27 extractive question-and-answer pairs built from Severe Pneumonia, published by icmr.gov.in. The source is a 1-page publication. Source-evidenced topics include icd10-j18.9, general danger signs, foreign body aspiration, asthma, immunization, pneumococcus, influenza, oral amoxicillin. Every answer is a verbatim span of text the source prints, and each row carries the passage it sits in, its offset in that passage, the source quote, the page and the location in the document, so any row can be checked against the original. Question types in the export: 15 factual, 9 list, 2 summary, 1 relationship. 12 of the 27 pairs (44.4%) ask explanatory questions; the remaining 15 are factual or table-based questions. 96.30% of rows pass the corpus quality gate.
This dataset contains 27 extractive question-and-answer pairs derived from a single-page publication by the Indian Council of Medical Research (ICMR) on severe pneumonia. The questions cover topics such as diagnostic criteria, treatment protocols, and danger signs in pediatric pneumonia cases. Each answer is a verbatim excerpt from the source document, ensuring traceability. The dataset includes factual, list-based, summary, and relationship questions, with nearly half focusing on explanatory content.
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# One-time install: pip install desidata
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import desidata
df = desidata.load("www-icmr-gov-in-671a9a2970fbb79e2de92865c2851a96")
df.head()First 10 of 27 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_document | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|---|
| What past medical history could suggest asthma in a child with sudden onset choking and breathlessness? | history of improvement with nebulized medications | Sudden onset choking and breathlessness. Similar illness in past, if yes, history of improvement with nebulized medications to consider asthma. Influenza like illness in family over past 2 weeks: to consider treatment for influenza. Asthma/allergy in family. Immunization (age appropriate specifically vaccination included in national schedule and Pneumococcus, Influenza). | 74 | relationship | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952336_paediatrics_severe_pneumonia.pdf | Similar illness in past, if yes, history of improvement with nebulized medications to consider asthma. | 1 | page=1,block=14 | 0.700 | valid |
| Under what conditions should a child with pneumonia be switched to oral Amoxicillin? | Child is afebrile, RR has returned to below age specific cutoffs, no chest indrawing and accepting orally | WHEN AND WHAT TO SWITCH TO ORAL AND DURATION: • Child is afebrile, RR has returned to below age specific cutoffs, no chest indrawing and accepting orally: switch to oral Amoxicillin to complete a total of 5-7 days duration (include duration of IV also in it). • If getting Doxacillin/Amoxyclav: continue oral Cloxacillin or Amoxclav for 2 weeks. • Start feeding as soon as possible when child shows improvement. IF ASSOCIATED SAM: follow treatment guidelines for SAM. | 48 | summary | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952336_paediatrics_severe_pneumonia.pdf | WHEN AND WHAT TO SWITCH TO ORAL AND DURATION: • Child is afebrile, RR has returned to below age specific cutoffs, no chest indrawing and accepting orally: switch to oral Amoxicillin to complete a total of 5-7 days duration (include duration of IV also in it). | 1 | page=1,block=63 | 0.700 | valid |
| What should be done before referring a child with red flag signs to another facility? | Give first dose of antibiotics, arrange transport and inform to the referral centre. | Respiratory rates, heart rate, temperature, capillary refill time, pulse oximetry. Cough and cold, no breathing difficulty. Home care advice. Fast breathing (2-12 months >50; 1-5 years>40; >5 years >20 ) and/or chest indrawing oxygen saturation>92%. Ambulatory treatment with oral Amoxicillin and follow up. Discharge when child is switched to oral medications, accepting oral for 24 to 48 hours Fast breathing (2-12months>50; 1-5 years>40 ;>5 years >20 ) and/or chest indrawing with any of the general danger signs (not able to drink, persistent vomiting, convulsions, lethargic or unconscious, stridor in a calm child or severe malnutrition). Red flag signs positive Admit or refer to facility with following: Appropriate: ventilation facility, ICU, round the clock monitoring If plan to refer: Give first dose of antibiotics, arrange transport and inform to the referral centre. | 797 | summary | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952336_paediatrics_severe_pneumonia.pdf | Red flag signs positive Admit or refer to facility with following: Appropriate: ventilation facility, ICU, round the clock monitoring If plan to refer: Give first dose of antibiotics, arrange transport and inform to the referral centre. | ||||
| What antibiotics are recommended for children aged 2-59 months with pneumonia? | Ampicillin 100-200mg/kg in four divided doses + Gentamicin 5-7.5 mg/kg as single dose daily | OXYGEN INHALATION: by mask (1-2 L/min) or hood (4-6 L/Minute) to maintain oxygen saturation> 95%. IV ANTIBIOTICS: • For children 2-59 months: Ampicillin 100-200mg/kg in four divided doses + Gentamicin 5-7.5 mg/kg as single dose daily. • For children >5 years: Ampicillin/Amoxicillin, add macrolide (Azythromycin/Erythromycin) if atypical pneumonia is suspected. • If suspected Staphylococcal pneumonia in any age (Pneumatocele on CXR, post measles, infected scabies or pyoderma) add Cloxacillin/ Amoxiclavulanic acid. SUPPORTIVE CARE: Paracetamol for fever, IV fluid, bronchodilators (inhaled) as needed. | 142 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952336_paediatrics_severe_pneumonia.pdf | IV ANTIBIOTICS: • For children 2-59 months: Ampicillin 100-200mg/kg in four divided doses + Gentamicin 5-7.5 mg/kg as single dose daily. | 1 | page=1,block=63 | 0.700 | valid |
