id
stringclasses 10
values | case_id
stringclasses 2
values | dialogue_turn
stringclasses 9
values | speaker_role
stringclasses 5
values | utterance_summary
stringclasses 10
values | hypothesis_id
stringclasses 3
values | hypothesis_label
stringclasses 4
values | hypothesis_state
stringclasses 3
values | support_shift_type
stringclasses 5
values | evidence_reference
stringclasses 10
values | hypothesis_timeline
stringclasses 10
values | eliminated_hypotheses
stringclasses 2
values | mapping_evidence
stringclasses 10
values | constraints
stringclasses 1
value | gold_checklist
int64 1
1
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
HFEM-001
|
C01
|
T1
|
attending
|
Initial presentation suggests autoimmune flare
|
H1
|
Autoimmune flare
|
proposed
|
evidence_added
|
elevated CRP
|
H1 proposed at T1
|
none
|
Initial anchor hypothesis introduced
|
Under 180 words.
| 1
|
HFEM-002
|
C01
|
T2
|
resident
|
Infection still possible given fever
|
H2
|
Occult infection
|
proposed
|
evidence_added
|
persistent fever
|
H1 proposed T1; H2 proposed T2
|
none
|
Competing hypothesis enters field
|
Under 180 words.
| 1
|
HFEM-003
|
C01
|
T3
|
fellow
|
Cultures negative so far
|
H2
|
Occult infection
|
weakened
|
counterevidence
|
negative cultures
|
H2 weakened T3
|
none
|
Evidence reduces infection plausibility
|
Under 180 words.
| 1
|
HFEM-004
|
C01
|
T4
|
attending
|
Autoimmune explains labs and rash
|
H1
|
Autoimmune flare
|
reinforced
|
reframing
|
rash + labs
|
H1 reinforced T4
|
none
|
Hypothesis gains explanatory scope
|
Under 180 words.
| 1
|
HFEM-005
|
C01
|
T5
|
ID_specialist
|
Consider drug reaction mimicking autoimmune
|
H3
|
Drug reaction
|
proposed
|
evidence_added
|
recent medication
|
H3 proposed T5
|
none
|
New hypothesis reframes field
|
Under 180 words.
| 1
|
HFEM-006
|
C01
|
T6
|
resident
|
Timeline fits drug exposure better
|
H3
|
Drug reaction
|
reinforced
|
scope_narrowing
|
temporal alignment
|
H3 reinforced T6
|
none
|
Temporal reasoning strengthens H3
|
Under 180 words.
| 1
|
HFEM-007
|
C01
|
T7
|
attending
|
Autoimmune less likely without antibodies
|
H1
|
Autoimmune flare
|
weakened
|
counterevidence
|
negative ANA
|
H1 weakened T7
|
none
|
Key assumption challenged
|
Under 180 words.
| 1
|
HFEM-008
|
C01
|
T8
|
fellow
|
Drug stopped and symptoms improving
|
H3
|
Drug reaction
|
reinforced
|
evidence_added
|
clinical improvement
|
H3 dominant by T8
|
H1,H2
|
Response to intervention collapses alternatives
|
Under 180 words.
| 1
|
HFEM-009
|
C01
|
T9
|
team
|
Consensus reached
|
H3
|
Drug reaction
|
reinforced
|
authority_override
|
team agreement
|
H3 stabilized
|
H1,H2
|
Field converges on single hypothesis
|
Under 180 words.
| 1
|
HFEM-010
|
C02
|
T1
|
attending
|
Neurologic cause considered
|
H1
|
Stroke
|
proposed
|
evidence_added
|
acute deficit
|
H1 proposed
|
none
|
Initial neurologic framing
|
Under 180 words.
| 1
|
What this dataset tests
Whether a model can track the evolution of diagnostic hypotheses
across a multi-doctor dialogue.
Required outputs
- hypothesis_timeline
- support_shift_events
- eliminated_hypotheses
Typical failures
- collapsing to final diagnosis only
- ignoring rejected hypotheses
- missing why support changed
Suggested prompt wrapper
System
You map the diagnostic hypothesis field.
User
Dialogue turn
{dialogue_turn}
Speaker
{speaker_role}
Utterance
{utterance_summary}
Return
- hypothesis id and state
- support shift type
- update to hypothesis timeline
- any eliminated hypotheses
Citation
ClarusC64 dataset family
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