id stringclasses 6
values | scenario_title stringclasses 6
values | clinical_context stringclasses 6
values | option_set stringclasses 6
values | value_dimensions_active stringclasses 6
values | stakeholder_values stringclasses 6
values | path_evaluations stringclasses 6
values | value_conflict_matrix stringclasses 6
values | coherence_score_per_path stringclasses 6
values | moral_tension_hotspots stringclasses 6
values | value_sacrifice_profile stringclasses 6
values | stakeholder_alignment_map stringclasses 6
values | coherence_failure_modes stringclasses 6
values | notes stringclasses 6
values | constraints stringclasses 1
value | gold_checklist stringclasses 1
value |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
VCCA-001 | ICU ventilator triage | Two patients need one ventilator | allocate_to_A; allocate_to_B; lottery; time-limited_trial | justice; beneficence; autonomy | A:survival; B:dignity; clinicians:fairness; institution:protocol | A:benefit_high; B:benefit_mid; lottery:fairness_high; trial:uncertainty_mid | justice vs beneficence; autonomy vs justice | A:0.55; B:0.50; lottery:0.70; trial:0.62 | allocation rule; discrimination risk; family trust | A:sacrifice_justice; B:sacrifice_beneficence; lottery:sacrifice_specific_need; trial:sacrifice_certainty | lottery aligns institution+justice; A aligns family_A | outcome_bias; protocol_overreach | Scores reflect value coherence not outcomes | Under 320 words. | matrix+scores+hotspots |
VCCA-002 | Truth-telling in terminal cancer | Poor prognosis with family non-disclosure request | full_disclosure; partial_disclosure; defer_to_family | autonomy; care; truth | patient:hope; family:protection; clinicians:honesty; institution:consent | full:truth_high; partial:care_high; defer:family_high | truth vs protection; autonomy vs care | full:0.72; partial:0.68; defer:0.35 | capacity and consent; betrayal risk; despair risk | full:sacrifice_protection; partial:sacrifice_precision; defer:sacrifice_autonomy | full aligns law+clinicians; partial aligns patient+care | protective_paternalism; ambiguity_abuse | Partial can be coherent if explicit limits | Under 320 words. | matrix+scores+hotspots |
VCCA-003 | Experimental therapy access | No standard option; high-risk experimental request | compassionate_use; trial_enrollment; supportive_care | autonomy; safety; justice | patient:risk_accepting; family:split; clinicians:avoid_harm; regulator:safety | comp:autonomy_high; trial:justice_high; supportive:safety_high | autonomy vs safety; justice vs compassion | comp:0.60; trial:0.66; supportive:0.58 | false hope; fairness to others; consent quality | comp:sacrifice_justice; trial:sacrifice_access; supportive:sacrifice_autonomy | trial aligns regulator+justice; comp aligns patient | optimism_bias; consent_fragility | Coherence depends on consent integrity | Under 320 words. | matrix+scores+hotspots |
VCCA-004 | Withdrawal of life support | Advance directive favors withdrawal; family conflicted | withdraw_support; time-limited_observation; continue_support | autonomy; dignity; care | patient:wishes; family:attachment; clinicians:ethics; institution:policy | withdraw:autonomy_high; observe:care_high; continue:family_high | autonomy vs family attachment; dignity vs prolongation | withdraw:0.78; observe:0.70; continue:0.40 | family trust rupture; moral residue; delay harm | withdraw:sacrifice_family_comfort; observe:sacrifice_clarity; continue:sacrifice_autonomy | withdraw aligns patient+clinicians+policy | avoidance_delay; emotional_override | Observation coherent if time-bounded | Under 320 words. | matrix+scores+hotspots |
VCCA-005 | Pediatric chemo refusal | Parents refuse chemo for child | override_parents; negotiate_delay; accept_refusal | beneficence; justice; parental authority | parents:belief; child:future; clinicians:protect child; state:best interest | override:beneficence_high; negotiate:relationship_high; accept:parental_high | parental authority vs child welfare | override:0.74; negotiate:0.68; accept:0.25 | coercion risk; delay mortality; cultural harm | override:sacrifice_parental_trust; negotiate:sacrifice_time; accept:sacrifice_child_welfare | override aligns law+child welfare; negotiate aligns trust | relativism_error; coercion_blindness | Delay is ethically costly | Under 320 words. | matrix+scores+hotspots |
VCCA-006 | Dialysis in frailty | ESRD with frailty; patient wants comfort; family wants treatment | initiate_dialysis; conservative_management; time-limited_trial | autonomy; proportionality; beneficence | patient:comfort; family:life extension; clinicians:avoid harm | dialysis:life_extension_high; conservative:comfort_high; trial:uncertainty_mid | autonomy vs family demand; proportionality vs default treatment | dialysis:0.55; conservative:0.75; trial:0.68 | capacity clarity; family grief; suffering burden | dialysis:sacrifice_comfort; conservative:sacrifice_family_hopes; trial:sacrifice_certainty | conservative aligns patient+proportionality | treatment_default_bias; avoidance_of_grief | Trial coherent if stopping rules explicit | Under 320 words. | matrix+scores+hotspots |
What this dataset tests
Whether a system can map value conflict
and score the coherence of each ethical path
without claiming a single correct answer.
Required outputs
- value conflict matrix
- coherence score per path
- moral tension hotspots
- value sacrifice profile
- stakeholder alignment map
- coherence failure modes
Use case
Second layer of the Ethical Trade-off Simulator.
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