75 long-horizon healthcare workflow tasks
Three domains · 25 tasks each. Each task is a single end-to-end clinical or administrative workflow scored with a rubric judge. Click a task to read the agent-facing instructions.
- Prior Authorizationpa_t008_t008_o002_p01_new_referral_provider
Clinical Intake — Morbid (severe) obesity due to excess calories
A 45-year-old female with a 10+ year history of severe obesity (BMI 42.3 kg/m², 262 lbs at 5'6") presents following two completed supervised dietary and behavioral weight-loss programs, each producing approximately 8 pounds of short-term loss before regain. Comorbid conditions include hypothyroidism on levothyroxine (TSH within range) and borderline glycemia on low-dose metformin; she does not carry a frank diabetes diagnosis. The referring surgeon recommends further evaluation and treatment.
- Prior Authorizationpa_t011_t011_o003_p01_new_referral_provider
Clinical Intake — Malignant neoplasm of unspecified site of right female breast
A 45-year-old woman with a personal history of right-sided invasive ductal carcinoma diagnosed in mid-2024, managed with lumpectomy, sentinel node biopsy, and completion of adjuvant dose-dense chemotherapy followed by weekly taxane therapy. She is currently tolerating adjuvant endocrine therapy well, with residual mild peripheral neuropathy. Notably, her mother was diagnosed with serous ovarian malignancy at age 52, and a maternal aunt carried a diagnosis of a hormone-sensitive solid tumor in her late 40s; no prior germline evaluation has been performed. Given this significant multigenerational maternal history in the setting of her own diagnosis at a young age, her oncologist recommends further evaluation by a genetic counseling specialist.
- Prior Authorizationpa_t012_t012_o001_p01_new_referral_provider
Clinical Intake — Primary open-angle glaucoma
A 68-year-old female presents with a 33-month history of primary open-angle glaucoma of the right eye, initially detected on routine ophthalmologic examination with elevated intraocular pressure and an increased cup-to-disc ratio. Despite over two years of first-line topical prostaglandin analog therapy with good adherence, intraocular pressure remains above the target range at 22 mmHg, and structural evaluation reveals mild inferior rim thinning with borderline nerve fiber layer thinning on imaging. Concurrent progressive lens opacity in the right eye has reduced best-corrected visual acuity to 20/50, causing functional visual impairment. Her ophthalmologist notes that conservative medical management has yielded only partial pressure reduction and recommends further surgical evaluation to address both the pressure control and the visually significant lens changes.
- Prior Authorizationpa_t013_t013_o002_p01_new_referral_provider
Clinical Intake — Radiculopathy
A 58-year-old female presents with a 3-month history of progressive lumbar pain radiating into the left posterior thigh and lateral calf, onset in January 2026. Imaging obtained in February confirmed a left paracentral disc herniation at the L4-L5 level with moderate compression of the left L5 nerve root. She has experienced significant functional decline — unable to sit for extended periods, struggling with stairs, and unable to perform bending or lifting tasks — despite trials of oral anti-inflammatory agents and a corticosteroid dose pack, both yielding only partial and temporary relief. Dr. Rivera, her orthopedic surgeon, recommends further evaluation and structured rehabilitation to address her persistent radiculopathy and declining activity tolerance.
- Prior Authorizationpa_t014_t014_o001_p01_new_referral_provider
Clinical Intake — Leiomyoma of uterus
A 47-year-old female presents with a 12-month history of symptomatic uterine fibroids, the largest measuring 4.8 cm, causing debilitating menorrhagia with clot passage and significant pelvic pressure. Workup confirms chronic iron deficiency anemia with hemoglobin of 10.2 g/dL and hematocrit of 31.4%, attributed to ongoing blood loss. Conservative measures including NSAIDs, antifibrinolytic therapy, and hormonal IUD placement have each been trialed and failed — the IUD spontaneously expelled at 12 weeks due to fibroid distortion of the uterine cavity. Endometrial biopsy and cervical cytology are both benign. The patient has completed childbearing and, following thorough counseling on all available options, Dr. Chen refers her for definitive surgical management.
