Round Details
February 15, 2026 at 12:00 PM UTC
Scenario: Hypertension - Lisinopril
Maria Garcia, a 62-year-old female, presents with essential hypertension diagnosed 3 years ago. She is currently on Lisinopril 10mg once daily in the morning. Her blood pressure today is 138/85 mmHg. She reports occasional mild cough but otherwise tolerates the medication well. She is allergic to Penicillin.
How did the LLMs do?
Same LLM Tests
Reconstructed text
Maria Garcia is a 62-year-old female with an active allergy to penicillin. She has a history of essential hypertension with an onset of January 2021, and she is currently experiencing an active, occasional mild cough. She is actively taking Lisinopril 10 mg oral tablets, with a dosage of 10mg once daily in the morning. A recent vital signs observation on May 15, 2024, showed her blood pressure to be 138/85 mmHg.
Comparison8 issues
Missing information:
- patient otherwise tolerates the medication well
- statement that she otherwise tolerates lisinopril well aside from the occasional mild cough
- essential hypertension was diagnosed 3 years ago relative timing
Hallucinated:
- lisinopril formulation specified as oral tablets not stated in original
- specific vital signs observation date of may 15 2024 fabricated original states today
- specific hypertension onset date of january 2021 fabricated original states diagnosed 3 years ago
- hypertension onset date of january 2021 added
- blood pressure measurement date of may 15 2024 added
Reconstructed text
Maria Garcia is a 62-year-old female with a confirmed, active diagnosis of essential hypertension, with onset documented in 2022. She has a confirmed active medication allergy to penicillin, with criticality listed as unable to assess.
She is currently prescribed Lisinopril 10 mg oral tablet, taken once daily in the morning by mouth, for management of her essential hypertension. Her most recent blood pressure reading, obtained on July 9, 2025, was 138/85 mmHg, indicating her hypertension remains not fully controlled at target.
Of note, an adverse event has been documented in association with her Lisinopril use: she has been experiencing an occasional mild cough, categorized as mild in severity. This is a recognized side effect of ACE inhibitors and may warrant clinical reassessment of her antihypertensive regimen.
Comparison10 issues
Missing information:
- patient otherwise tolerates the medication well aside from the cough
- hypertension was diagnosed 3 years ago relative timing as stated in the original
Hallucinated:
- specific blood pressure date of july 9 2025 fabricated original only states today
- interpretation that hypertension remains not fully controlled at target is not stated in the original
- specific onset year of 2022 added original states diagnosed 3 years ago without specifying a year
- penicillin allergy criticality described as unable to assess is fabricated detail not in original
- recommendation that cough may warrant clinical reassessment of her antihypertensive regimen is fabricated clinical commentary not in the original
- diagnosis onset year of 2022 added
- allergy criticality listed as unable to assess added
- statement that the cough is a recognized side effect of ace inhibitors and may warrant clinical reassessment added
Reconstructed text
Maria Garcia is a 62-year-old female patient with a confirmed allergy to Penicillin. She has a diagnosis of essential hypertension, confirmed in 2019. For her hypertension, she is prescribed Lisinopril 10mg oral tablets, which she takes once daily in the morning, a regimen started in 2019. Her most recent blood pressure reading, taken on September 15, 2023, was 138/85 mmHg. Additionally, she was noted to have a mild cough on the same date.
Comparison10 issues
Missing information:
- cough described as occasional in the original
- patient otherwise tolerates the medication well
Hallucinated:
- specific date september 15 2023 for blood pressure reading fabricated original only says today
- specific year 2019 for hypertension diagnosis fabricated original says 3 years ago
- lisinopril regimen start date of 2019 fabricated not stated in original
- lisinopril formulation specified as oral tablets not stated in original
- cough tied to september 15 2023 original gives no date for cough
- diagnosis year specified as 2019 instead of 3 years ago
- added that the lisinopril regimen was started in 2019
- added medication form oral tablets for lisinopril
Reconstructed text
Maria Garcia (female, born 1964) has a confirmed, active medication allergy to penicillin (penicillin V).
She carries an active, confirmed diagnosis of essential hypertension, with onset documented as 2023-03-09 (problem list item).
On 2026-03-09, she had a finished ambulatory encounter. During this encounter, her blood pressure was recorded as 138/85 mmHg (systolic 138 mmHg, diastolic 85 mmHg).
For treatment of her hypertension, an active medication order was authored on 2026-03-09 for lisinopril 10 mg oral tablet, to take 10 mg by mouth once daily in the morning. The patient reports an occasional mild cough but otherwise tolerates lisinopril well; this symptom was also documented as an observation on 2026-03-09 with mild severity.
Comparison13 issues
Missing information:
- patient age stated as 62 years old
Hallucinated:
- specific hypertension onset date 20230309 fabricated original only states diagnosed 3 years ago
- penicillin allergy specified as penicillin v original only states penicillin generally
- specific birth year 1964 fabricated original only states age 62
- specific encounter date 20260309 fabricated original does not mention a specific date
- birth year addedassumed as 1964 not stated in original scenario
- encounter date added as 20260309 and described as a finished ambulatory encounter no encounter datetypestatus in original
- medication order being authored on 20260309 original states she is currently taking lisinopril not that a new order was written that day
- cough documented as an observation on 20260309 with mild severity original mentions occasional mild cough but does not provide documentation date or that it was an observation
- birth year 1964 added
- penicillin allergy specified as penicillin v
- specific encounter date 20260309 added
- encounter type finished ambulatory encounter added
Cross LLM Tests
Reconstructed text
Maria Garcia, a 62-year-old female, presents with a medical history of essential hypertension, which is currently active. She has been prescribed Lisinopril 10 MG Oral Tablet, with dosage instructions to take 10 mg once daily in the morning. Her recent vital signs include a blood pressure reading of 138/85 mmHg. Additionally, she has an active condition of mild cough. Ms. Garcia has a documented allergy to penicillin V, which is currently active. Her clinical status reflects ongoing management of hypertension and a recent observation of mild cough, with no other acute conditions noted at this time.
