id stringclasses 10
values | case_id stringclasses 10
values | dialogue_excerpt stringclasses 10
values | hypotheses_active stringclasses 10
values | key_findings_list stringclasses 10
values | objection_list stringclasses 10
values | convergence_point stringclasses 4
values | coherence_score_0_100 int64 78 92 | dominant_narrative stringclasses 10
values | convergence_evidence stringclasses 10
values | constraints stringclasses 1
value | gold_checklist stringclasses 1
value |
|---|---|---|---|---|---|---|---|---|---|---|---|
CCD-001 | C01 | T5 ID introduces drug reaction; T6 timeline fits; T7 ANA negative; T8 drug stopped and improves; T9 team agrees | H1 autoimmune,H2 infection,H3 drug reaction | fever,rash,CRP high,ANA negative,improves after stopping drug | cultures negative; autoimmune antibodies absent | T8 | 88 | Drug reaction best explains rash+fever+inflammation and intervention response; autoimmune and infection collapse | At T8 a single narrative explains all findings and resolves objections via dechallenge response | Under 200 words. | 1 point |
CCD-002 | C02 | T1 stroke proposed; T2 CT negative; T3 glucose 30; T4 symptoms resolve with dextrose; T5 team agrees | H1 stroke,H2 seizure,H3 hypoglycemia | acute deficit,CT negative,glucose 30,response to dextrose | stroke not supported by imaging | T4 | 92 | Hypoglycemia explains deficit and rapid reversal; stroke rejected by CT and response | At T4 response to dextrose collapses alternatives and closes objections | Under 200 words. | 1 point |
CCD-003 | C03 | T1 infection vs autoimmune; T2 cultures pending; T3 CT shows abscess; T4 drain planned; T5 consensus | H1 autoimmune,H2 infection,H3 abscess | fever,CRP high,CT abscess,local pain | autoimmune lacks focal source | T3 | 90 | Abscess unifies fever and inflammation with focal imaging source; plan confirms causal story | Imaging provides decisive unifier and closes differential | Under 200 words. | 1 point |
CCD-004 | C04 | T1 cardiac ischemia proposed; T2 troponin normal; T3 ammonia high; T4 lactulose improves confusion; T5 consensus | H1 cardiac,H2 stroke,H3 hepatic encephalopathy | confusion,troponin normal,ammonia high,response to lactulose | cardiac hypothesis loses support | T4 | 91 | Hepatic encephalopathy explains confusion and ammonia and response; cardiac ruled out | Therapeutic response locks narrative and ends active objections | Under 200 words. | 1 point |
CCD-005 | C05 | T1 PE considered; T2 D-dimer high; T3 CT angio negative; T4 pneumonia signs; T5 antibiotics improve | H1 PE,H2 pneumonia | dyspnea,D-dimer high,CT negative,infiltrate,response antibiotics | D-dimer non-specific | T4 | 82 | Pneumonia explains dyspnea and imaging; PE rejected by CT; D-dimer reinterpreted | Convergence when CT rules out PE and lung findings unify symptoms | Under 200 words. | 1 point |
CCD-006 | C06 | T1 MS flare proposed; T2 MRI unchanged; T3 B12 low; T4 replacement improves gait; T5 consensus | H1 MS flare,H2 neuropathy,H3 B12 deficiency | gait issues,MRI unchanged,B12 low,response replacement | MS assumed but unsupported | T3 | 86 | B12 deficiency accounts for symptoms without MRI change; response confirms | Lab unifier emerges at T3; response later confirms | Under 200 words. | 1 point |
CCD-007 | C07 | T1 pancreatitis; T2 lipase normal; T3 gallstones on US; T4 pain persists; T5 ERCP helps | H1 pancreatitis,H2 biliary colic | pain,lipase normal,US gallstones,response ERCP | pancreatitis contradicted | T3 | 84 | Biliary colic explains pain with gallstones and normal lipase; pancreatitis dropped | Ultrasound resolves contradiction and collapses pancreatitis | Under 200 words. | 1 point |
CCD-008 | C08 | T1 delirium meds; T2 UTI possible; T3 urinalysis negative; T4 sleep deprivation noted; T5 rest improves | H1 UTI,H2 medication,H3 sleep deprivation | delirium,UA negative,poor sleep,improves with rest | infection not supported | T4 | 78 | Sleep deprivation + hospital environment explains delirium; UTI dropped | Convergence when key causal factor explains course and objections stop adding structure | Under 200 words. | 1 point |
CCD-009 | C09 | T1 autoimmune; T2 drug exposure revealed; T3 eosinophilia; T4 rash worsens; T5 steroid helps | H1 autoimmune,H2 drug hypersensitivity | rash,eosinophilia,drug exposure,response steroid | autoimmune antibodies absent | T3 | 83 | Drug hypersensitivity explains eosinophilia and rash; autoimmune lacks markers | Eosinophilia + exposure compresses narrative and resolves conflict | Under 200 words. | 1 point |
CCD-010 | C10 | T1 sepsis vs CHF; T2 BNP high; T3 procalcitonin high; T4 fluids worsen; T5 diuresis helps plus antibiotics | H1 sepsis,H2 CHF,H3 mixed shock | hypotension,BNP high,PCT high,fluid intolerance,response diuresis+abx | single-cause models fail | T5 | 80 | Mixed shock: infection plus volume overload; treat both domains | Convergence when integrative narrative absorbs contradictions and guides plan | Under 200 words. | 1 point |
What this dataset tests
Whether a model can locate the turn where collective reasoning converges
on a coherent diagnostic narrative.
Required outputs
- convergence_point
- coherence_score_0_100
- dominant_narrative
Scoring anchors
- narrative explains all key findings
- minimal extra assumptions
- objections resolved or absorbed
- cross-specialty conflict closed
Typical failures
- picking final diagnosis without locating the turn
- scoring coherence without referencing objections
- ignoring integrative narratives that absorb contradictions
Suggested prompt wrapper
System
You detect diagnostic coherence convergence.
User
Dialogue excerpt
{dialogue_excerpt}
Key findings
{key_findings_list}
Objections
{objection_list}
Return
- convergence point as T#
- coherence score 0-100
- dominant narrative in one sentence
- one sentence evidence
Citation
ClarusC64 dataset family
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