How much of an LLM-generated clinical corpus is actually new? A production-scale measurement of content redundancy for provenance classification
Paper • 2606.29605 • Published
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The dataset generation failed
Error code: DatasetGenerationError
Exception: CastError
Message: Couldn't cast
uid: string
states: list<item: struct<risk_id: string, state: string, confidence: double, severity: string, volatility_p (... 553 chars omitted)
child 0, item: struct<risk_id: string, state: string, confidence: double, severity: string, volatility_profile: str (... 541 chars omitted)
child 0, risk_id: string
child 1, state: string
child 2, confidence: double
child 3, severity: string
child 4, volatility_profile: string
child 5, timeline: list<item: string>
child 0, item: string
child 6, resolution_evidence: string
child 7, escalation_evidence: string
child 8, last_updated: int64
child 9, reason: struct<level_1_evidence: list<item: struct<text: string, type: string, source: string>>, level_2_int (... 302 chars omitted)
child 0, level_1_evidence: list<item: struct<text: string, type: string, source: string>>
child 0, item: struct<text: string, type: string, source: string>
child 0, text: string
child 1, type: string
child 2, source: string
child 1, level_2_interpretation: list<item: string>
child 0, item: string
child 2, level_3_decision_rule: struct<rule: string, threshold: double>
child 0, rule: string
child 1, threshold: double
child 3, reasoning_schema: struct<decision_type: string, input_signal: list<item: string>, severity_marker: string, causal_link (..
...
ce: double
child 3, based_on_risks: list<item: string>
child 0, item: string
child 4, justification: string
child 5, constraints: list<item: string>
child 0, item: string
child 6, reason: struct<level_1_evidence: list<item: struct<text: string, type: string, source: string>>, level_2_int (... 311 chars omitted)
child 0, level_1_evidence: list<item: struct<text: string, type: string, source: string>>
child 0, item: struct<text: string, type: string, source: string>
child 0, text: string
child 1, type: string
child 2, source: string
child 1, level_2_interpretation: list<item: string>
child 0, item: string
child 2, level_3_decision_rule: struct<rule: string, constraints_applied: int64>
child 0, rule: string
child 1, constraints_applied: int64
child 3, reasoning_schema: struct<decision_type: string, input_signal: list<item: string>, severity_marker: string, causal_link (... 50 chars omitted)
child 0, decision_type: string
child 1, input_signal: list<item: string>
child 0, item: string
child 2, severity_marker: string
child 3, causal_link: list<item: string>
child 0, item: string
child 4, verification_anchor: string
child 4, conclusion: string
child 5, method: string
to
{'uid': Value('string'), 'recommendations': List({'rec_id': Value('string'), 'type': Value('string'), 'confidence': Value('float64'), 'based_on_risks': List(Value('string')), 'justification': Value('string'), 'constraints': List(Value('string')), 'reason': {'level_1_evidence': List({'text': Value('string'), 'type': Value('string'), 'source': Value('string')}), 'level_2_interpretation': List(Value('string')), 'level_3_decision_rule': {'rule': Value('string'), 'constraints_applied': Value('int64')}, 'reasoning_schema': {'decision_type': Value('string'), 'input_signal': List(Value('string')), 'severity_marker': Value('string'), 'causal_link': List(Value('string')), 'verification_anchor': Value('string')}, 'conclusion': Value('string'), 'method': Value('string')}}), 'provenance': Value('string')}
because column names don't match
Traceback: Traceback (most recent call last):
File "/usr/local/lib/python3.14/site-packages/datasets/builder.py", line 1816, in _prepare_split_single
for key, table in generator:
^^^^^^^^^
File "/src/services/worker/src/worker/job_runners/config/parquet_and_info.py", line 613, in wrapped
for item in generator(*args, **kwargs):
~~~~~~~~~^^^^^^^^^^^^^^^^^
File "/usr/local/lib/python3.14/site-packages/datasets/packaged_modules/json/json.py", line 343, in _generate_tables
self._cast_table(pa_table, json_field_paths=json_field_paths),
~~~~~~~~~~~~~~~~^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
File "/usr/local/lib/python3.14/site-packages/datasets/packaged_modules/json/json.py", line 132, in _cast_table
pa_table = table_cast(pa_table, self.info.features.arrow_schema)
File "/usr/local/lib/python3.14/site-packages/datasets/table.py", line 2369, in table_cast
return cast_table_to_schema(table, schema)
File "/usr/local/lib/python3.14/site-packages/datasets/table.py", line 2297, in cast_table_to_schema
raise CastError(
...<3 lines>...
)
datasets.table.CastError: Couldn't cast
uid: string
states: list<item: struct<risk_id: string, state: string, confidence: double, severity: string, volatility_p (... 553 chars omitted)
child 0, item: struct<risk_id: string, state: string, confidence: double, severity: string, volatility_profile: str (... 541 chars omitted)
child 0, risk_id: string
child 1, state: string
child 2, confidence: double
child 3, severity: string
child 4, volatility_profile: string
child 5, timeline: list<item: string>
child 0, item: string
child 6, resolution_evidence: string
child 7, escalation_evidence: string
child 8, last_updated: int64
child 9, reason: struct<level_1_evidence: list<item: struct<text: string, type: string, source: string>>, level_2_int (... 302 chars omitted)
child 0, level_1_evidence: list<item: struct<text: string, type: string, source: string>>
child 0, item: struct<text: string, type: string, source: string>
child 0, text: string
child 1, type: string
child 2, source: string
child 1, level_2_interpretation: list<item: string>
child 0, item: string
child 2, level_3_decision_rule: struct<rule: string, threshold: double>
child 0, rule: string
child 1, threshold: double
child 3, reasoning_schema: struct<decision_type: string, input_signal: list<item: string>, severity_marker: string, causal_link (..
