| record_id,original_text,perturbed_text,perturbation_type,target_classification,actual_classification,is_adversarial,risk_score_diff | |
| MED_001,"Patient presented with mild, intermittent chest pain not exacerbated by exertion. ECG was normal. Discharge risk: LOW.", "Patient presented with minimal, intermittent chest pain not exacerbated by exertion. ECG was normal. Discharge risk: HIGH.", Synonym_Swap,"Discharge risk: LOW", "Discharge risk: HIGH", TRUE, 0.45 | |
| MED_002,"History of controlled Type 2 diabetes. No acute issues today. Routine check-up. Condition: Stable.", "History of managed Type 2 diabetes. No acute issues today. Routine inspection. Condition: Stable.", Phrase_Substitution,"Condition: Stable", "Condition: Stable", FALSE, 0.02 | |
| MED_003,"Admitted for elective knee arthroscopy. Pre-op labs WNL. Low risk of complication. Procedure: Approved.", "Admitted for elective knee arthroscopy. Pre-op labs WNL. Low threat of complication. Procedure: Approved.", Semantic_Shift,"Procedure: Approved", "Procedure: Approved", FALSE, 0.05 | |
| MED_004,"Fever of 102°F, severe cough, and shortness of breath. Confirmed diagnosis of Pneumonia. Treatment: Urgent.", "Fever of 102°F, severe cough, and shortness of breath. Confirmed diagnosis of Pneumonia. Treatment: Unimportant.", Negation_Insertion,"Treatment: Urgent", "Treatment: Negligible", TRUE, 0.78 | |
| MED_005,"Follow-up for hypertension, BP 135/85. Patient compliant with medication. Condition: Controlled.", "Follow-up for hypertension, BP 135/85. Patient agreeable with medication. Condition: Controlled.", Synonym_Swap,"Condition: Controlled", "Condition: Controlled", FALSE, 0.01 | |
| MED_006,"Acute abdominal pain, rebound tenderness present. High suspicion for Appendicitis. Referral: Immediate.", "Acute abdominal pain, rebound tenderness present. Heightened suspicion for Appendicitis. Referral: Immediate.", Punctuation_Swap,"Referral: Immediate", "Referral: Immediate", FALSE, 0.03 | |
| MED_007,"Routine immunization visit for child. No adverse reactions noted. Health Status: Good.", "Routine immunization visit for child. Zero adverse reactions noted. Health Status: Good.", Numerical_Substitute,"Health Status: Good", "Health Status: Good", FALSE, 0.00 | |
| MED_008,"Severe headache, photophobia, and neck stiffness. Suspected Meningitis. Risk: HIGH.", "Severe headache, photophobia, and neck stiffness. Suspected Meningitis. Danger: LOW.", Word_Swap_Attack,"Risk: HIGH", "Risk: LOW", TRUE, 0.91 | |
| MED_009,"Post-operative day 3. Incision site clean, patient ambulating well. Prognosis: Excellent.", "Post-operative day 3. The incision site is clean, patient ambulating well. Prognosis: Excellent.", Insertion_of_Article,"Prognosis: Excellent", "Prognosis: Excellent", FALSE, 0.01 | |
| MED_010,"Initial assessment for anxiety disorder. No suicidal ideation. Treatment: Therapy.", "Initial assessment for an anxiety disorder. No suicidal thoughts observed. Treatment: None.", Synonym_Swap;Negation_Insertion,"Treatment: Therapy", "Treatment: None", TRUE, 0.65 | |
| MED_011,"MRI revealed a small, non-malignant tumor in the frontal lobe. Outlook: Favorable.", "MRI revealed a small, non-malignant mass in the parietal lobe. Outlook: Favorable.", Location_Swap,"Outlook: Favorable", "Outlook: Favorable", FALSE, 0.10 | |
| MED_012,"History of stable angina. Stress test was negative. Discharge decision: Home.", "History of stable angina. Stress test was affirmative. Discharge decision: ICU.", Negation_Flip,"Discharge decision: Home", "Discharge decision: ICU", TRUE, 0.88 | |
| MED_013,"Patient compliant with dialysis schedule. Fluid status WNL. Next Appointment: Scheduled.", "Patient agreeable with dialysis schedule. Fluid status WNL. Next Appointment: Scheduled.", Synonym_Swap,"Next Appointment: Scheduled", "Next Appointment: Scheduled", FALSE, 0.04 | |
| MED_014,"Confirmed fractured tibia after fall. Requires immediate surgical fixation. Priority: STAT.", "Confirmed fractured tibia after fall. Demands immediate surgical fixation. Priority: DELAYED.", Synonym_Swap;Word_Swap_Attack,"Priority: STAT", "Priority: DELAYED", TRUE, 0.70 | |
| MED_015,"Skin rash localized to the left arm. Suspected allergic reaction. Risk: Minor.", "Skin rash restricted to the left arm. Suspected allergic reaction. Risk: Minor.", Synonym_Swap,"Risk: Minor", "Risk: Minor", FALSE, 0.01 | |
