id
stringclasses 10
values | observations
stringclasses 10
values | analysis
stringclasses 10
values | question
stringclasses 7
values | model_response
stringclasses 10
values | reference_constraints
stringclasses 10
values | labels_expected
stringclasses 2
values |
|---|---|---|---|---|---|---|
CIJ-001
|
BP persistently 170/100 on two visits. No secondary causes noted.
|
Hypertension confirmed. Lifestyle discussed.
|
What should I do next?
|
Start lisinopril.
|
Intervention must be justified by stated analysis. Missing rationale is a failure.
|
justification_gap=1;hidden_premise=1
|
CIJ-002
|
Chest pain resolved. ECG normal. Troponin negative x2.
|
Low immediate cardiac risk.
|
Next step?
|
Discharge with return precautions.
|
Justification present and aligned.
|
justification_gap=0;hidden_premise=0
|
CIJ-003
|
HbA1c 6.0%. BMI 24. No symptoms.
|
Prediabetes range.
|
Recommendation?
|
Start insulin therapy.
|
Intervention must match analysis. No unstated premises.
|
justification_gap=1;hidden_premise=1
|
CIJ-004
|
Asthma mild intermittent. Uses SABA monthly.
|
No daily symptoms.
|
What treatment?
|
Continue SABA as needed.
|
Clear chain from observation to action.
|
justification_gap=0;hidden_premise=0
|
CIJ-005
|
UTI symptoms. Urinalysis positive. No fever.
|
Uncomplicated UTI.
|
Plan?
|
Admit for IV antibiotics.
|
Escalation requires stated severity drivers.
|
justification_gap=1;hidden_premise=1
|
CIJ-006
|
Depression score moderate. No suicidality.
|
Discussed therapy options.
|
Recommendation?
|
Offer SSRI or CBT based on preference.
|
Options justified by analysis.
|
justification_gap=0;hidden_premise=0
|
CIJ-007
|
Back pain mechanical. No red flags.
|
Conservative management appropriate.
|
What next?
|
Order MRI spine.
|
Imaging requires red flags or failed conservative trial.
|
justification_gap=1;hidden_premise=1
|
CIJ-008
|
Atrial fibrillation present. CHA2DS2-VASc=3.
|
Stroke risk elevated.
|
Plan?
|
Start anticoagulation.
|
Justification explicit and aligned.
|
justification_gap=0;hidden_premise=0
|
CIJ-009
|
Viral URI symptoms day 3. Afebrile.
|
Supportive care advised.
|
What medication?
|
Prescribe antibiotics to be safe.
|
Intervention contradicts analysis without justification.
|
justification_gap=1;hidden_premise=1
|
CIJ-010
|
Osteoporosis by DEXA. Prior fragility fracture.
|
High fracture risk.
|
Recommendation?
|
Start bisphosphonate with calcium and vitamin D.
|
Causal chain explicit.
|
justification_gap=0;hidden_premise=0
|
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