asking repeated questions, or expressing doubts about their treatment.\n * Reassurance\n ** Sub-Code's definition: Encouragement or attempt to ease concern or sadness. It involves providing comfort and confidence to patients who may be feeling anxious or uncertain. It includes affirming that their concerns are being taken seriously, explaining procedures or treatments clearly, and ensuring them that they are receiving appropriate care.\n * Sadness/fear\n ** Sub-Code's definition: Expression of sadness, fear, dread, anxiety. Sadness can arise from receiving a difficult diagnosis, dealing with chronic illness, or experiencing loss.\n * PositiveRemarks\n ** Sub-Code's definition: Reward refers to the positive reinforcement or recognition given to patients for their efforts or achievements related to their health. This can include messages that acknowledge a patient's progress, adherence to treatment plans, or healthy behaviors\n\nEnsure your reasoning is step-by-step to capture all relevant Code-Sub-code pairs and their corresponding spans accurately. Remember, the Sub-code must belong to the list of Sub-codes under the identified Code. If a Sub-code does not match the Code, revisit your Code and Sub-code selection to correct any inconsistencies.\nPlease output your final result without any explanation and reasoning, you must output the JSON format like {\"results\": [{\"Code\": \"<Identified Code>_1\", \"Sub-code\": \"<Identified Sub-code>_1\", \"Span\": \"<Extracted span>_1\"},...,{\"Code\": \"<Identified Code>_n\", \"Sub-code\": \"<Identified Sub-code>_n\", \"Span\": \"<Extracted span>_n\"}]}\n\n\nINPUT: Provider said the following sentences:\n Previous sentence: None\n Current sentence: Hi there, 1) He definitely needs/ an appt to review the PET scan with Dr. Person1, Im sorry that wasn't set up earlier, we can set something up for MM/DD/YYYY.\n Next sentence: In person or telemed?\n\nOUTPUT:<|im_end|>\n<|im_start|>assistant\n<think>\n", "arg_1": { "until": [ "JSON_END" ], "do_sample": false, "temperature": 0, "max_gen_toks": 1024 } } }
[ [ "Okay, let's tackle this step by step. The current sentence is from the provider and starts with \"Hi there...\" so first, I need to check if it's the opening sentence. Since the previous sentence is None, yes, it's the opening. The first part \"Hi there\" is a greeting, so that's a salutation. Under PartnershipProvider's sub-codes, salutation fits here because the provider is greeting the patient.\n\nNext, looking at \"He definitely needs an appt to review the PET scan with Dr. Person1.\" The mention of an appointment is SchedulingAppt. That falls under InfoGive's sub-code SchedulingAppt because the provider is giving information about scheduling. \n\nThen there's \"I'm sorry that wasn't set up earlier.\" This is an acknowledgment of a mistake, so that's AcknowledgeSituation under Socioemotional/Empathy. \n\nFinally, \"we can set something up for MM/DD/YYYY\" is again about scheduling the appointment, so another SchedulingAppt under InfoGive. \n\nThe next sentence asks about in-person or telemed, which is about the appointment type, but since we're only looking at the current sentence, we don't include that here. \n\nSo the codes and sub-codes would be:\n- PartnershipProvider: salutation for \"Hi there\"\n- InfoGive: SchedulingAppt for \"needs an appt...\"\n- Socioemotional/Empathy: AcknowledgeSituation for \"I'm sorry...\"\n- InfoGive: SchedulingAppt again for setting the date.