...
ce: double
child 3, based_on_risks: list<item: string>
child 0, item: string
child 4, justification: string
child 5, constraints: list<item: string>
child 0, item: string
child 6, reason: struct<level_1_evidence: list<item: struct<text: string, type: string, source: string>>, level_2_int (... 311 chars omitted)
child 0, level_1_evidence: list<item: struct<text: string, type: string, source: string>>
child 0, item: struct<text: string, type: string, source: string>
child 0, text: string
child 1, type: string
child 2, source: string
child 1, level_2_interpretation: list<item: string>
child 0, item: string
child 2, level_3_decision_rule: struct<rule: string, constraints_applied: int64>
child 0, rule: string
child 1, constraints_applied: int64
child 3, reasoning_schema: struct<decision_type: string, input_signal: list<item: string>, severity_marker: string, causal_link (... 50 chars omitted)
child 0, decision_type: string
child 1, input_signal: list<item: string>
child 0, item: string
child 2, severity_marker: string
child 3, causal_link: list<item: string>
child 0, item: string
child 4, verification_anchor: string
child 4, conclusion: string
child 5, method: string
to
{'uid': Value('string'), 'recommendations': List({'rec_id': Value('string'), 'type': Value('string'), 'confidence': Value('float64'), 'based_on_risks': List(Value('string')), 'justification': Value('string'), 'constraints': List(Value('string')), 'reason': {'level_1_evidence': List({'text': Value('string'), 'type': Value('string'), 'source': Value('string')}), 'level_2_interpretation': List(Value('string')), 'level_3_decision_rule': {'rule': Value('string'), 'constraints_applied': Value('int64')}, 'reasoning_schema': {'decision_type': Value('string'), 'input_signal': List(Value('string')), 'severity_marker': Value('string'), 'causal_link': List(Value('string')), 'verification_anchor': Value('string')}, 'conclusion': Value('string'), 'method': Value('string')}}), 'provenance': Value('string')}
because column names don't match
The above exception was the direct cause of the following exception:
Traceback (most recent call last):
File "/src/services/worker/src/worker/job_runners/config/parquet_and_info.py", line 1369, in compute_config_parquet_and_info_response
parquet_operations, partial, estimated_dataset_info = stream_convert_to_parquet(
~~~~~~~~~~~~~~~~~~~~~~~~~^
builder, max_dataset_size_bytes=max_dataset_size_bytes
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
)
^
File "/src/services/worker/src/worker/job_runners/config/parquet_and_info.py", line 948, in stream_convert_to_parquet
builder._prepare_split(split_generator=splits_generators[split], file_format="parquet")
~~~~~~~~~~~~~~~~~~~~~~^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
File "/usr/local/lib/python3.14/site-packages/datasets/builder.py", line 1683, in _prepare_split
for job_id, done, content in self._prepare_split_single(
~~~~~~~~~~~~~~~~~~~~~~~~~~^
gen_kwargs=gen_kwargs, job_id=job_id, **_prepare_split_args
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
):
^
File "/usr/local/lib/python3.14/site-packages/datasets/builder.py", line 1869, in _prepare_split_single
raise DatasetGenerationError("An error occurred while generating the dataset") from e
datasets.exceptions.DatasetGenerationError: An error occurred while generating the datasetNeed help to make the dataset viewer work? Make sure to review how to configure the dataset viewer, and open a discussion for direct support.
uid string | recommendations list | provenance string |
|---|---|---|
7665777-11 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-7665777-11 |
7665777-1 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.97,
"based_on_risks": [
"RISK_RESPIRATORY_DISTRESS"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for D... | VERIF-7665777-1 |
7665777-8 | [
{
"rec_id": "REC_RESPIRATORY_SUPPORT",
"type": "INTERVENTION",
"confidence": 0.95,
"based_on_risks": [
"RISK_RESPIRATORY_DISTRESS"
],
"justification": "[ESCALATED] RISK_RESPIRATORY_DISTRESS: signals detected — dyspnea [Interaction: anxiety↔respiratory vicious circle detected]",
"co... | VERIF-7665777-8 |
8674153-2 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8674153-2 |
7665777-5 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.99,
"based_on_risks": [
"RISK_RESPIRATORY_DISTRESS"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for D... | VERIF-7665777-5 |
7665777-4 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.96,
"based_on_risks": [
"RISK_CLINICAL_DETERIORATION"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for... | VERIF-7665777-4 |
7665777-7 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.97,
"based_on_risks": [
"RISK_RESPIRATORY_DISTRESS"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for D... | VERIF-7665777-7 |
7665777-6 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.97,
"based_on_risks": [
"RISK_RESPIRATORY_DISTRESS"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for D... | VERIF-7665777-6 |
7665777-2 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [
"RISK_RESPIRATORY_DISTRESS",
