Datasets:

ClarusC64
/

clinical-pre-explanation-coherence-synthesis-v0.1

id stringclasses 8 values	case_id stringclasses 8 values	pre_explanation_summary stringclasses 8 values	symptom_trajectory stringclasses 8 values	labs_imaging stringclasses 8 values	narrative_signals stringclasses 8 values	exclusions stringclasses 8 values	coherence_map stringclasses 8 values	unresolved_clusters stringclasses 8 values	candidate_systems_involved stringclasses 8 values	synthesis_rationale stringclasses 8 values	constraints stringclasses 1 value	gold_checklist stringclasses 1 value
PECS-001	UE-01	Years of fatigue, pain, brain fog after viral illness	post-viral onset; exertion worsens; crashes after activity	routine labs normal; tilt shows HR rise	describes wired-tired state; delayed recovery	autoimmune panels negative	energy regulation + autonomic stress loop	post-exertional crash; cognitive slowing	autonomic,metabolic,neuroimmune	Patterns align around exertion-triggered instability with delayed recovery rather than focal disease	Under 220 words.	map+clusters+systems
PECS-002	UE-02	Migratory pain, GI upset, anxiety	waxing pain; flares with stress	imaging normal; CRP mildly high	hypervigilance language; food fear	structural GI disease excluded	stress-amplified inflammatory signaling	pain-GI-anxiety coupling	immune,neuro,GI	Symptoms covary with stress and inflammation suggesting coupled systems	Under 220 words.	map+clusters+systems
PECS-003	UE-03	Orthostatic dizziness, palpitations, fatigue	worse standing; better supine	tilt positive; echo normal	fear of fainting	cardiac disease excluded	orthostatic intolerance with compensatory arousal	circulatory-adrenal mismatch	autonomic,cardio,neuro	Postural dependence and arousal point to control failure	Under 220 words.	map+clusters+systems
PECS-004	UE-04	Chronic pelvic pain	cyclic flares; central sensitization features	MRI negative	catastrophic framing during flares	infection excluded	central amplification with peripheral trigger	sensory gain escalation	neuro,immune,MSK	Temporal pattern fits amplification rather than lesion	Under 220 words.	map+clusters+systems
PECS-005	UE-05	Diffuse rash, flushing, GI upset	episodic; food related	tryptase normal	trigger tracking detailed	IgE disease excluded	mast-cell-like mediator surges	trigger-linked flares	immune,GI,vascular	Episodic mediator pattern despite normal baseline labs	Under 220 words.	map+clusters+systems
PECS-006	UE-06	Head pressure, light sensitivity	worse with exertion; improves rest	MRI normal	sensory overload descriptions	tumor excluded	sensory processing overload	photophobia-fatigue link	neuro,autonomic	Load intolerance suggests processing limits	Under 220 words.	map+clusters+systems
PECS-007	UE-07	Unrefreshing sleep, pain	nonrestorative nights	sleep study mild disruption	exhaustion language	sleep apnea excluded	sleep-immune coupling failure	pain-sleep loop	neuro,immune	Sleep quality drives pain and fatigue	Under 220 words.	map+clusters+systems
PECS-008	UE-08	Heat intolerance, tachycardia	seasonal worsening	thyroid normal	overheating narratives	endocrine disease excluded	thermoregulatory instability	heat-triggered flares	autonomic,vascular	Environmental triggers point to control issues	Under 220 words.	map+clusters+systems

What this dataset tests

Whether a model can synthesize coherence
from pre-explanation data without labels.

Required outputs

coherence_map
unresolved_clusters
candidate_systems_involved

Typical failures

listing symptoms without structure
jumping to diagnoses
ignoring trajectories and exclusions

Suggested prompt wrapper

System

You synthesize coherence from unexplained clinical data.

User

Pre-explanation case
{pre_explanation_summary}

Data
{symptom_trajectory}
{labs_imaging}
{narrative_signals}
{exclusions}

Return

coherence map
unresolved clusters
candidate systems involved
short rationale

Citation

ClarusC64 dataset family

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