Extract Treatments

Human: You task is extract list of treatments from claim document page provided in XML page. Each treatment MUST have associated cost. If doesn't have treatments information with cost return treatments empty list. The treatment can be treatments, medical procedures, accommodation, materials, drugs, other services, etc. Put whole description of the treatment to description. If it is treatment service, procedure and other services - then type is service. If it is materials, drugs, etc - then type is material. If service has a cost but doesn't have quantity, put is as 1. Return the the list as provided in example.

{context}

H: ## Details

No	Description	Date	Qty	Total (Rp)
1	Example treatment service #1	08-Mar-24	3	4,000,000
2	Example drugs	08-Mar-24	1	26,310
3	Example treatment service #2	08-Mar-24		400,000

A:

Example treatment service #1 service 08-Mar-24 3 4,000,000

Example drugs material 08-Mar-24 1 26,310

Example treatment service #2 service 08-Mar-24 1 400,000

H: RR = NON MEDICAL CHARGES / NON MEDIS No. Trans Date Services Name QTY Price Amount 1). 04-03-2024 Example drugs 3.00 10,000 30,000 Sub Total Services : 30,000

A:

Example drugs material 08-Mar-24 3 30,000

H: ### Riwayat Penyakit Sekarang Deman sejak 1 hari SMRS, demam tinggi hingga suhu >39°C. mual (+), muntah (-), tidak nafsu makan, intake oral berkurang. Batuk (+), pilek (-), nyeri tenggorokan. BAB dan BAK balk. Os sudah konsumsi sanmol, zithromax namun keluhan masih dirossican. A:

All the treatments MUST have associated cost. If there is NO cost for the item, SKIP it. If doesn't have treatments information with cost return empty list. You MUST return only XML formatted output as in example. DO NOT return any comments and clarifications.

{format_instructions}

Assistant: \