"RISK_ANXIETY_EXACERBATION"
],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
... | VERIF-7665777-2 |
7665777-9 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.96,
"based_on_risks": [
"RISK_CLINICAL_DETERIORATION"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for... | VERIF-7665777-9 |
8674458-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8674458-1 |
7665777-3 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.99,
"based_on_risks": [
"RISK_RESPIRATORY_DISTRESS"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for D... | VERIF-7665777-3 |
7665777-10 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.97,
"based_on_risks": [
"RISK_RESPIRATORY_DISTRESS"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for D... | VERIF-7665777-10 |
8674405-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8674405-1 |
8674685-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8674685-1 |
8674153-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [
"RISK_CLINICAL_DETERIORATION"
],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
... | VERIF-8674153-1 |
8675571-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8675571-1 |
8675572-1 | [
{
"rec_id": "REC_CARDIAC_MONITORING",
"type": "MONITORING",
"confidence": 0.91,
"based_on_risks": [
"RISK_CARDIAC_EVENT"
],
"justification": "[ACTIVE] RISK_CARDIAC_EVENT: signals detected — myocardial infarction",
"constraints": [
"12-Lead ECG",
"Troponin Serial",
... | VERIF-8675572-1 |
8675589-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8675589-1 |
8675574-1 | [
{
"rec_id": "REC_NEURO_ASSESSMENT",
"type": "MONITORING",
"confidence": 0.9,
"based_on_risks": [
"RISK_NEUROLOGICAL_DETERIORATION"
],
"justification": "[ACTIVE] RISK_NEUROLOGICAL_DETERIORATION: signals detected — confusion",
"constraints": [
"GCS Assessment",
"Neurology... | VERIF-8675574-1 |
8675578-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8675578-1 |
8675577-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8675577-1 |
8675592-2 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.99,
"based_on_risks": [
"RISK_RESPIRATORY_DISTRESS"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for D... | VERIF-8675592-2 |
8675592-1 | [
{
"rec_id": "REC_VTE_PROPHYLAXIS",
"type": "PREVENTION",
"confidence": 0.83,
"based_on_risks": [
"RISK_VTE"
],
"justification": "[ACTIVE] RISK_VTE: signals detected — d-dimer elevated",
"constraints": [
"VTE Risk Score (Caprini)",
"LMWH Prophylaxis if not contraindicate... | VERIF-8675592-1 |
8675596-1 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.99,
"based_on_risks": [
"RISK_RESPIRATORY_DISTRESS"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for D... | VERIF-8675596-1 |
8675596-2 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.99,
"based_on_risks": [
"RISK_RESPIRATORY_DISTRESS"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for D... | VERIF-8675596-2 |
8675591-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8675591-1 |
8675595-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [
"RISK_NEUROLOGICAL_DETERIORATION",
"RISK_FALL_DECONDITIONING",
"RISK_TREATMENT_OMISSION"
],
"justification": "All identified risks resolved. Outpatient monitoring re... | VERIF-8675595-1 |
8675594-1 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.78,
"based_on_risks": [
"RISK_FALL_DECONDITIONING"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for De... | VERIF-8675594-1 |
8675570-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [
"RISK_RENAL_FAILURE",
"RISK_ANXIETY_EXACERBATION"
],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP F... | VERIF-8675570-1 |
8675596-3 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.99,
"based_on_risks": [
"RISK_RESPIRATORY_DISTRESS"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for D... | VERIF-8675596-3 |
8675583-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8675583-1 |
8676056-2 | [
{
"rec_id": "REC_PLAN_REVIEW",
"type": "INTERVENTION_CHECK",
"confidence": 0.68,
"based_on_risks": [
"RISK_TREATMENT_OMISSION"
],
"justification": "[ACTIVE] Diagnosis 'sapho syndrome' has no linked treatment in the clinical graph.",
"constraints": [
"Verify Medication Orders"... | VERIF-8676056-2 |
8675801-1 | [
{
"rec_id": "REC_VTE_PROPHYLAXIS",
"type": "PREVENTION",
"confidence": 0.83,
"based_on_risks": [
"RISK_VTE"
],
"justification": "[ACTIVE] RISK_VTE: signals detected — swelling",
"constraints": [
"VTE Risk Score (Caprini)",
"LMWH Prophylaxis if not contraindicated",
... | VERIF-8675801-1 |
8675596-4 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.99,
"based_on_risks": [
"RISK_RESPIRATORY_DISTRESS"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for D... | VERIF-8675596-4 |
8675599-1 | [
{
"rec_id": "REC_CARDIAC_MONITORING",
"type": "MONITORING",
"confidence": 0.95,
"based_on_risks": [
"RISK_CARDIAC_EVENT"
],
"justification": "[ACTIVE] RISK_CARDIAC_EVENT: signals detected — chest pain, troponin",
"constraints": [
"12-Lead ECG",
"Troponin Serial",
... | VERIF-8675599-1 |
8676056-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [
"RISK_VTE",
"RISK_TREATMENT_OMISSION"