\n\nWait, but the same sub-code can be used multiple times in the same sentence. So each instance where scheduling is mentioned gets the SchedulingAppt sub-code. The spans need to be specific phrases. Let me check the exact phrases again. \n\n\"Hi there\" is the salutation. \n\n\"needs an appt to review the PET scan with Dr. Person1\" is the first scheduling mention. \n\n\"I'm sorry that wasn't set up earlier\" is the acknowledgment. \n\n\"set something up for MM/DD/YYYY\" is the second scheduling part. \n\nSo the spans would be those phrases. \n\nAlso, ensure that the sub-codes are correctly under their codes. SchedulingAppt is under InfoGive, which is correct. Salutation under PartnershipProvider. AcknowledgeSituation under Socioemotional/Empathy. \n\nNo other elements seem present here. The next sentence is about the type of appointment, but that's separate. \n\nSo the final JSON should list each of these with their respective codes and spans.\n</think>\n\n{\"results\": [{\"Code\": \"PartnershipProvider\", \"Sub-code\": \"salutation\", \"Span\": \"Hi there\"}, {\"Code\": \"InfoGive\", \"Sub-code\": \"SchedulingAppt\", \"Span\": \"needs an appt to review the PET scan with Dr. Person1\"}, {\"Code\": \"Socioemotional/Empathy\", \"Sub-code\": \"AcknowledgeSituation\", \"Span\": \"I'm sorry that wasn't set up earlier\"}, {\"Code\": \"InfoGive\", \"Sub-code\": \"SchedulingAppt\", \"Span\": \"set something up for MM/DD/YYYY\"}]}" ] ]
[ "Okay, let's tackle this step by step. The current sentence is from the provider and starts with \"Hi there...\" so first, I need to check if it's the opening sentence. Since the previous sentence is None, yes, it's the opening. The first part \"Hi there\" is a greeting, so that's a salutation. Under PartnershipProvider's sub-codes, salutation fits here because the provider is greeting the patient.\n\nNext, looking at \"He definitely needs an appt to review the PET scan with Dr. Person1.\" The mention of an appointment is SchedulingAppt. That falls under InfoGive's sub-code SchedulingAppt because the provider is giving information about scheduling. \n\nThen there's \"I'm sorry that wasn't set up earlier.\" This is an acknowledgment of a mistake, so that's AcknowledgeSituation under Socioemotional/Empathy. \n\nFinally, \"we can set something up for MM/DD/YYYY\" is again about scheduling the appointment, so another SchedulingAppt under InfoGive. \n\nThe next sentence asks about in-person or telemed, which is about the appointment type, but since we're only looking at the current sentence, we don't include that here. \n\nSo the codes and sub-codes would be:\n- PartnershipProvider: salutation for \"Hi there\"\n- InfoGive: SchedulingAppt for \"needs an appt...\"\n- Socioemotional/Empathy: AcknowledgeSituation for \"I'm sorry...\"\n- InfoGive: SchedulingAppt again for setting the date.\n\nWait, but the same sub-code can be used multiple times in the same sentence. So each instance where scheduling is mentioned gets the SchedulingAppt sub-code. The spans need to be specific phrases. Let me check the exact phrases again. \n\n\"Hi there\" is the salutation. \n\n\"needs an appt to review the PET scan with Dr. Person1\" is the first scheduling mention. \n\n\"I'm sorry that wasn't set up earlier\" is the acknowledgment. \n\n\"set something up for MM/DD/YYYY\" is the second scheduling part. \n\nSo the spans would be those phrases. \n\nAlso, ensure that the sub-codes are correctly under their codes. SchedulingAppt is under InfoGive, which is correct. Salutation under PartnershipProvider. AcknowledgeSituation under Socioemotional/Empathy. \n\nNo other elements seem present here. The next sentence is about the type of appointment, but that's separate. \n\nSo the final JSON should list each of these with their respective codes and spans.