Datasets:

ClarusC64
/

clinical-nbdm-discordance-polarity-prediction-v0.1

id stringclasses 8 values	patient_profile stringclasses 8 values	baseline_narrative stringclasses 8 values	baseline_narrative_features stringclasses 8 values	baseline_biomarkers stringclasses 8 values	baseline_imaging stringclasses 8 values	baseline_coherence_score int64 12 80	discordance_direction stringclasses 3 values	followup_window stringclasses 5 values	followup_evidence stringclasses 8 values	model_polarity_prediction stringclasses 8 values	predicted_convergence stringclasses 7 values	polarity_label stringclasses 3 values	polarity_failure_signature stringclasses 6 values	constraints stringclasses 1 value	gold_checklist stringclasses 7 values
NBDM-PP-001	42F, autoimmune flare upbeat	I’m fine. I’m not worried.	optimistic; distress_low; certainty_high	CRP=48; ESR=72; IL-6=high	MRI synovitis	18	narrative_understates_biology	8 weeks	Biology stayed high until steroids; narrative became worried after functional decline	Narrative will shift toward biology as symptoms force recalibration	narrative severity increases	narrative_converges_to_biology	none	Under 170 words.	1 predict narrative shifts
NBDM-PP-002	36M, catastrophic with normal panel	My body is failing. I can’t cope.	catastrophic; distress_high; certainty_high	CRP=2; ESR=6; CBC normal	CT unremarkable	22	narrative_overstates_biology	12 weeks	Biomarkers remained normal; panic reduced with CBT; function improved	Narrative will converge down toward biology with therapy	narrative severity decreases	narrative_converges_to_biology	none	Under 170 words.	1 narrative moves down
NBDM-PP-003	51M, denial metabolic	Doctors overreact. I’m healthy.	defensive; denial; certainty_high	A1c=9.4; TG=420; ALT=120	US fatty liver	12	narrative_understates_biology	6 months	Biomarkers improved only after medication; narrative stayed dismissive until complication	Narrative likely lags and then snaps toward biology after event	late narrative snap	narrative_converges_to_biology	lagged-recalibration	Under 170 words.	1 narrative lags
NBDM-PP-004	33F, catastrophic pain with mild imaging	Something is badly damaged.	catastrophic; hypervigilant	CRP=3; ESR=7; CK normal	MRI mild degenerative	28	narrative_overstates_biology	10 weeks	Pain improved with graded exposure; biomarkers unchanged	Narrative converges toward biology; biology stays stable	narrative severity decreases	narrative_converges_to_biology	none	Under 170 words.	1 narrative down
NBDM-PP-005	60F, hopeful during response	I feel hopeful but realistic.	balanced; clarity_high	tumor marker down 60%; CRP=6	CT shrinkage	80	aligned	12 weeks	Biology and narrative remain aligned	No polarity. Stable alignment	no change	indeterminate	already-aligned	Under 170 words.	1 indeterminate ok
NBDM-PP-006	48M, high stress inflammation mild narrative	I’m okay. Work is intense but fine.	flat; distress_low; alexithymic cues	CRP=18; cortisol AM low; HRV low	Imaging normal	35	narrative_understates_biology	16 weeks	Inflammation reduced after leave + sleep; narrative unchanged	Biology converges toward narrative after removing stressor	biology normalizes	biology_converges_to_narrative	stress-driven-biology	Under 170 words.	1 biology moves
NBDM-PP-007	27F, severe illness but stoic	It’s manageable. I don’t want to complain.	stoic; minimization	CRP=40; calprotectin=900	Imaging active IBD	20	narrative_understates_biology	8 weeks	Biology improved with biologic; narrative stayed stoic	Biology converges toward narrative because treatment fixes inflammation	biology improves	biology_converges_to_narrative	treatment-driven	Under 170 words.	1 biology moves
NBDM-PP-008	39F, mixed	I’m not sure what to think.	uncertain; mixed tone	CRP=7; ESR=18	Imaging borderline	55	aligned	10 weeks	Both fluctuate slightly without clear direction	Prediction should be indeterminate	no clear convergence	indeterminate	insufficient-signal	Under 170 words.	1 indeterminate

What this dataset tests

Given narrative–biomarker discordance at baseline
predict which modality will converge toward the other.

This infers the primary locus of systemic instability.

Outputs

polarity label
predicted convergence direction

Polarity labels

narrative_converges_to_biology
biology_converges_to_narrative
bidirectional
indeterminate

Typical patterns

Narrative converges to biology when

denial meets functional decline
catastrophic narrative softens with therapy while labs stay normal

Biology converges to narrative when

stress biology normalizes after load removal
inflammation resolves after targeted treatment while narrative stays stoic

Suggested prompt wrapper

System

You predict discordance polarity.

User

Baseline Narrative
{baseline_narrative}

Narrative Features
{baseline_narrative_features}

Baseline Biomarkers
{baseline_biomarkers}

Baseline Imaging
{baseline_imaging}

Baseline Coherence Score
{baseline_coherence_score}

Return

one polarity label
one sentence rationale

Citation

ClarusC64 dataset family

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