],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up wit... | VERIF-8676056-1 |
8677335-1 | [
{
"rec_id": "REC_INTENSIVE_MONITORING",
"type": "MONITORING",
"confidence": 0.88,
"based_on_risks": [
"RISK_CLINICAL_DETERIORATION"
],
"justification": "[ACTIVE] RISK_CLINICAL_DETERIORATION: signals detected — hypotension, altered mental status",
"constraints": [
"Hourly Vita... | VERIF-8677335-1 |
8692721-1 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.99,
"based_on_risks": [
"RISK_SEPSIS"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for Decompensation"... | VERIF-8692721-1 |
8690961-1 | [
{
"rec_id": "REC_PLAN_REVIEW",
"type": "INTERVENTION_CHECK",
"confidence": 0.724,
"based_on_risks": [
"RISK_TREATMENT_OMISSION"
],
"justification": "[ACTIVE] Consolidated 3 signals (secondary central precocious puberty, benign adrenal cortical adenoma, estrogen-secreting right adrenoco... | VERIF-8690961-1 |
8691080-1 | [
{
"rec_id": "REC_PLAN_REVIEW",
"type": "INTERVENTION_CHECK",
"confidence": 0.786,
"based_on_risks": [
"RISK_TREATMENT_OMISSION"
],
"justification": "[ACTIVE] Consolidated 14 signals (stage ivb lung adenocarcinoma combing with bone metastases, neuroendocrine tumor, secondary mds) indica... | VERIF-8691080-1 |
8695686-1 | [
{
"rec_id": "REC_PLAN_REVIEW",
"type": "INTERVENTION_CHECK",
"confidence": 0.68,
"based_on_risks": [
"RISK_TREATMENT_OMISSION"
],
"justification": "[ACTIVE] Diagnosis 'left superior carotid-ophthalmic aneurysm' has no linked treatment in the clinical graph.",
"constraints": [
... | VERIF-8695686-1 |
8693547-1 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.97,
"based_on_risks": [
"RISK_RESPIRATORY_DISTRESS"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for D... | VERIF-8693547-1 |
8695686-2 | [
{
"rec_id": "REC_PLAN_REVIEW",
"type": "INTERVENTION_CHECK",
"confidence": 0.744,
"based_on_risks": [
"RISK_TREATMENT_OMISSION"
],
"justification": "[ACTIVE] Consolidated 5 signals (fisher i, subarachnoid hemorrhage, hunt, and hess ii) indicating MEDIUM RISK_TREATMENT_OMISSION.",
"... | VERIF-8695686-2 |
8693548-1 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.98,
"based_on_risks": [
"RISK_NEUROLOGICAL_DETERIORATION"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor... | VERIF-8693548-1 |
8693491-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8693491-1 |
8693538-1 | [
{
"rec_id": "REC_FALL_PREVENTION",
"type": "PREVENTION",
"confidence": 0.78,
"based_on_risks": [
"RISK_FALL_DECONDITIONING"
],
"justification": "[ACTIVE] RISK_FALL_DECONDITIONING: signals detected — balance",
"constraints": [
"Falls Risk Assessment",
"Physiotherapy Refe... | VERIF-8693538-1 |
8693492-1 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.91,
"based_on_risks": [
"RISK_VTE"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for Decompensation"
... | VERIF-8693492-1 |
8695605-1 | [
{
"rec_id": "REC_CARDIAC_MONITORING",
"type": "MONITORING",
"confidence": 0.91,
"based_on_risks": [
"RISK_CARDIAC_EVENT"
],
"justification": "[ACTIVE] RISK_CARDIAC_EVENT: signals detected — chest tightness",
"constraints": [
"12-Lead ECG",
"Troponin Serial",
"Card... | VERIF-8695605-1 |
8693539-1 | [
{
"rec_id": "REC_NEURO_ASSESSMENT",
"type": "MONITORING",
"confidence": 0.9,
"based_on_risks": [
"RISK_NEUROLOGICAL_DETERIORATION"
],
"justification": "[ACTIVE] RISK_NEUROLOGICAL_DETERIORATION: signals detected — disorientation",
"constraints": [
"GCS Assessment",
"Neur... | VERIF-8693539-1 |
8693546-1 | [
{
"rec_id": "REC_SEPSIS_BUNDLE",
"type": "IMMEDIATE_ACTION",
"confidence": 0.92,
"based_on_risks": [
"RISK_SEPSIS"
],
"justification": "[ESCALATED] RISK_SEPSIS: signals detected — septic shock",
"constraints": [
"Blood Cultures x2",
"IV Antibiotics within 1hr",
"I... | VERIF-8693546-1 |
8693699-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [
"RISK_TREATMENT_OMISSION"
],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
... | VERIF-8693699-1 |
8694018-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8694018-1 |
8693695-1 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.78,
"based_on_risks": [
"RISK_FALL_DECONDITIONING"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for De... | VERIF-8693695-1 |
8695790-2 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.922,
"based_on_risks": [
"RISK_TREATMENT_OMISSION"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for De... | VERIF-8695790-2 |
8695790-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8695790-1 |
8695756-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [
"RISK_CARDIAC_EVENT",
"RISK_TREATMENT_OMISSION"
],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Fol... | VERIF-8695756-1 |
8695792-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8695792-1 |
8695792-3 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8695792-3 |
8695792-2 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8695792-2 |
8695924-1 | [
{
"rec_id": "REC_SEPSIS_BUNDLE",
"type": "IMMEDIATE_ACTION",
"confidence": 0.92,
"based_on_risks": [
"RISK_SEPSIS"
],
"justification": "[ESCALATED] RISK_SEPSIS: signals detected — septic shock",