Comparison9 issues
Missing information:
- hypertension was diagnosed 3 years ago
- patient otherwise tolerates the medication well
- the cough is described as occasional in the original
- cough is occasional
Hallucinated:
- mild cough characterized as an active condition rather than a reported occasional symptom
- allergy specified as penicillin v when original states penicillin broadly
- allergy specified as penicillin v rather than the original penicillin drug specificity addedchanged
- allergy specified specifically as penicillin v instead of general penicillin
- lisinopril specified as oral tablet
Reconstructed text
Maria Garcia, a female patient born in 1964, presented for an ambulatory visit on March 9, 2026. She has a confirmed, high-criticality medication allergy to penicillin V. Her medical history is notable for an active diagnosis of essential hypertension, with an onset date of March 9, 2023.
During the visit, her blood pressure was measured at 138/85 mmHg. For the management of her essential hypertension, there is an active order for Lisinopril 10 mg oral tablets, with instructions to take 10 mg by mouth once daily in the morning. Observations and clinical notes from the encounter indicate that the patient reports experiencing an occasional mild cough, but she otherwise tolerates the lisinopril well.
Comparison10 issues
Hallucinated:
- penicillin allergy specified as penicillin v rather than general penicillin
- highcriticality designation added to the penicillin allergy not stated in original
- specific birth year of 1964 fabricated original only states age 62
- specific visit date of march 9 2026 fabricated
- specific onset date of march 9 2023 fabricated original only states diagnosed 3 years ago
- encounter date added ambulatory visit on march 9 2026 not present in original
- allergy alteredspecified reconstructed lists penicillin v original states allergy to penicillin without specifying type
- birth year 1964 added
- allergy severity highcriticality added
- hypertension onset exact date march 9 2023 added
Reconstructed text
Maria Garcia is a female born in 1963. She has a confirmed, active diagnosis of essential (primary) hypertension (SNOMED 59621000; ICD-10 I10), listed as a problem list item with onset documented in 2022. She also has a confirmed, active medication allergy to penicillin (categorized as a medication allergy).
For hypertension management, she has an active medication order for lisinopril 10 mg oral tablet, to be taken 10 mg by mouth once daily in the morning (ordered dose 10 mg; oral route). This medication is specifically indicated for her essential hypertension.
On 2025-07-11, her blood pressure was recorded as 138/85 mmHg (systolic 138 mmHg, diastolic 85 mmHg). On the same date, she reported an occasional mild cough, noted as likely an ACE inhibitor–related adverse effect, but she otherwise tolerates the medication well.
Comparison13 issues
Hallucinated:
- cough characterized as likely an ace inhibitorrelated adverse effect is not stated in the original original only reports occasional mild cough without attribution
- birth year 1963 fabricated original only states age 62 which could correspond to birth year 1962 or 1963
- specific visit date 20250711 fabricated original only states today
- patient birth year addedchanged to born in 1963 original only states she is 62 years old no dobbirth year provided
- hypertension onset documented as 2022 original states diagnosed 3 years ago without a specific year
- added coding details for hypertension snomed 59621000 icd10 i10 not present in original
- added statusclinical context that hypertension is a confirmed active problem list item original does not specify problem list status
- added statusordering context that there is an active medication order for lisinopril original only states she is currently on lisinopril
- specific encounterdate introduced on 20250711 for the blood pressure reading and cough report original only says today
- birth year 1963 added
- snomed 59621000 and icd10 i10 codes added
- specific encounter date 20250711 added
- cough described as likely an ace inhibitorrelated adverse effect added
Reconstructed text
Maria Garcia is a 64-year-old female with a confirmed active medication allergy to penicillin. She has a confirmed diagnosis of essential hypertension with an onset date of January 1, 2020. For management of her hypertension, she has an active prescription for Lisinopril 10 mg oral tablet, dosed at 10 mg once daily in the morning at 08:00.
Her most recent blood pressure reading, recorded on January 1, 2023, was 138/85 mmHg, indicating her blood pressure remains mildly elevated above target despite current therapy. An observation from the same date also noted an occasional mild cough, which may warrant monitoring as cough is a recognized side effect of ACE inhibitor therapy such as lisinopril.
Comparison13 issues
Missing information:
- patient otherwise tolerates the medication well
- hypertension was diagnosed 3 years ago duration not stated in reconstruction
- statement that she otherwise tolerates lisinopril well beyond the mild cough
Hallucinated:
- age changed from 62 to 64
- specific date of january 1 2023 for blood pressure reading fabricated original only says today
- hypertension onset date added as january 1 2020 not provided in original
- specific onset date of january 1 2020 fabricated original states diagnosed 3 years ago
- specific time of 0800 for morning dose fabricated original only says in the morning
- exact administration time added 0800 for lisinopril dosing not provided in original
- medication formulationdetails added lisinopril 10 mg oral tablet active prescription not specified in the original
- added interpretation that bp is mildly elevated above target despite current therapy not stated in the original
- added recommendationimplication that the cough may warrant monitoring original only reports occasional mild cough
- specific medication administration time of 0800 added