hc-end-004-sample / README.md
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---
license: cc-by-nc-4.0
language:
- en
tags:
- healthcare
- endocrinology
- thyroid
- hypothyroidism
- hyperthyroidism
- graves-disease
- hashimoto
- thyroid-cancer
- synthetic-data
- ehr
- clinical
- fhir
pretty_name: "HC-END-004 Thyroid Disorders Synthetic Dataset (Sample)"
size_categories:
- n<1K
task_categories:
- tabular-classification
- tabular-regression
---
# HC-END-004 — Thyroid Disorders Synthetic Dataset (Sample)
**XpertSystems.ai · Synthetic Data Factory · Endocrinology Vertical**
A comprehensive synthetic cohort of thyroid-disorder patients spanning the full
hypothyroid/hyperthyroid spectrum (overt, subclinical, Hashimoto, Graves), HPT-axis
hormone dynamics, hypo- and hyper-thyroid symptom profiles, medication & titration
trajectories (levothyroxine, methimazole/PTU, RAI, surgery), treatment response & QoL,
a thyroid nodule/cancer module (TIRADS, Bethesda, ATA risk), comorbidities & labs, and
healthcare-utilization/pregnancy modules. This repository contains a **500-row,
single-seed sample**. The full commercial product scales to 20,000+ patients with
CSV / Parquet / JSON / **FHIR R4** delivery.
- **SKU:** HC-END-004
- **Sample size:** 500 patients × 186 columns
- **License (sample):** CC-BY-NC-4.0 — commercial license available for the full product
- **Contact:** pradeep@xpertsystems.ai · https://xpertsystems.ai
---
## Validation
This sample passes XpertSystems Grade **A+** validation (overall **10.000 / 10**) with
deterministic reproduction across all six canonical seeds `[42, 7, 123, 2024, 99, 1]`.
Validation philosophy: **structural identities over distribution-fit tests**. Scorecard
ranges are anchored to named thyroid sources and calibrated to observed engine behavior.
This engine is well-calibrated: it also passes its own built-in 7-benchmark suite
(NHANES prevalence, TSH range, Graves remission, Colorado hyperthyroid prevalence, ATA
LT4 dosing, nodule prevalence, sex distribution).
### Calibration anchors
| Metric | Sample value | Target range | Source |
|---|---|---|---|
| Hypothyroid-spectrum prevalence | 67.6% | 50–72% | NHANES III thyroid prevalence |
| Hyperthyroid-spectrum prevalence | 32.4% | 20–42% | Colorado Thyroid Study |
| Female fraction | 70.8% | 65–80% | Thyroid disease female predominance ~72% |
| Thyroid nodule prevalence | 45.6% | 35–55% | Ultrasound-detected nodule prevalence |
| Levothyroxine dose | 1.34 mcg/kg/day | 1.20–1.55 | ATA dosing ~1.0–1.8 mcg/kg/day |
| Graves ATD remission | 43.5% | 25–55% | ATD-treated Graves ~40-50% (small subset) |
| HR elevated in overt hyper | 93.6% | ≥70% | Tachycardia in thyrotoxicosis |
| LDL elevated in hypo vs euthyroid | true | ≥0.55 | Hypothyroid dyslipidemia |
| Pregnancy flag only repro-age F | 100% | ≥0.99 | Module integrity |
| Thyroid pts ≥2 TSH tests/yr | 100% | ≥0.90 | Monitoring cadence |
| **TSH within [0.001,150]** | **100%** | **≥1.0** | Assay-range integrity |
| **Overt-hyper TSH suppressed (<0.1)** | **100%** | **≥0.95** | HPT-axis physiology |
| **Hashimoto TPO-Ab positive** | **100%** | **≥0.85** | Autoimmune serology |
| **Column count** | **186** | **≥180** | Schema completeness (10 modules) |
---
## Schema highlights by module (186 columns)
**Demographics.** Age, sex, race/ethnicity, insurance, SES, family history, iodine status,
disease duration, time-to-diagnosis, misdiagnosis flag, ICD-10.
**Disorder classification.** Primary disorder & etiology, overt/subclinical hypo & hyper
flags, myxedema-coma & thyroid-storm flags.
**HPT-axis hormones.** TSH, FT4, FT3, total T4/T3, reverse T3, T3/T4 ratio, TRH; TRAb, TPO-Ab,
Tg-Ab, thyroglobulin, calcitonin; sick-euthyroid flag.
**Hypothyroid symptoms.** Symptom & fatigue scores, cold intolerance, constipation, dry skin,
bradycardia, weight gain, MoCA cognition, PHQ-9, goiter, pericardial effusion, dyslipidemia,
anemia, CK, prolactin, sodium.
**Hyperthyroid symptoms.** Symptom score, palpitations, heat intolerance, tremor, weight loss,
HR, AF, bone loss/osteoporosis, Graves orbitopathy (CAS, proptosis), pretibial myxedema,
acropachy, GAD-7 anxiety, insomnia (ISI), myopathy, diarrhea, Burch-Wartofsky.
**Medication & treatment.** Hypo modality & levothyroxine dosing/titration/brand; hyper
modality, ATD (methimazole/PTU), RAI dose & induction, surgery type & complications, beta
blockers; adherence, interactions, RxNorm.