\n</think>\n\n{\"results\": [{\"Code\": \"PartnershipProvider\", \"Sub-code\": \"salutation\", \"Span\": \"Hi there\"}, {\"Code\": \"InfoGive\", \"Sub-code\": \"SchedulingAppt\", \"Span\": \"needs an appt to review the PET scan with Dr. Person1\"}, {\"Code\": \"Socioemotional/Empathy\", \"Sub-code\": \"AcknowledgeSituation\", \"Span\": \"I'm sorry that wasn't set up earlier\"}, {\"Code\": \"InfoGive\", \"Sub-code\": \"SchedulingAppt\", \"Span\": \"set something up for MM/DD/YYYY\"}]}" ]
none
[ "evaluate_eppc" ]
78c7040bdd43940289772c6606aaec5333e2cb787963150596e6540493c1a456
a4dd780e432239b8c4cf7eb50b192276cdccf17cc12ea805dded19c2047efd02
a8532497f1a4bbc9921ae15488544710462e446806eab2b52d8f3f122f1b18f1
[ "{\"results\": [{\"Code\": \"PartnershipProvider\", \"Sub-code\": \"salutation\", \"Span\": \"Hi there\"}, {\"Code\": \"InfoGive\", \"Sub-code\": \"SchedulingAppt\", \"Span\": \"He definitely needs/\"}]}", "Okay, let's tackle this step by step. The current sentence is from the provider and starts with \"Hi there...\" so first, I need to check if it's the opening sentence. Since the previous sentence is None, yes, it's the opening. The first part \"Hi there\" is a greeting, so that's a salutation. Under PartnershipProvider's sub-codes, salutation fits here because the provider is greeting the patient.\n\nNext, looking at \"He definitely needs an appt to review the PET scan with Dr. Person1.\" The mention of an appointment is SchedulingAppt. That falls under InfoGive's sub-code SchedulingAppt because the provider is giving information about scheduling. \n\nThen there's \"I'm sorry that wasn't set up earlier.\" This is an acknowledgment of a mistake, so that's AcknowledgeSituation under Socioemotional/Empathy. \n\nFinally, \"we can set something up for MM/DD/YYYY\" is again about scheduling the appointment, so another SchedulingAppt under InfoGive. \n\nThe next sentence asks about in-person or telemed, which is about the appointment type, but since we're only looking at the current sentence, we don't include that here. \n\nSo the codes and sub-codes would be:\n- PartnershipProvider: salutation for \"Hi there\"\n- InfoGive: SchedulingAppt for \"needs an appt...\"\n- Socioemotional/Empathy: AcknowledgeSituation for \"I'm sorry...\"\n- InfoGive: SchedulingAppt again for setting the date.\n\nWait, but the same sub-code can be used multiple times in the same sentence. So each instance where scheduling is mentioned gets the SchedulingAppt sub-code. The spans need to be specific phrases. Let me check the exact phrases again. \n\n\"Hi there\" is the salutation. \n\n\"needs an appt to review the PET scan with Dr. Person1\" is the first scheduling mention. \n\n\"I'm sorry that wasn't set up earlier\" is the acknowledgment. \n\n\"set something up for MM/DD/YYYY\" is the second scheduling part. \n\nSo the spans would be those phrases. \n\nAlso, ensure that the sub-codes are correctly under their codes. SchedulingAppt is under InfoGive, which is correct. Salutation under PartnershipProvider. AcknowledgeSituation under Socioemotional/Empathy. \n\nNo other elements seem present here. The next sentence is about the type of appointment, but that's separate. \n\nSo the final JSON should list each of these with their respective codes and spans.\n</think>\n\n{\"results\": [{\"Code\": \"PartnershipProvider\", \"Sub-code\": \"salutation\", \"Span\": \"Hi there\"}, {\"Code\": \"InfoGive\", \"Sub-code\": \"SchedulingAppt\", \"Span\": \"needs an appt to review the PET scan with Dr. Person1\"}, {\"Code\": \"Socioemotional/Empathy\", \"Sub-code\": \"AcknowledgeSituation\", \"Span\": \"I'm sorry that wasn't set up earlier\"}, {\"Code\": \"InfoGive\", \"Sub-code\": \"SchedulingAppt\", \"Span\": \"set something up for MM/DD/YYYY\"}]}" ]
