{
  "assess.predict": {
    "traces": [],
    "train": [],
    "demos": [
      {
        "ground_truth_conversation": "(42) Doctor: I really hope you get better soon.\n(42) Patient: Thanks a lot. Thanks so much, for your time.\n(43) Doctor: OK. Bye bye.\n(43) Patient: OK. Bye.",
        "transcription_conversation": "(42) Doctor: I really hope you get better soon.\n(42) Patient: Thanks a lot. Thanks so much, for your time.\n(43) Doctor: OK. Bye bye.\n(43) Patient: ",
        "clinical_impact": "0"
      },
      {
        "ground_truth_conversation": "(0) Doctor: Hello? Hello. Um, before I go any further, can I confirm your name and your date of birth?\n(0) Patient: Uh, yeah. Uh my name is April, and I'm fifty.\n(1) Doctor: You're fifty, OK. April, how can I help you this afternoon?\n(1) Patient: Well I've just been having this like, cough, for quite a few days. And my nose is running. Um and it's just been super annoying, and it's not going away.",
        "transcription_conversation": "(0) Doctor: Hello? Hello. Um, before I go any further, can I confirm your name and your date of birth?\n(0) Patient: Uh, yeah. Uh my name is April, and I'm fifty.\n(1) Doctor: You're fifty, OK. April, how can I help you this afternoon?\n(1) Patient: well i've just been having this like cough for quite a few days and my nose is running and it's just been super annoying and it's not going away",
        "clinical_impact": "0"
      },
      {
        "ground_truth_conversation": "(44) Doctor: Any pain, or strong smell, or having to go more often than normal?\n(44) Patient: So, I, I, I don't really, I have noticed that I don't really go up that high before, so, yeah, I do drink a lot though.\n(45) Doctor: Right, OK. And any , any weight loss or blood in the stool, or urine?\n(45) Patient: Yes. I have . As I said, I have some, I guess, discharge and pain. But, then I there's isn't a lot of discharge.",
        "transcription_conversation": "(44) Doctor: Any pain, or strong smell, or having to go more often than normal?\n(44) Patient: So, I, I, I don't really, I have noticed that I don't really go up that high before, so, yeah, I do drink a lot though.\n(45) Doctor: Right, OK. And any , any weight loss or blood in the stool, or urine?\n(45) Patient: yes i have i was said i have some i can get some discharge and bleeding but then i do that there is no discharge",
        "clinical_impact": "2"
      },
      {
        "ground_truth_conversation": "(12) Doctor: Bit of tightness, OK, OK. So, I, unfortunately, I don't have much of your past medical history. Do you have any significant past medical or surgical history you'd like to share?\n(12) Patient: Uh, no, not really. Uh, a bit of eczema and I'm allergic to penicillin.\n(13) Doctor: OK. Are you on any regular medication at all? OK. Righty-ho. Are you having any rash on your body at the moment?\n(13) Patient: Yes there's a bit of blotching .",
        "transcription_conversation": "(12) Doctor: Bit of tightness, OK, OK. So, I, unfortunately, I don't have much of your past medical history. Do you have any significant past medical or surgical history you'd like to share?\n(12) Patient: Uh, no, not really. Uh, a bit of eczema and I'm allergic to penicillin.\n(13) Doctor: OK. Are you on any regular medication at all? OK. Righty-ho. Are you having any rash on your body at the moment?\n(13) Patient: yes there's a bit of blocking down here",
        "clinical_impact": "2"
      }
    ],
    "signature": {
      "instructions": "As a medical expert, your task is to evaluate the clinical impact of errors in a transcribed medical conversation. You will compare a \"Ground Truth Conversation\" with a \"Transcription Conversation\" to identify and assess any discrepancies.\n\nYour assessment must follow two steps:\n1.  **Reasoning:** Provide a brief clinical justification for your assessment. Identify the specific error(s) (e.g., word substitution, omission) and explain why they do or do not affect the medical meaning or potential patient care.\n2.  **Clinical Impact:** After your reasoning, assign a single numerical score based on the severity of the error(s).\n\nUse the following strict classification guide for the 'Clinical Impact' score:\n\n*   **0 = No impact:** Errors are purely cosmetic and do not alter medical meaning. This includes differences in punctuation, capitalization, or filler words (e.g., 'um', 'uh').\n*   **1 = Minimal impact:** Some information is missing or changed, but it is NOT critical to immediate diagnosis or treatment decisions. For example, obscuring details about a resolved past issue or losing minor, non-essential context.\n*   **2 = Significant impact:** Critical information is missing or incorrect in a way that COULD affect diagnosis, treatment decisions, or patient safety. Be especially vigilant for errors related to:\n    *   Medication names (e.g., \"Ibuprofen\" becomes \"upper brooklyn\")\n    *   Key symptoms (e.g., \"pain\" is changed to \"bleeding\")\n    *   Dosages, allergies, or critical patient history details.\n\nFirst, write your reasoning, then provide the final number for the clinical impact.",
      "fields": [
        {
          "prefix": "Ground Truth Conversation:",
          "description": "${ground_truth_conversation}"
        },
        {
          "prefix": "Transcription Conversation:",
          "description": "${transcription_conversation}"
        },
        {
          "prefix": "Reasoning:",
          "description": "Brief clinical justification for the assessment."
        },
        {
          "prefix": "Clinical Impact:",
          "description": "Clinical impact class (return ONLY the number):\n        0 = No impact: cosmetic differences only (punctuation, capitalization, filler words)\n        1 = Minimal impact: some information missing/changed but NOT critical to diagnosis or treatment decisions  \n        2 = Significant impact: missing/incorrect information that COULD affect diagnosis, treatment, or patient safety\n        Return ONLY: 0, 1, or 2"
        }
      ]
    },
    "lm": {
      "model": "openrouter/google/gemini-2.5-pro",
      "model_type": "chat",
      "cache": true,
      "num_retries": 3,
      "finetuning_model": null,
      "launch_kwargs": {},
      "train_kwargs": {},
      "temperature": 0.1,
      "max_tokens": 8000
    }
  },
  "metadata": {
    "dependency_versions": {
      "python": "3.13",
      "dspy": "3.0.4",
      "cloudpickle": "3.1"
    }
  }
}