"constraints": [
"Blood Cultures x2",
"IV Antibiotics within 1hr",
"I... | VERIF-8695924-1 |
8695924-2 | [
{
"rec_id": "REC_SEPSIS_BUNDLE",
"type": "IMMEDIATE_ACTION",
"confidence": 0.92,
"based_on_risks": [
"RISK_SEPSIS"
],
"justification": "[ESCALATED] RISK_SEPSIS: signals detected — septic shock",
"constraints": [
"Blood Cultures x2",
"IV Antibiotics within 1hr",
"I... | VERIF-8695924-2 |
8695846-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8695846-1 |
8697958-1 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.856,
"based_on_risks": [
"RISK_TREATMENT_OMISSION"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for De... | VERIF-8697958-1 |
8696182-2 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.99,
"based_on_risks": [
"RISK_RESPIRATORY_DISTRESS"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for D... | VERIF-8696182-2 |
8696182-1 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.99,
"based_on_risks": [
"RISK_RESPIRATORY_DISTRESS"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for D... | VERIF-8696182-1 |
8696182-3 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.99,
"based_on_risks": [
"RISK_RESPIRATORY_DISTRESS"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for D... | VERIF-8696182-3 |
8698474-1 | [
{
"rec_id": "REC_PLAN_REVIEW",
"type": "INTERVENTION_CHECK",
"confidence": 0.724,
"based_on_risks": [
"RISK_TREATMENT_OMISSION"
],
"justification": "[ACTIVE] Consolidated 3 signals (pigmented lesion, melanocytomas, gna11 c.626a>t p.q209l oncogenic mutation) indicating MEDIUM RISK_TREAT... | VERIF-8698474-1 |
8696155-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8696155-1 |
8698877-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [
"RISK_TREATMENT_OMISSION"
],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
... | VERIF-8698877-1 |
8696256-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8696256-1 |
8698328-2 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [
"RISK_CARDIAC_EVENT"
],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Pa... | VERIF-8698328-2 |
8698328-1 | [
{
"rec_id": "REC_RESPIRATORY_SUPPORT",
"type": "INTERVENTION",
"confidence": 0.93,
"based_on_risks": [
"RISK_RESPIRATORY_DISTRESS"
],
"justification": "[ACTIVE] RISK_RESPIRATORY_DISTRESS: signals detected — shortness of breath",
"constraints": [
"Titrate Oxygen",
"Posit... | VERIF-8698328-1 |
8699387-1 | [
{
"rec_id": "REC_FALL_PREVENTION",
"type": "PREVENTION",
"confidence": 0.78,
"based_on_risks": [
"RISK_FALL_DECONDITIONING"
],
"justification": "[ACTIVE] RISK_FALL_DECONDITIONING: signals detected — weakness",
"constraints": [
"Falls Risk Assessment",
"Physiotherapy Ref... | VERIF-8699387-1 |
8697878-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [
"RISK_TREATMENT_OMISSION"
],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
... | VERIF-8697878-1 |
8698542-1 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.91,
"based_on_risks": [
"RISK_CARDIAC_EVENT"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for Decompen... | VERIF-8698542-1 |
8699357-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [
"RISK_TREATMENT_OMISSION"
],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
... | VERIF-8699357-1 |
8699499-2 | [
{
"rec_id": "REC_PLAN_REVIEW",
"type": "INTERVENTION_CHECK",
"confidence": 0.708,
"based_on_risks": [
"RISK_TREATMENT_OMISSION"
],
"justification": "[ACTIVE] Consolidated 2 signals (multilocular schwannoma, intracochlear schwannoma) indicating MEDIUM RISK_TREATMENT_OMISSION.",
"con... | VERIF-8699499-2 |
8699499-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8699499-1 |
8699499-3 | [
{
"rec_id": "REC_PLAN_REVIEW",
"type": "INTERVENTION_CHECK",
"confidence": 0.68,
"based_on_risks": [
"RISK_TREATMENT_OMISSION"
],
"justification": "[ACTIVE] Diagnosis 'ic vs' has no linked treatment in the clinical graph.",
"constraints": [
"Verify Medication Orders",
"... | VERIF-8699499-3 |
8699863-1 | [
{
"rec_id": "REC_PLAN_REVIEW",
"type": "INTERVENTION_CHECK",
"confidence": 0.68,
"based_on_risks": [
"RISK_TREATMENT_OMISSION"
],
"justification": "[ACTIVE] Diagnosis 'sars-cov-2' has no linked treatment in the clinical graph.",
"constraints": [
"Verify Medication Orders",
... | VERIF-8699863-1 |
8699863-3 | [
{
"rec_id": "REC_PLAN_REVIEW",
"type": "INTERVENTION_CHECK",
"confidence": 0.708,
"based_on_risks": [
"RISK_TREATMENT_OMISSION"
],
"justification": "[ACTIVE] Consolidated 2 signals (acute complicated appendicitis, acute uncomplicated appendicitis) indicating MEDIUM RISK_TREATMENT_OMISS... | VERIF-8699863-3 |
8699863-2 | [
{
"rec_id": "REC_PLAN_REVIEW",
"type": "INTERVENTION_CHECK",
"confidence": 0.752,
"based_on_risks": [
"RISK_TREATMENT_OMISSION"
],
"justification": "[ACTIVE] Consolidated 6 signals (broad intra-abdominal inflammation, peritonitis, acute covid-19 infection) indicating MEDIUM RISK_TREATM... | VERIF-8699863-2 |
8699863-4 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8699863-4 |
8698451-1 | [
{
"rec_id": "REC_RESPIRATORY_SUPPORT",
"type": "INTERVENTION",
"confidence": 0.97,
"based_on_risks": [
"RISK_RESPIRATORY_DISTRESS"
],