1
{"query":"## Instruction: You are a patient-centered communication analyst tasked with identifying a(...TRUNCATED)
"{\"results\": [{\"Code\": \"PartnershipProvider\", \"Sub-code\": \"inviteCollaboration\", \"Span\":(...TRUNCATED)
{"gen_args_0":{"arg_0":"<|im_start|>user\n## Instruction: You are a patient-centered communication a(...TRUNCATED)
[["Okay, let's tackle this step by step. The current sentence is \"In person or telemed?\" from the (...TRUNCATED)
["Okay, let's tackle this step by step. The current sentence is \"In person or telemed?\" from the p(...TRUNCATED)
none
[ "evaluate_eppc" ]
00cb32f7dee902efaedd61b35d202ec9326d95995ebf6a5c43cb69286b47444c
c573da4afa8f316ff5cbf069c4c3fad4dd7452fe6fbeb0c7d67b92eb1178829d
b54a24ba951bb7d79045289ed4602a2bf4b9373f03d2c4c62140db784c1b5e82
["{\"results\": [{\"Code\": \"PartnershipProvider\", \"Sub-code\": \"inviteCollaboration\", \"Span\"(...TRUNCATED)
2
{"query":"## Instruction: You are a patient-centered communication analyst tasked with identifying a(...TRUNCATED)
"{\"results\": [{\"Code\": \"PartnershipProvider\", \"Sub-code\": \"connection\", \"Span\": \"be hap(...TRUNCATED)
{"gen_args_0":{"arg_0":"<|im_start|>user\n## Instruction: You are a patient-centered communication a(...TRUNCATED)
[["Okay, let's tackle this step by step. The current sentence is from the provider, so I need to loo(...TRUNCATED)
["Okay, let's tackle this step by step. The current sentence is from the provider, so I need to look(...TRUNCATED)
none
[ "evaluate_eppc" ]
183126ab100d933fa8d66921791993ea57372a030976fc8ab77962988fcf19ce
93457b47fe86d6d50bb3cd6aa151492763b6f16b5e5e48c8a75cb24f0c724e94
eacc0e093fb7d733894ea4a81dca0c0c40da54bb9e1824ec6c99ce84a70f1de7
["{\"results\": [{\"Code\": \"PartnershipProvider\", \"Sub-code\": \"connection\", \"Span\": \"be ha(...TRUNCATED)
3
{"query":"## Instruction: You are a patient-centered communication analyst tasked with identifying a(...TRUNCATED)
"{\"results\": [{\"Code\": \"InfoGive\", \"Sub-code\": \"SchedulingAppt\", \"Span\": \"I just set up(...TRUNCATED)
{"gen_args_0":{"arg_0":"<|im_start|>user\n## Instruction: You are a patient-centered communication a(...TRUNCATED)
[["Okay, let's tackle this step by step. The input is from a patient, and the current sentence is \"(...TRUNCATED)
["Okay, let's tackle this step by step. The input is from a patient, and the current sentence is \"H(...TRUNCATED)
none
[ "evaluate_eppc" ]
87c361e3857ce92d27ff8ed696b267c1c2f04274bfc55bdb4d9201a03f684adc
451bbaf0abf4850e67a65685596538cb17ca871295e2186d9216f8856bfac3d1
5cff10efdd18eb3faadd73384218d820a8e8b6ec9f7c2a970f30ecca7be7588e
["{\"results\": [{\"Code\": \"InfoGive\", \"Sub-code\": \"SchedulingAppt\", \"Span\": \"I just set u(...TRUNCATED)
4
{"query":"## Instruction: You are a patient-centered communication analyst tasked with identifying a(...TRUNCATED)
"{\"results\": [{\"Code\": \"InfoSeek\", \"Sub-code\": \"SchedulingAppt\", \"Span\": \"Can Person3 a(...TRUNCATED)
{"gen_args_0":{"arg_0":"<|im_start|>user\n## Instruction: You are a patient-centered communication a(...TRUNCATED)
[["Okay, let's tackle this step by step. The current sentence is \"Can Person3 and I make that a com(...TRUNCATED)