| What are some optional investigations for pneumonia diagnosis? | ABG, lung ultrasound, PCT, tracheal aspirate (gram stain with culture), bronchoscopy/BAL, microbiology culture, investigations for atypical organisms, PCR for viral etiology | ESSENTIAL: Hemogram, random blood sugar, CRP, chest X-ray. DESIRABLE: Blood culture, pleural tap, serum electrolytes, renal and liver function tests. OPTIONAL: ABG, lung ultrasound, PCT, tracheal aspirate (gram stain with culture), bronchoscopy/BAL, microbiology culture, investigations for atypical organisms, PCR for viral etiology. | 160 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952336_paediatrics_severe_pneumonia.pdf | OPTIONAL: ABG, lung ultrasound, PCT, tracheal aspirate (gram stain with culture), bronchoscopy/BAL, microbiology culture, investigations for atypical organisms, PCR for viral etiology. | 1 | page=1,block=65 | 0.700 | valid |
| What are the general danger signs that indicate severe illness in a child? | Not able to drink, persistent vomiting, convulsions, lethargic or unconscious, stridor in a calm child or severe malnutrition. | CHECK FOR HISTORY OF Cough, cold, with or without fever, difficulty in breathing (that includes fast breathing and chest indrawing) of less than 2 weeks duration. GENERAL DANGER SIGNS Not able to drink, persistent vomiting, convulsions, lethargic or unconscious, stridor in a calm child or severe malnutrition. | 184 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952336_paediatrics_severe_pneumonia.pdf | GENERAL DANGER SIGNS Not able to drink, persistent vomiting, convulsions, lethargic or unconscious, stridor in a calm child or severe malnutrition. | 1 | page=1,block=8 | 0.700 | valid |
| What are the red flag signs in a child with cough and/or difficult breathing? | Irregular or gasping respiration, cold extremities, altered sensorium, cyanosis. | Breath sounds, crepitation, rhonchi. Chest indrawing, state of alertness, cyanosis, clubbing, stridor, grunting. DIAGNOSTIC ALGORITHM Child age 2–59 months with cough and/or difficult breathing. RED FLAG SIGNS Irregular or gasping respiration, cold extremities, altered sensorium, cyanosis. NO PNEUMONIA PNEUMONIA SEVERE PNEUMONIA No red flag signs Admit or refer to a facility with following: oxygen by mask or hood, pulse oxymeter, IV fluids, oxygen, clinical supervision, X ray film (desirable). | 210 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952336_paediatrics_severe_pneumonia.pdf | RED FLAG SIGNS Irregular or gasping respiration, cold extremities, altered sensorium, cyanosis. NO PNEUMONIA PNEUMONIA SEVERE PNEUMONIA No red flag signs Admit or refer to a facility with following: oxygen by mask or hood, pulse oxymeter, IV fluids, oxygen, clinical supervision, X ray film (desirable). | 1 | page=1,block=49 | 0.700 | valid |
| What investigations are considered essential for pneumonia diagnosis? | Hemogram, random blood sugar, CRP, chest X-ray | ESSENTIAL: Hemogram, random blood sugar, CRP, chest X-ray. DESIRABLE: Blood culture, pleural tap, serum electrolytes, renal and liver function tests. OPTIONAL: ABG, lung ultrasound, PCT, tracheal aspirate (gram stain with culture), bronchoscopy/BAL, microbiology culture, investigations for atypical organisms, PCR for viral etiology. | 11 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952336_paediatrics_severe_pneumonia.pdf | ESSENTIAL: Hemogram, random blood sugar, CRP, chest X-ray. | 1 | page=1,block=65 | 0.700 | valid |
| What investigations are listed as desirable for pneumonia diagnosis? | Blood culture, pleural tap, serum electrolytes, renal and liver function tests | ESSENTIAL: Hemogram, random blood sugar, CRP, chest X-ray. DESIRABLE: Blood culture, pleural tap, serum electrolytes, renal and liver function tests. OPTIONAL: ABG, lung ultrasound, PCT, tracheal aspirate (gram stain with culture), bronchoscopy/BAL, microbiology culture, investigations for atypical organisms, PCR for viral etiology. | 70 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952336_paediatrics_severe_pneumonia.pdf | DESIRABLE: Blood culture, pleural tap, serum electrolytes, renal and liver function tests. | 1 | page=1,block=65 | 0.700 | valid |
| What specific immunizations should be checked for in a child? | vaccination included in national schedule and Pneumococcus, Influenza | Sudden onset choking and breathlessness. Similar illness in past, if yes, history of improvement with nebulized medications to consider asthma. Influenza like illness in family over past 2 weeks: to consider treatment for influenza. Asthma/allergy in family. Immunization (age appropriate specifically vaccination included in national schedule and Pneumococcus, Influenza). | 302 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952336_paediatrics_severe_pneumonia.pdf | Immunization (age appropriate specifically vaccination included in national schedule and Pneumococcus, Influenza). | 1 | page=1,block=14 | 0.700 | valid |
Read straight from the file — download or use the API URL for the full dataset.
| 1 |
| page=1,block=23 |
| 0.700 |
| valid |