"justification": "[ACTIVE] RISK_RESPIRATORY_DISTRESS: signals detected — dyspnea",
"constraints": [
"Titrate Oxygen",
"Positioning Maneu... | VERIF-8698451-1 |
8699836-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8699836-1 |
8699610-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [
"RISK_NEUROLOGICAL_DETERIORATION",
"RISK_ANXIETY_EXACERBATION",
"RISK_TREATMENT_OMISSION"
],
"justification": "All identified risks resolved. Outpatient monitoring r... | VERIF-8699610-1 |
8699863-6 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8699863-6 |
8699863-5 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8699863-5 |
8699977-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8699977-1 |
8699918-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [
"RISK_TREATMENT_OMISSION"
],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
... | VERIF-8699918-1 |
8699977-2 | [
{
"rec_id": "REC_CONTINUE_CURRENT_PLAN",
"type": "MAINTENANCE",
"confidence": 0.99,
"based_on_risks": [
"RISK_GI_BLEED"
],
"justification": "[MANAGED] Risk controlled — maintain current care plan.",
"constraints": [
"Continue Current Therapy",
"Monitor for Decompensatio... | VERIF-8699977-2 |
8699826-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8699826-1 |
8699901-1 | [
{
"rec_id": "REC_PLAN_REVIEW",
"type": "INTERVENTION_CHECK",
"confidence": 0.791,
"based_on_risks": [
"RISK_TREATMENT_OMISSION"
],
"justification": "[ACTIVE] Consolidated 16 signals (coarctation of the aorta, ventricular septal defect, atrioventricular and ventriculoarterial concordanc... | VERIF-8699901-1 |
8699977-3 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8699977-3 |
8699959-1 | [
{
"rec_id": "REC_VTE_PROPHYLAXIS",
"type": "PREVENTION",
"confidence": 0.83,
"based_on_risks": [
"RISK_VTE"
],
"justification": "[ACTIVE] RISK_VTE: signals detected — swelling",
"constraints": [
"VTE Risk Score (Caprini)",
"LMWH Prophylaxis if not contraindicated",
... | VERIF-8699959-1 |
8699933-1 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8699933-1 |
8700032-3 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
"Patient Education on Warning Signs... | VERIF-8700032-3 |
8699839-1 | [
{
"rec_id": "REC_RESPIRATORY_SUPPORT",
"type": "INTERVENTION",
"confidence": 0.97,
"based_on_risks": [
"RISK_RESPIRATORY_DISTRESS"
],
"justification": "[ACTIVE] RISK_RESPIRATORY_DISTRESS: signals detected — dyspnea",
"constraints": [
"Titrate Oxygen",
"Positioning Maneu... | VERIF-8699839-1 |
8700032-4 | [
{
"rec_id": "REC_OUTPATIENT_FOLLOW_UP",
"type": "DISCHARGE_PLANNING",
"confidence": 0.9,
"based_on_risks": [
"RISK_TREATMENT_OMISSION"
],
"justification": "All identified risks resolved. Outpatient monitoring recommended.",
"constraints": [
"GP Follow-up within 2 weeks",
... | VERIF-8700032-4 |
End of preview.
PRD Clinical Multi-Task Corpus
A production-scale, LLM-generated clinical multi-task corpus derived from the PMC-Patients patient narratives. Each of the 167,034 source narratives is processed into a structured, multi-task record containing named entities, relations, question answering with reasoning traces, medications, temporal events, a grounded summary, and downstream deterministic risk-reasoning artefacts.
This corpus accompanies the paper "How much of an LLM-generated clinical corpus is actually new? A production-scale measurement of content redundancy for provenance classification" Paper, Github and is released to enable reproduction of the provenance-based redundancy decomposition (PRD) reported there.
Important. This corpus is LLM-generated and has not been clinically validated. It is released for research on corpus structure, content provenance, and NLP method development. It is not a gold-standard annotation resource and must not be used for clinical decision-making or patient care. Generated fields (entities, relations, answers, risk statements) are model outputs and may contain errors.
Dataset at a glance
| Property | Value |
|---|---|
| Records (patients) | 167,034 (163,400 human, 3,634 veterinary) |
| Source | PMC-Patients (Zhao et al., 2023), CC-BY-NC-SA-4.0 |
| Generator model | Llama-3.3-70B (instruction-tuned) |
| Verifier model | MMed-Llama-3.1-70B |
| Tasks per record | 7 in-record channels + 1 visualization payload + 3 downstream risk channels |
| Total generated tokens | ~2.51B |
| Format | JSON Lines (one patient per line) |
| License | CC-BY-NC-SA-4.0 |
Data Generation and Verification Pipeline
The PRD Clinical Corpus was generated through a large-scale generator–verifier pipeline. Clinical narratives from the PMC-Patients corpus were processed by a general-purpose large language model to generate candidate clinical information across multiple NLP tasks. A separate medical-domain model then assessed the generated outputs against the source clinical narrative and task-specific verification criteria.
The resulting verifier-assessed outputs were assembled into the PRD Clinical Corpus together with provenance and redundancy information, enabling downstream research in clinical NLP, synthetic clinical data auditing, provenance analysis, and model training.