["Okay, let's tackle this step by step. The current sentence is \"Can Person3 and I make that a comb(...TRUNCATED)
none
[ "evaluate_eppc" ]
5714f1bace4e2e59f0160dac16b71300954e97294c9e7d676fec34d3994362fd
4a07c0459cde226f7a3f9902616b2cb43c170c6b38078338c85c853538e5eb07
cb0b79be07dbcc74667fcad3709b3ceb73062807b15b5d54371eebb7f9c3ced2
["{\"results\": [{\"Code\": \"InfoSeek\", \"Sub-code\": \"SchedulingAppt\", \"Span\": \"Can Person3 (...TRUNCATED)
5
{"query":"## Instruction: You are a patient-centered communication analyst tasked with identifying a(...TRUNCATED)
"{\"results\": [{\"Code\": \"PartnershipPatient\", \"Sub-code\": \"statePreferences\", \"Span\": \"i(...TRUNCATED)
{"gen_args_0":{"arg_0":"<|im_start|>user\n## Instruction: You are a patient-centered communication a(...TRUNCATED)
[["Okay, let's tackle this step by step. The user wants me to analyze the current sentence from the (...TRUNCATED)
["Okay, let's tackle this step by step. The user wants me to analyze the current sentence from the p(...TRUNCATED)
none
[ "evaluate_eppc" ]
49576d4d377c0fe973e62cc6e272a58a25c016fc0de2dc9194529570479d5229
895082602f3b43c6da13e860b32fca0f28ae9d4d9aaf2e9f41471e5a16e81182
a60b2ebda37653db72096e7a585f4ee1b0cbc09730bee56bcfeff188af31936f
["{\"results\": [{\"Code\": \"PartnershipPatient\", \"Sub-code\": \"statePreferences\", \"Span\": \"(...TRUNCATED)
6
{"query":"## Instruction: You are a patient-centered communication analyst tasked with identifying a(...TRUNCATED)
"{\"results\": [{\"Code\": \"PartnershipPatient\", \"Sub-code\": \"Appreciation/Gratitude\", \"Span\(...TRUNCATED)
{"gen_args_0":{"arg_0":"<|im_start|>user\n## Instruction: You are a patient-centered communication a(...TRUNCATED)
[["Okay, let's tackle this step by step. The input is from a patient, and the current sentence is \"(...TRUNCATED)
["Okay, let's tackle this step by step. The input is from a patient, and the current sentence is \"T(...TRUNCATED)
none
[ "evaluate_eppc" ]
3514149c85cd40d9eb8c4c0dfe2c6bc03bba8ee17154b9dce724e03f5acdf4b3
3d230dc554cc3bf64b693183e29027f3809ffed654f517dcb6ee911ea2ed633e
92bc14d7283e0a1e52521193ccd44907e6fbfd9b3cce56c4cd3249ab5a8bc766
["{\"results\": [{\"Code\": \"PartnershipPatient\", \"Sub-code\": \"Appreciation/Gratitude\", \"Span(...TRUNCATED)
7
{"query":"## Instruction: You are a patient-centered communication analyst tasked with identifying a(...TRUNCATED)
"{\"results\": [{\"Code\": \"InfoGive\", \"Sub-code\": \"SchedulingAppt\", \"Span\": \"I put him dow(...TRUNCATED)
{"gen_args_0":{"arg_0":"<|im_start|>user\n## Instruction: You are a patient-centered communication a(...TRUNCATED)
[["Okay, let's tackle this step by step. The input is from a provider, so I need to focus on codes r(...TRUNCATED)
["Okay, let's tackle this step by step. The input is from a provider, so I need to focus on codes re(...TRUNCATED)
none
[ "evaluate_eppc" ]
5fae99d805607fe83234f340af5d5febab0c3290dedf2433ec087ea324e0d991
c377f1c7b48648880c5cf8316a68c6f60753754246795a416a0df5f361345be7
cf5f97a8ad624b88f64ffb951fa33533c8fbe3805f45b4ca4c0a232f77ecb7c7
["{\"results\": [{\"Code\": \"InfoGive\", \"Sub-code\": \"SchedulingAppt\", \"Span\": \"I put him do(...TRUNCATED)
8
{"query":"## Instruction: You are a patient-centered communication analyst tasked with identifying a(...TRUNCATED)
"{\"results\": [{\"Code\": \"InfoGive\", \"Sub-code\": \"SchedulingAppt\", \"Span\": \"Yes, please w(...TRUNCATED)
{"gen_args_0":{"arg_0":"<|im_start|>user\n## Instruction: You are a patient-centered communication a(...TRUNCATED)
[["Okay, let's tackle this step by step. The current sentence is \"Yes, please wait until after that(...TRUNCATED)