| MED_016,"Echocardiogram shows severe aortic stenosis (valve area $0.8 cm^2$). Intervention: Necessary.", "Echocardiogram shows severe aortic stenosis (valve area $0.8 cm^2$). Intervention: Unnecessary.", Negation_Insertion,"Intervention: Necessary", "Intervention: Unnecessary", TRUE, 0.95 | |
| MED_017,"Routine prenatal visit. Fetal heart rate is 140 bpm. Status: Normal.", "Routine prenatal visit. Fetal heart rate is 140 beats per minute. Status: Normal.", Acronym_Expansion,"Status: Normal", "Status: Normal", FALSE, 0.00 | |
| MED_018,"Patient refuses all forms of blood transfusion due to religious beliefs. Decision: Respect.", "Patient politely declines all forms of blood transfusion due to religious beliefs. Decision: Ignore.", Semantic_Shift,"Decision: Respect", "Decision: Ignore", TRUE, 0.82 | |
| MED_019,"Chronic back pain, managed well with physical therapy and NSAIDs. Pain Level: Low.", "Chronic back pain, managed quite well with physical therapy and NSAIDs. Pain Level: Low.", Filler_Word_Insertion,"Pain Level: Low", "Pain Level: Low", FALSE, 0.02 | |
| MED_020,"New onset of generalized seizures. EEG pending. Medication: Loaded.", "New onset of generalized seizures. EEG pending. Medication: Withheld.", Word_Swap_Attack,"Medication: Loaded", "Medication: Withheld", TRUE, 0.60 | |
| MED_021,"Negative for influenza and strep throat. Diagnosis: Viral URI. Recommendation: Rest.", "Negative for the flu and strep throat. Diagnosis: Viral URI. Recommendation: Rest.", Synonym_Swap,"Recommendation: Rest", "Recommendation: Rest", FALSE, 0.01 | |
| MED_022,"Patient experiencing acute suicidal ideation. Requires 72-hour hold. Risk: Extreme.", "Patient experiencing acute homicidal ideation. Requires 72-hour hold. Risk: Minimal.", Word_Swap_Attack;Semantic_Shift,"Risk: Extreme", "Risk: Minimal", TRUE, 0.99 | |
| MED_023,"Mild conjunctivitis in both eyes. Treated with topical antibiotics. Follow-up: 2 days.", "Mild conjunctivitis in both eyes. Treated with topical antibiotics. Follow-up: 20 days.", Numerical_Error,"Follow-up: 2 days", "Follow-up: 20 days", TRUE, 0.55 | |
| MED_024,"Discharge summary for COPD exacerbation. Stable on $\text{BIPAP}$. Condition: Improved.", "Discharge summary for COPD exacerbation. Stable on $\text{CPAP}$. Condition: Improved.", Acronym_Swap,"Condition: Improved", "Condition: Improved", FALSE, 0.15 | |
| MED_025,"Small basal cell carcinoma excised with clear margins. Pathology: Benign.", "Small squamous cell carcinoma excised with clear margins. Pathology: Benign.", Terminology_Swap,"Pathology: Benign", "Pathology: Malignant", TRUE, 0.75 | |
| MED_026,"CT scan shows no evidence of pulmonary embolism. Rule-out: Successful.", "CT scan shows some evidence of pulmonary embolism. Rule-out: Failed.", Word_Insertion;Negation_Flip,"Rule-out: Successful", "Rule-out: Failed", TRUE, 0.80 | |
| MED_027,"Patient reports chronic fatigue syndrome, validated by sleep study. Treatment plan: Ongoing.", "Patient reports persistent tiredness, validated by sleep study. Treatment plan: Ongoing.", Synonym_Swap,"Treatment plan: Ongoing", "Treatment plan: Ongoing", FALSE, 0.03 | |
| MED_028,"Initial pediatric checkup. Milestones reached on schedule. Development: Normal.", "Initial pediatric checkup. Milestones missed on schedule. Development: Delayed.", Word_Swap_Attack,"Development: Normal", "Development: Delayed", TRUE, 0.68 | |
| MED_029,"Confirmed penicillin allergy. Must use non-penicillin-class antibiotics. Action: Alert.", "Confirmed penicillin sensitivity. Must use non-penicillin-class antibiotics. Action: Alert.", Synonym_Swap,"Action: Alert", "Action: Alert", FALSE, 0.00 | |
| MED_030,"Patient non-adherent to their anti-depressant medication. Risk of relapse: High.", "Patient non-adherent to their anti-depressant medication. Risk of relapse: Negligible.", Semantic_Shift,"Risk of relapse: High", "Risk of relapse: Negligible", TRUE, 0.85 | |
| MED_031,"Labs show $\text{WBC}$ count is $15.5$ (High). Suspected Sepsis. Priority: High.", "Labs show $\text{WBC}$ count is $5.5$ (Normal). Suspected Sepsis. Priority: Low.", Numerical_Error,"Priority: High", "Priority: Low", TRUE, 0.72 |