Corpus statistics
Aggregate item counts across all 167,034 records:
| Task channel | Total items | Records with the task |
|---|---|---|
Named entities (ner) |
4,471,110 | 167,034 |
Relations (re) |
4,129,537 | 166,091 |
Temporal events (temporal_events) |
2,614,040 | 166,744 |
Question answering (qa) |
1,035,199 | 165,082 |
Risk-oriented QA (risk_qa) |
760,483 | 123,724 |
Medications (medications) |
372,969 | 100,556 |
Summaries (summary) |
167,034 | 167,034 |
Downstream deterministic risk channels:
| Channel | Total items | Records |
|---|---|---|
Active risks (active_v6_risks) |
193,364 | 167,034 |
Risk states (active_v6_risk_states) |
193,364 | 167,034 |
Recommendations (active_v6_recommendations) |
215,435 | 167,034 |
Named-entity categories (4,471,110 entities, 11 categories)
| Category | Count |
|---|---|
| Tests | 1,356,195 |
| Treatment | 914,530 |
| Symptoms | 826,180 |
| Diagnosis | 798,304 |
| Observation | 236,837 |
| Unknown | 179,855 |
| History | 106,569 |
| Risk_Factor | 43,000 |
| Outcome_ClinicalStatus | 6,557 |
| Outcome_Disposition | 3,068 |
| Adverse_Event | 15 |
Relation labels (4,129,537 relations, 8 labels)
| Label | Count |
|---|---|
| ASSOCIATED_WITH | 2,527,000 |
| REVEALS | 604,305 |
| MANIFESTS | 517,165 |
| TREATS | 265,732 |
| PREVENTS | 100,613 |
| GUIDED_BY | 74,186 |
| COMPLICATED_BY | 23,709 |
| CAUSES | 16,827 |
Question-answering categories (1,035,199 pairs, 11 categories)
| Category | Count |
|---|---|
| Diagnosis | 158,716 |
| Treatment | 138,488 |
| Tests | 137,969 |
| Symptoms | 131,205 |
| Outcome_ClinicalStatus | 104,455 |
| Observation | 99,619 |
| Adverse_Event | 82,637 |
| Outcome_Disposition | 72,550 |
| History | 66,891 |
| Outcome_Mortality | 23,185 |
| Risk_Factor | 19,484 |
Note that these counts are of generated items; the confidence and
verifier_status fields record the pipeline's own assessment, not verified
ground truth.
How the corpus was generated (summary)
Each PMC-Patients narrative was processed by a general-purpose generator (Llama-3.3-70B) proposing candidate extractions, with a medical-domain verifier (MMed-Llama-3.1-70B) attesting each candidate; a deterministic clinical-policy layer then derives downstream risk-reasoning artefacts from the verified evidence. Every task output is emitted as a structured JSON object. For each extraction the pipeline records the model confidence and a verifier status, enabling downstream filtering. Full generation configuration (decoding parameters, serving setup) is provided in the accompanying paper's Supplementary Information.
The corpus exhibits substantial content redundancy by construction: source context is re-serialized into per-item fields across tasks, so raw token count greatly overstates the amount of lexically novel content. Measuring and decomposing this redundancy is the subject of the accompanying paper.
Files
| File | Description |
|---|---|
multitask_data_enriched.jsonl |
Main corpus: one patient per line, all in-record task channels |
visualization_payload.jsonl |
Per-patient knowledge-graph visualization payload |
active_v6_risks.jsonl |
Downstream: active risks per patient (deterministic) |
active_v6_risk_states.jsonl |
Downstream: temporal risk-state transitions |
active_v6_recommendations.jsonl |
Downstream: recommendations per patient |
Records are joined across files by the patient identifier (uid).
Record structure
Each line of multitask_data_enriched.jsonl is a JSON object:
{
"uid": "7665777-11",
"text": "This 77-year-old male patient was transferred to our ICU ...",
"meta_species": "human",
"tasks": {
"ner": [ ... ],
"qa": [ ... ],
"re": [ ... ],
"medications": [ ... ],
"temporal_events": [ ... ],
"risk_qa": [ ... ],
"summary": "..."
}
}
uid— patient identifier of the formPMID-x, wherePMIDis the PubMed identifier of the source article andxis the patient index within that article (inherited from PMC-Patients).text— the source patient narrative (from PMC-Patients).meta_species—humanorveterinary.tasks— the seven in-record task channels, detailed below.
Task channels (in depth)
1. ner — Named Entity Recognition
List of extracted clinical entities. Each entity:
| Field | Type | Description |
|---|---|---|
entity |
string | The entity span text |
category |
string | Clinical category (e.g. Diagnosis, Treatment, Symptoms, Unknown) |
start_char, end_char |
int | Character offsets into text |
llm_confidence |
float | Generator's self-reported confidence |
assertion_status |
string | e.g. Present, Absent |
is_negated_source |
bool | Whether the mention is negated in the source |
confidence |
float | Combined confidence score |
verifier_status |
string | Verifier verdict (e.g. PASS) |
2. qa — Question Answering with reasoning
List of question-answer items with structured reasoning traces. Each item:
| Field | Type | Description |
|---|---|---|
qa_id |
string | Unique QA identifier |
question |
string | The generated question |
answer |
string | The extracted answer |
category |
string | Question category (e.g. Diagnosis) |
reason |
object | Structured reasoning trace (see below) |
context |
string | Source context the answer is grounded in |
meta |
object | Additional metadata |
verifier_status |
string | Verifier verdict |
verdict_path |
string/array | Trace of the verification decision |
The reason object contains a multi-level reasoning trace, including an
interpretation, a decision rule with a confidence score, a conclusion, the
extraction method, and a structured reasoning_schema (decision type, input
signal, severity marker, causal links). This is the richest channel and a
primary contributor to copied-context redundancy, since context re-serializes
source text per item.