- Prior Authorizationpa_t015_t015_o002_p01_new_referral_provider
Clinical Intake — Palpitations
A 67-year-old woman with a 15-year history of well-controlled hypertension and type 2 diabetes presents with a 4-month history of intermittent palpitations occurring every 6–8 weeks, each episode lasting several seconds and described as a sudden awareness of a rapid, irregular heartbeat without associated syncope, chest pain, or shortness of breath. Resting 12-lead ECG demonstrated normal sinus activity with occasional premature atrial contractions, and cardiac imaging confirmed preserved left ventricular function with an ejection fraction of 60% and no structural abnormality. Thyroid function and electrolyte panels are within normal limits. Dr. Whitfield recommends further evaluation to characterize the episodic nature of her cardiac events.
- Prior Authorizationpa_t016_t016_o001_p01_new_referral_provider
Clinical Intake — Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris
A 62-year-old male with known coronary artery disease — including a prior drug-eluting stent placed to the mid-left anterior descending artery in 2022 for unstable angina — presented with a three-month history of recurrent chest tightness occurring with moderate exertion such as stair climbing and uphill walking, relieved by cessation of activity. He has been maintained on optimized guideline-directed medical therapy with controlled lipids, blood pressure, and glycemia; serial cardiac biomarkers are negative for acute injury, and left ventricular function was preserved on a recent cardiac evaluation. Despite full medical optimization including dual antiplatelet therapy, the exertional symptoms have persisted, and Dr. Mehta refers the patient for further specialist assessment to evaluate the functional significance of his coronary anatomy.
- Prior Authorizationpa_t017_t017_o001_p01_new_referral_provider
Clinical Intake — Obstructive sleep apnea
A 54-year-old male presents with a 12-month history of loud snoring, witnessed apneas reported by his spouse, and significant daytime somnolence with an Epworth Sleepiness Scale score of 14. Attended sleep study confirmed moderate-severe obstructive sleep apnea with an apnea-hypopnea index of 22 events per hour and nadir oxygen saturation of 82%. Conservative airway pressure therapy was trialed over three months with documented intolerance — average nightly use of 2.3 hours, complicated by claustrophobia and persistent skin breakdown at the mask interface despite two mask refittings. Pharyngeal examination reveals an elongated soft palate and 3+ tonsillar hypertrophy; the otolaryngologist recommends further evaluation and surgical management.
- Prior Authorizationpa_t018_t018_o001_p01_new_referral_provider
Clinical Intake — Headache
A 48-year-old woman with a history of hypertension presents with a three-week course of progressive headaches accompanied by a new left-sided facial droop first noted approximately one week ago. She denies seizure activity, loss of consciousness, or recent head trauma. Neurological examination demonstrates left facial weakness consistent with an upper motor neuron pattern, with the remainder of the examination non-focal. Given concern for intracranial pathology that cannot be excluded on clinical grounds alone, the treating neurologist recommends urgent advanced cross-sectional neuroimaging at a hospital-based outpatient facility, noting that community imaging centers in the area carry a five-to-seven business day scheduling delay.
- Prior Authorizationpa_t019_t019_o001_p01_new_referral_provider
Clinical Intake — Obstructive sleep apnea
A 54-year-old male presents with a 34-month history of moderate-to-severe obstructive sleep apnea confirmed on attended polysomnography (AHI 38.2 events/hr). He completed a supervised 90-day PAP trial across three mask interfaces but remained intolerant due to persistent claustrophobia and mask leak, with average nightly use under two hours—well below therapeutic thresholds. BMI is 31.2 kg/m². Drug-induced sleep endoscopy revealed a concerning collapse pattern at the velum with features ambiguous between concentric and anteroposterior-dominant configurations, and no prior pharyngeal surgery has been performed. Given persistent symptomatic burden and documented PAP failure, the treating otolaryngologist recommends specialist assessment for surgical management options.