["Okay, let's tackle this step by step. The current sentence is \"Yes, please wait until after that (...TRUNCATED)
none
[ "evaluate_eppc" ]
2e0154fa0685241c271272a2db81ec0f354bad6462ac30be8287ec8d8905256f
05f83a70ff1073d367c5742bd25e957329f024ae3b2499dcb7b7239f5c0fccf1
708552e4df2a6bedcc85bb250679ffe48a32fda69769318fb63ae0b23da33bf0
["{\"results\": [{\"Code\": \"InfoGive\", \"Sub-code\": \"SchedulingAppt\", \"Span\": \"Yes, please (...TRUNCATED)
9
{"query":"## Instruction: You are a patient-centered communication analyst tasked with identifying a(...TRUNCATED)
"{\"results\": [{\"Code\": \"PartnershipProvider\", \"Sub-code\": \"salutation\", \"Span\": \"Hi\"},(...TRUNCATED)
{"gen_args_0":{"arg_0":"<|im_start|>user\n## Instruction: You are a patient-centered communication a(...TRUNCATED)
[["Okay, let's tackle this step by step. The current sentence is \"Hi, We need to make an office vis(...TRUNCATED)
["Okay, let's tackle this step by step. The current sentence is \"Hi, We need to make an office visi(...TRUNCATED)
none
[ "evaluate_eppc" ]
05596906fc4e888346cbfd543d6420e22479f2214a90848547e1436c37a3261b
b02499f288ef58adabfd477e48f98276f7e8642a81390ca69ad47d93e7462263
999c678f74f6367f3830a72321f8f161ff8d68ce8aef651a0a6ca1af0ebaf394
["{\"results\": [{\"Code\": \"PartnershipProvider\", \"Sub-code\": \"salutation\", \"Span\": \"Hi\"}(...TRUNCATED)
End of preview. Expand in Data Studio

Dataset Card for Evaluation run of Qwen/Qwen2.5-1.5B-Instruct

Dataset automatically created during the evaluation run of model Qwen/Qwen2.5-1.5B-Instruct The dataset is composed of 12 configuration(s), each one corresponding to one of the evaluated task.

The dataset has been created from 130 run(s). Each run can be found as a specific split in each configuration, the split being named using the timestamp of the run.The "train" split is always pointing to the latest results.

An additional configuration "results" store all the aggregated results of the run.

To load the details from a run, you can for instance do the following:

Latest results

These are the latest results from run 2025-11-18T17-11-48.768867 (note that there might be results for other tasks in the repos if successive evals didn't cover the same tasks. You find each in the results and the "latest" split for each eval):

{
    "all": {
        "EppcExtraction": {
            "alias": "EppcExtraction",
            "evaluate_eppc,none": {
                "code": {
                    "P": 0.424,
                    "R": 0.345,
                    "f1": 0.3805
                },
                "sub-code": {
                    "P": 0.1527,
                    "R": 0.1376,
                    "f1": 0.1447
                },
                "span": {
                    "P": 0.4398,
                    "R": 0.5821,
                    "f1": 0.501
                }
            },
            "evaluate_eppc_stderr,none": "N/A"
        }
    },
    "EppcExtraction": {
        "alias": "EppcExtraction",
        "evaluate_eppc,none": {
            "code": {
                "P": 0.424,
                "R": 0.345,
                "f1": 0.3805
            },
            "sub-code": {
                "P": 0.1527,
                "R": 0.1376,
                "f1": 0.1447
            },
            "span": {
                "P": 0.4398,
                "R": 0.5821,
                "f1": 0.501
            }
        },
        "evaluate_eppc_stderr,none": "N/A"
    }
}

Dataset Details

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