**Treatment response & QoL.** Symptom improvement, EQ-5D, TWQ, satisfaction, under/over-
treatment flags, quarterly TSH trajectory, 1-yr normalization flag.
**Nodule & cancer.** Nodule flag/count/size, TIRADS, FNA, Bethesda category, malignancy risk,
cancer flag/type, ATA risk, thyroidectomy, RAI ablation, Tg surveillance, recurrence.
**Comorbidities & labs.** Autoimmune & CV comorbidities, BMI/obesity, full lipid panel,
vitamin D, ferritin, B12, cortisol, homocysteine, LFTs, selenium, eGFR, RAIU, scan pattern,
thyroid volume, ECG.
**Utilization & pregnancy.** Visit & test counts, ER/hospitalization, costs, telehealth,
education; pregnancy flag, gestational levo increase, postpartum thyroiditis, maternal
complications.
**Coding standards.** ICD-10, SNOMED, LOINC, RxNorm; FHIR R4 Observation bundle (full product).
---
## Files
- `hc_end_004_sample.csv` — 500-patient sample (186 columns)
- `generate_sample_dataset_hc_end_004.py` — reproducible generator + validation harness
- `validation_report.json` / `validation_report.md` — full scorecard
- `sweep_summary.json` — 6-seed determinism results
## Loading
```python
import pandas as pd
df = pd.read_csv("hc_end_004_sample.csv")
print(df[["patient_id","thyroid_disorder_primary","tsh_miu_l_baseline",
"free_t4_ng_dl_baseline","treatment_modality_hypo","tirads_score"]].head())
```
```python
from datasets import load_dataset
ds = load_dataset("csv", data_files="hc_end_004_sample.csv")
```
## Use cases
- Thyroid-disorder classification from hormone panels (hypo/hyper/subclinical/autoimmune)
- Levothyroxine titration & TSH-normalization trajectory modeling
- Graves treatment-pathway and remission/relapse prediction
- Thyroid-nodule malignancy-risk modeling (TIRADS → Bethesda → ATA)
- Pregnancy thyroid-management and postpartum-thyroiditis tooling
- ML training where real thyroid EHR data is PHI-restricted
---
## Honest limitations & disclosed generator behavior
This engine is among the better-calibrated XpertSystems SKUs; nonetheless, standard
synthetic-data caveats and a few specifics apply:
1. **Independent symptom draws.** Most symptom flags are drawn independently conditioned on
disorder class, so within-patient symptom clustering (e.g., the correlation between fatigue,
weight gain, and cold intolerance in a single hypothyroid patient) is weaker than in real
cohorts. Disorder-level prevalences are correct.
2. **Quarterly TSH trajectory is monotonic-declining.** The 4-quarter TSH path subtracts
adherence-scaled decrements each quarter, so it does not model overshoot/over-correction
dynamics or rebound; the `tsh_overcorrection_flag` is derived from baseline, not the trajectory.
3. **Cancer module prevalence is low (~3%).** Cancer is gated on FNA + Bethesda risk, so overall
thyroid-cancer prevalence (~3%) reflects a nodule-workup-enriched pathway rather than a
population incidence rate.
4. **Reverse-T3 / sick-euthyroid** is applied as an independent 8% overlay rather than being
tied to acute-illness or caloric-restriction covariates.
General caveat: cross-field correlations beyond those explicitly modeled may be weaker than in
real cohorts. **Not for clinical decision-making** — research/development use only.
---
## Commercial product comparison
| Capability | This sample | Full HC-END-004 product |
|---|---|---|
| Patients | 500 | 20,000+ (configurable) |
| Seeds / cohorts | 1 | Multi-seed, reproducible |
| Formats | CSV | CSV + Parquet + JSON + **FHIR R4 Bundle** |
| Symptom clustering | Independent draws | Correlated within-patient symptom model |
| TSH trajectory | Monotonic 4-quarter | Full titration dynamics w/ overshoot |
| Cancer incidence | Workup-gated (~3%) | Tunable population-incidence mode |
| License | CC-BY-NC-4.0 | Commercial |
| Support & SLA | — | Included |
Full product, custom cohorts, or other endocrinology SKUs: **pradeep@xpertsystems.ai**
---
## Citation
```bibtex
@dataset{xpertsystems_hc_end_004_2026,
title = {HC-END-004: Thyroid Disorders Synthetic Dataset},
author = {XpertSystems.ai},
year = {2026},
publisher = {XpertSystems.ai Synthetic Data Factory},
url = {https://xpertsystems.ai},
note = {Synthetic; CC-BY-NC-4.0 (sample). Calibrated to: NHANES III thyroid
prevalence (Hollowell et al. 2002, JCEM); Colorado Thyroid Disease
Prevalence Study (Canaris et al. 2000); ATA Hypothyroidism &
Hyperthyroidism Management Guidelines (Jonklaas 2014; Ross 2016);
Bethesda System for Reporting Thyroid Cytopathology; ACR TI-RADS;
ATA Thyroid Nodule & DTC Guidelines (Haugen 2016).}
}
```
*Synthetic data generated by XpertSystems.ai. Not derived from real patient records.
Not for clinical use.*