- Prior Authorizationpa_t021_t021_o003_p01_new_referral_provider
Clinical Intake — Complete rotator cuff tear or rupture of right shoulder
This 54-year-old male presents with a 6-month history of progressive right-sided periscapular pain and proximal arm weakness, rated 6-7/10 at rest and significantly worse with overhead activities and at night. Advanced imaging obtained in November 2025 demonstrated a large full-thickness tendon disruption with nearly 3 cm of retraction involving both the supraspinatus and infraspinatus, along with moderate labral fraying and mild glenohumeral degenerative changes. He completed 12 weeks of structured physical therapy without meaningful functional recovery, and a subacromial corticosteroid injection provided only transient relief before symptoms returned to baseline. Given persistent limitations in activities of daily living — including inability to dress independently or perform overhead tasks — Dr. Tanaka recommends further evaluation for definitive management.
- Prior Authorizationpa_t022_t022_o001_p01_new_referral_provider
Clinical Intake — Rheumatoid arthritis
This 57-year-old female with seropositive rheumatoid arthritis diagnosed in 2021 presents for ongoing management of inflammatory joint disease. She failed approximately 18 months of first-line subcutaneous biologic therapy with persistent joint swelling and elevated inflammatory markers before transitioning to her current intravenous biologic regimen, now 14 administrations completed with good clinical response and well-controlled inflammatory markers (CRP 0.8 mg/dL). Concurrent anchor therapy with methotrexate continues at 15mg weekly. Comorbidities include well-managed hypertension and hypothyroidism on stable regimens. Dr. Patel refers for authorization of continued specialist-directed biologic administration.
- Prior Authorizationpa_t023_t023_o003_p01_new_referral_provider
Clinical Intake — Headache
A 52-year-old woman presents with a 3-month history of progressive, persistent headaches accompanied by intermittent dizziness and photophobia, with onset in mid-December 2025. Neurological examination demonstrated bilateral papilledema and mild left-sided hyperreflexia; initial non-invasive cranial imaging was unremarkable, ruling out acute hemorrhage or sizeable mass effect. She has no personal history of headache disorder or head trauma, no visual field deficits, and family history is notable for a maternal relative with a cerebrovascular anomaly. Current management with analgesics provides only partial relief. Dr. Vasquez recommends further advanced neurological evaluation to characterize the underlying etiology of the raised intracranial findings.
- Prior Authorizationpa_t024_t024_o001_p01_new_referral_provider
Clinical Intake — Rheumatoid arthritis
A 58-year-old female with a 3-year history of seropositive rheumatoid arthritis diagnosed in April 2023 presents with persistent moderate-to-severe disease activity despite conventional and biologic therapy. She completed a 5-month trial of a TNF inhibitor, which was discontinued in November 2025 due to inadequate response, with DAS28-ESR remaining above 5.1 at both the 3- and 5-month assessments. She continues on weekly methotrexate with only partial benefit; current examination reveals eight swollen joints, twelve tender joints, and bilateral hand and wrist range-of-motion limitation, with markedly elevated inflammatory markers (ESR 42, CRP 2.8, RF 128, anti-CCP >250). Dr. Ramanathan has exhausted first-line biologic options and refers the patient for specialist assessment of an alternative advanced therapy.
- Prior Authorizationpa_t026_t026_o003_p01_new_referral_provider
Clinical Intake — Encounter for screening for malignant neoplasm of colon
A 58-year-old male presents for age-appropriate preventive care per current guideline recommendations. Comorbidities include well-controlled essential hypertension on lisinopril and mild hyperlipidemia on atorvastatin; there is no personal or family history of polyps or inflammatory bowel disease. He reports subjective sensitivity to sedation from a dental procedure approximately seven years ago, without any formal anesthetic complication documented at that time. Pre-procedure laboratories — CBC, basic metabolic panel, and fasting lipid profile — are unremarkable. The referring gastroenterologist recommends further evaluation.
