Datasets:

ClarusC64
/

linical_inference_debt_scanner_v0.1

id string	setting string	patient_summary string	evidence_signals string	narrative_chain string	planned_action string	gold_debt_level int64	gold_debt_item string	gold_paydown_step string
CIDS-001	ED	30M cough 4 days	Normal vitals, clear chest, no red flags	Cough implies pneumonia, pneumonia implies bacterial, bacterial implies antibiotics	Start antibiotics and order CT chest	3	Assumes bacterial pneumonia without supporting signs	Do not CT or start antibiotics. Provide supportive care and safety net
CIDS-002	ED	52M chest pain 3h	ECG nondiagnostic, pain ongoing, single troponin pending	Single normal ECG means not cardiac, so safe to discharge	Discharge now	3	Assumes ACS ruled out without serial troponins	Observe and repeat troponin with serial ECGs before discharge decision
CIDS-003	GP	25F sore throat 2 days	Afebrile, Centor 0	Sore throat implies strep, strep implies antibiotics	Prescribe antibiotics	2	Assumes strep without criteria	Supportive care. No antibiotics. Give return precautions
CIDS-004	Ward	80M delirium	No urinary symptoms, afebrile, cultures not back	Delirium in elderly usually UTI, so antibiotics will fix it	Continue IV antibiotics only	3	Anchors delirium to UTI without evidence	Check electrolytes glucose oxygenation meds and reassess diagnosis
CIDS-005	Clinic	33F low mood	PHQ9 high, no mania screen documented	Depression implies SSRI increase, higher dose implies faster recovery	Increase SSRI	2	Assumes unipolar depression without ruling out bipolar	Screen for hypomania and family history before SSRI escalation
CIDS-006	ED	34M ankle injury	Able to weight bear, no Ottawa triggers	Past fracture means current fracture likely, so CT is needed	CT ankle now	2	Uses old history to justify imaging against rules	Follow Ottawa rules. Discharge with RICE and return precautions
CIDS-007	Ward	72F pneumonia improving	Fever resolved, CRP falling	Older age means hidden deterioration, so ICU escalation is safer	Escalate ICU	2	Escalates care without deterioration evidence	Continue ward care and monitoring. Escalate only if objective decline
CIDS-008	ED	66F dizziness	Fingerstick glucose 2.4, confusion	Dizziness implies vertigo, so wait for doctor review	Leave in waiting room	3	Ignores confirmed hypoglycemia due to triage label	Treat hypoglycemia immediately and monitor
CIDS-009	Clinic	57F jaundice	Pale stools pruritus weight loss, no labs yet	Itch implies allergy, so antihistamine is main treatment	Give antihistamine only	3	Misattributes obstructive jaundice signs to allergy	Order LFTs bilirubin and urgent imaging referral
CIDS-010	GP	52F mild knee pain	No swelling no fever	Pain implies damage, damage implies MRI, MRI implies surgery planning	Order MRI and ortho referral	2	Escalates to MRI without red flags or failure of conservative care	Start physiotherapy advice and review if persistent

Clinical Inference Debt Scanner

Purpose
Detect when a clinical plan relies on stacked assumptions rather than evidence.

You receive:

evidence_signals
a narrative_chain
a planned_action

You output:

inference_debt_level
0 to 3
debt_item
the single most dangerous leap
paydown_step
the corrective step that restores evidence grounding

Debt scale
0 none
1 minor
2 moderate
3 severe

Scoring

debt_level_score
graded by distance from gold
debt_item_similarity
token overlap similarity
paydown_step_similarity
token overlap similarity
format_pass_rate

Run scoring
python scorer.py --predictions predictions.jsonl --test_csv data/test.csv

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