3. re — Relation Extraction
List of typed relations between entities. Each relation:
| Field | Type | Description |
|---|---|---|
rel_id |
string | Unique relation identifier |
head, tail |
string | The two related entities |
head_type, tail_type |
string | Entity types |
label |
string | Relation type |
direction |
string | Relation direction |
confidence |
float | Confidence score |
context |
string | Source context grounding the relation |
verifier_status, status |
string | Verifier verdict and final status |
4. medications — Medication Extraction
List of extracted medications with associated attributes (drug, and where present route, frequency, and related fields).
5. temporal_events — Temporal Event Extraction
List of clinical events with temporal anchoring. Each event:
| Field | Type | Description |
|---|---|---|
event_id |
string | Unique event identifier |
sentence |
string | Source sentence containing the event |
timepoint |
string | Extracted timepoint |
timepoint_type |
string | Type of timepoint |
event_type |
string | Type of event |
entities_involved |
list | Entities participating in the event |
temporal_order |
int/string | Ordinal position in the timeline |
is_anchored |
bool | Whether the event is anchored to a concrete timepoint |
confidence |
float | Confidence score |
6. risk_qa — Risk-oriented Question Answering
List of risk-focused question-answer items (structure parallels qa).
7. summary — Grounded Summary
A single free-text grounded summary string for the patient. Unlike the per-item channels, the summary is a single generation and carries no copied-context redundancy.
Patient knowledge-graph visualization (visualization_payload.jsonl)
A separate file with one JSON object per patient (167,034 lines), encoding the
patient-level knowledge graph derived from the verified entities and relations,
in a node-link format suitable for graph visualization. Joined to the main corpus
by meta.uid.
Top-level fields: nodes, links, groups, meta, meta_species.
meta— graph-level metadata:uid(join key),meta_species,node_count,entity_count,risk_count,med_count,link_count,graph_density,has_temporal,category_breakdown(counts per clinical category),summary_coverage.nodes— clinical-entity nodes. Each node carries anid({uid}_{index}),label,group(clinical category),level, display attributes (color,size,opacity,border_style),confidence,llm_confidence,assertion_status,is_negated,char_span(offsets into the source text),node_type,verifier_status, atemporalobject (temporal_order,timepoint,timepoint_type,event_type), andin_summary.links— edges corresponding to extracted relations, each withsourceandtargetnode ids,label(relation type),status,confidence,verifier_votes,direction,head_type,tail_type, display attributes (width,dashed), andlink_type.groups— per-category summaries (count,avg_conf,color,level) used for layout and colouring.
This payload is a downstream rendering artefact derived from the verified extraction channels; it is included for completeness and is not part of the text-provenance analysis reported in the accompanying paper.
Downstream risk channels (separate files, joined by uid)
These are deterministic functions of the verified upstream evidence:
active_v6_risks.jsonl—{uid, risks, provenance}: active clinical risks derived from verified entities and relations.active_v6_risk_states.jsonl—{uid, states, provenance, agentic_check}: temporal risk-state transitions (e.g. resolved, escalated).active_v6_recommendations.jsonl—{uid, recommendations, provenance}: recommendations, each traceable through a fixed policy to the specific verified evidence that triggered it.
Intended uses
- Research on content provenance and redundancy in LLM-generated corpora.
- Benchmarking de-duplication and corpus-reporting methods.
- Studying multi-task clinical extraction output structure.
- Method development in clinical NLP where the model-generated nature is explicitly accounted for.
Out-of-scope / prohibited uses
- Any clinical or patient-care use. The corpus is not clinically validated.
- Training systems presented as clinically reliable without independent validation.
- Commercial use (prohibited by the CC-BY-NC-SA-4.0 license).
Limitations
- Outputs are model-generated and contain errors; confidence and verifier fields indicate the pipeline's own assessment, not ground truth.
- Coverage and phrasing reflect the generation pipeline's design; redundancy and task mixture are properties of that design (see the accompanying paper).
- Derived from published case reports, which differ in distribution from real-world EHR notes.
Licensing and attribution
Released under CC-BY-NC-SA-4.0, inherited from the source dataset. You must attribute both this corpus and PMC-Patients, share derivatives under the same license, and use it non-commercially.
Dataset versions
Current version: v1.0
The dataset is versioned so that analyses can be reproduced against a fixed release. Future releases may contain corrections, additional metadata, or regenerated records and will receive a new version identifier.
Source PMC-Patients dataset:
@article{zhao2023large,
title={A large-scale dataset of patient summaries for retrieval-based clinical decision support systems},
author={Zhao, Zhengyun and Jin, Qiao and Chen, Fangyuan and Peng, Tuorui and Yu, Sheng},
journal={Scientific Data},
volume={10}, number={1}, pages={909}, year={2023},
publisher={Nature Publishing Group UK London}
}
Citation
If you use this corpus, please cite:
@article{lazem2026prd,
title={How much of an LLM-generated clinical corpus is actually new? A production-scale measurement of content redundancy for provenance classification},
author={Lazem, Ali H. and Teahan, William J.},
year={2026},
note={arXiv:2606.29605}
}
Contact
- Ali H. Lazem — lhl23prg@bangor.ac.uk
- School of Computer Science and Engineering, Bangor University, UK.
- University of Thi-Qar, Nasiriyah, 64001, Iraq.
- William J. Teahan — w.j.teahan@bangor.ac.uk
- School of Computer Science and Engineering, Bangor University, UK.
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