- Prior Authorizationpa_t027_t027_o002_p01_new_referral_provider
Clinical Intake — Chronic maxillary sinusitis
A 46-year-old non-smoking female presents with four months of progressive bilateral nasal congestion, facial pressure, and thick mucopurulent drainage beginning late September 2025. She carries a background of perennial allergic rhinitis managed with daily antihistamine therapy. Despite two sequential 14-day courses of amoxicillin-clavulanate, over three months of intranasal corticosteroid spray, and daily saline nasal irrigation, symptoms have persisted with only modest relief of congestion and no resolution of facial pressure or purulent discharge. Nasal endoscopy on 11/03/2025 confirmed bilateral middle meatal edema with active purulent drainage, and her otolaryngologist has exhausted appropriate medical therapies and recommends further evaluation.
- Prior Authorizationpa_t028_t028_o001_p01_new_referral_provider
Clinical Intake — Parasomnia
A 42-year-old male presents with an 8-month history of violent nocturnal movements—thrashing, kicking, and vocalizations confirmed by his bed partner, with one episode resulting in physical injury to his spouse. He endorses marked daytime somnolence (Epworth score 16/24), loud habitual snoring, and two near-miss drowsy-driving incidents. BMI is 34.1. Conservative management with escalating nightly melatonin has yielded no benefit. Clinical assessment by Dr. Patel raises concern for a parasomnia with violent REM-associated behavior; no prior formal nocturnal diagnostic study has been performed. Dr. Patel recommends further specialist evaluation to characterize the underlying disorder.
- Prior Authorizationpa_t029_t029_o001_p01_new_referral_provider
Clinical Intake — Spondylosis without myelopathy or radiculopathy
Mr. Patterson is a 57-year-old male with an eight-month history of chronic low back pain and intermittent left lower extremity discomfort attributed to spondylotic changes at the L4-L5 level with associated facet arthropathy on recent spinal imaging. He has completed a full course of structured physical therapy with minimal improvement, trialed anti-inflammatory and muscle relaxant therapy with only partial relief, and underwent a transforaminal epidural steroid injection that provided only transient benefit lasting approximately two weeks. Neurological examination is currently non-focal, though he reports pain with spinal extension and continued functional limitation with activities of daily living. Given the failure of conservative measures, Dr. Patterson recommends further evaluation to guide management.
- Prior Authorizationpa_t030_t030_o002_p01_new_referral_provider
Clinical Intake — Hallux rigidus
A 68-year-old female with well-controlled hypertension and type 2 diabetes presents with an 18-month progressive course of pain and rigidity at the base of the right great toe, exacerbated by walking and any activity requiring dorsiflexion. She has trialed shoe inserts without adequate relief, and her symptoms have continued to worsen despite conservative management. She has no prior foot surgery and her diabetes remains well controlled (HbA1c 6.8–7.1%). Having exhausted non-operative options, her treating podiatrist recommends further evaluation to address the progressive functional limitation.
- Prior Authorizationpa_t031_t031_o001_p01_new_referral_provider
Clinical Intake — Complete rotator cuff tear or rupture of right shoulder
A 47-year-old male electrician presents with a 6-month history of progressive right glenohumeral pain and functional limitation following repetitive overhead occupational activity beginning in October 2025. Initial self-management with over-the-counter analgesics and subsequent prescription anti-inflammatory therapy has provided only partial relief, with persistent inability to perform overhead tasks and significant sleep disruption. Formal outpatient physiotherapy consisting of three documented sessions was completed without satisfactory functional improvement. Advanced diagnostic imaging obtained in February 2026 demonstrated a partial-thickness supraspinatus tendon tear; the treating orthopedic surgeon recommends further evaluation to guide definitive management.
