Round Details
September 30, 2026 at 07:27 AM 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 woman with active, confirmed essential (primary) hypertension, diagnosed 3 years ago. She currently takes lisinopril 10 mg once daily in the morning for hypertension. She reports an occasional mild cough but otherwise tolerates the medication well. Her blood pressure, documented as measured today, was 138/85 mmHg. She has an active, reported penicillin allergy, with no reaction specified.
Comparison
No discrepancies found by any verifier.
Reconstructed text
Maria Garcia is a 62-year-old female with a confirmed, active medication allergy to penicillin. She was seen for a completed ambulatory encounter for essential hypertension (SNOMED CT 59621000; ICD-10-CM I10). This condition is active, confirmed, and on her problem list. It was diagnosed three years ago, at age 59.
For her hypertension, she has an active order for lisinopril 10 mg oral tablet, taken as 10 mg by mouth once daily in the morning. She tolerates the medication well but reports an occasional mild cough. Her blood pressure at this visit was 138/85 mmHg.
The cough was recorded as an active encounter diagnosis of mild severity (SNOMED CT 49727002). The patient reports it as occasional and mild, occurring while on lisinopril, and is otherwise tolerating the medication well.
Comparison6 issues
Hallucinated:
- cough formally recorded as an active encounter diagnosis snomed ct 49727002 the original only says she reports occasional mild cough and does not list it as a diagnosis
- lisinopril formulation and route specified as oral tablet by mouth the original gives only lisinopril 10mg once daily in the morning
- encounter setting specified as a completed ambulatory encounter the original only says she presents and gives no setting
- the visit is described as a completed ambulatory encounter the original does not specify the encounter setting or completion status
- essential hypertension is stated to be on the patients problem list the original does not document problemlist placement
- an active order for lisinopril oral tablets is asserted the original states current medication use but does not specify an order or tablet formulation
Reconstructed text
Maria Garcia, a 62-year-old female born on January 1, 1963, has a confirmed diagnosis of essential hypertension with onset in January 2022. She has a confirmed medication allergy to penicillin V. On June 25, 2025, at 10:00 AM, her blood pressure was measured at 138/85 mmHg, and she was prescribed lisinopril 10mg oral tablet to be taken once daily at 8:00 AM.
Comparison14 issues
Missing information:
- statement that she otherwise tolerates the medication well
- report of occasional mild cough a possible ace inhibitor side effect
- that she is already on lisinopril as an established medication rather than newly prescribed
- she reports an occasional mild cough
Hallucinated:
- birth date january 1 1963 added
- diagnosis onset given as january 2022 when the original only says diagnosed 3 years ago
- lisinopril described as prescribed at this encounter implying a new prescription when the original says she is currently on it
- allergy changed from penicillin to the specific penicillin v
- visit date and time june 25 2025 at 1000 am added
- formulation oral tablet added
- the penicillin allergy was narrowed to penicillin v without support from the original
- the blood pressure measurement was assigned to june 25 2025 at 1000 am the original only says it was measured today
- the lisinopril formulation was specified as an oral tablet which was not stated in the original
- the morning lisinopril dose was assigned an exact administration time of 800 am
Cross LLM Tests
Reconstructed text
Maria Garcia is a 62-year-old female with a known penicillin allergy. She has a confirmed diagnosis of essential hypertension, first identified three years ago, for which she takes lisinopril 10mg once daily in the morning. Her blood pressure today was 138/85 mmHg. She reports an occasional mild cough, which may be related to the lisinopril, though she otherwise tolerates the medication well. The cough is noted as a mild, active condition.
Comparison2 issues
Hallucinated:
- cough attributed to lisinopril may be related to the lisinopril the original does not link the cough to the medication
- cough documented as a mild active condition the original does not classify the cough as an active problem or diagnosis
Reconstructed text
Maria Garcia is a female patient born in 1963 with active, confirmed essential (primary) hypertension on her problem list. Onset is recorded as 2022, with a note describing diagnosis approximately three years ago. She has an active prescription for lisinopril 10 mg oral tablets, taken as 10 mg by mouth once daily in the morning for hypertension. Her finalized blood pressure measurement recorded in 2025 was 138/85 mmHg.
She reports an occasional mild cough while taking lisinopril, an ACE inhibitor, but otherwise tolerates the medication well. The cough is documented as an active, confirmed encounter diagnosis of mild severity. She also has an active, confirmed medication allergy to penicillin; no reaction details are provided.
Comparison6 issues
Missing information:
- the patients stated age of 62 years
- the blood pressure measurement was taken today
Hallucinated:
- birth year 1963 is added the original provides only the patients age
- hypertension onset is assigned to 2022 the original states only that it was diagnosed three years ago
- the blood pressure measurement is dated to 2025 no calendar year is provided in the original
- the reported occasional mild cough is represented as an active confirmed encounter diagnosis the original documents it only as a reported symptom
Reconstructed text
Clinical Narrative
Maria Garcia is a 63-year-old female, born in 1962. She has a confirmed, active medication allergy to penicillin (Penicillin V), with low criticality.
She has a confirmed, active diagnosis of essential hypertension, with onset in 2021. She has an active order for lisinopril 10 mg oral tablets, taken as 10 mg by mouth once daily in the morning at 8:00 AM.
On December 19, 2024, her blood pressure was 138/85 mmHg. On the same date, she reported an occasional mild cough.
Comparison10 issues
Missing information:
- statement that she otherwise tolerates lisinopril well
Hallucinated:
- age changed from 62 to 63 years old
- birth year 1962 added
- allergy criticality low added
- specific date december 19 2024 added for the blood pressure reading and cough report
- penicillin allergy specified as penicillin v which is not in the original
- specific administration time of 800 am added
- penicillin allergy narrowed to penicillin v without supporting information
- hypertension onset assigned to 2021 the original states only that it was diagnosed 3 years ago
- exact lisinopril administration time of 800 am added the original specifies only once daily in the morning