- Prior Authorizationpa_t032_t032_o002_p01_new_referral_provider
Clinical Intake — Cervical disc degeneration
A 52-year-old male presents with an 11-month history of progressive neck pain, bilateral upper extremity numbness, tingling, and grip weakness originating at two adjacent spinal levels. He has since developed intermittent gait unsteadiness and a positive Hoffmann sign on the right, raising concern for early myelopathic changes. Imaging demonstrates degenerative spinal disease with foraminal narrowing and central canal compromise at both affected levels. Conservative management — two formal physical therapy programs, chiropractic manipulation, three epidural steroid injections, and ongoing pharmacotherapy with gabapentin and meloxicam — has failed to provide sustained relief; Dr. Patel refers for specialist surgical assessment.
- Prior Authorizationpa_t033_t033_o001_p01_new_referral_provider
Clinical Intake — Partial traumatic metacarpophalangeal amputation of left hand
A 38-year-old male sustained traumatic loss of digits 2–5 of the left hand at the metacarpophalangeal level following an industrial press injury in November 2025, requiring emergent surgical debridement and partial ray resection at the initial treating facility. Over the subsequent five months he has experienced persistent, significant functional limitations including markedly reduced grip strength and fine motor control, precluding return to his prior occupation. A trial of a body-powered assistive device was completed but deemed inadequate — insufficient grip force and poor dexterity for work-related fine motor tasks prompted prosthetist recommendation for a more advanced solution. Electrodiagnostic evaluation confirmed adequate motor signal from four residual forearm muscle groups with a successful simulator trial; Dr. Ramanathan recommends further evaluation for advanced functional restoration options.
- Prior Authorizationpa_t034_t034_o002_p01_new_referral_provider
Clinical Intake — Localization-related (focal)(partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures
A 38-year-old male with focal epilepsy diagnosed in 2019 presents with persistent seizures characterized by impaired awareness, occurring 3–4 times per month despite optimized pharmacotherapy. He was initiated on levetiracetam approximately 18 months ago with partial reduction in seizure frequency from roughly 6 to 3–4 episodes per month; breakthrough events continue despite a confirmed therapeutic serum level documented in January 2026. Electroencephalography performed in November 2025 identified left temporal interictal epileptiform discharges, while brain neuroimaging from October 2025 was unremarkable. Dr. Kapoor refers the patient for specialist evaluation of additional treatment options given continued seizure burden on current antiseizure therapy.
- Prior Authorizationpa_t035_t035_o001_p01_new_referral_provider
Clinical Intake — Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset
A 54-year-old woman presents with a 14-month history of recurrent seizure-like episodes characterized by staring spells, left-hand automatisms, and post-ictal confusion lasting 5 to 10 minutes. Outpatient EEG in late 2025 demonstrated left temporal intermittent rhythmic delta activity without definitive ictal capture. She has been maintained on levetiracetam, titrated to 1000 mg twice daily, with persistent breakthrough events occurring 2 to 3 times per month despite dose optimization. Dr. Krishnamurthy recommends further inpatient neurophysiologic evaluation for definitive seizure type classification and presurgical assessment.
- Prior Authorizationpa_t036_t036_o002_p01_new_referral_provider
Clinical Intake — Disease of stomach and duodenum
A 59-year-old male presents with an 8-month history of intermittent epigastric discomfort, nausea, and early satiety refractory to escalating proton pump inhibitor therapy. Prior cross-sectional imaging in December 2025 demonstrated gastric wall thickening with a 6 mm submucosal lesion of uncertain etiology, raising concern given a family history of gastric malignancy in a first-degree relative diagnosed at age 62. A prior attempt at intraluminal evaluation in September 2025 was aborted at the esophageal level due to severe gag reflex, leaving the gastric lesion uncharacterized. H. pylori has been excluded; hemoglobin is at the lower margin of normal. Dr. Reinhardt recommends further evaluation to characterize the submucosal lesion and exclude malignancy.