Datasets:

ClarusC64
/

clinical-nbdm-narrative-biomarker-coherence-scoring-v0.1

id stringclasses 8 values	patient_profile stringclasses 8 values	narrative_excerpt stringclasses 8 values	narrative_features stringclasses 8 values	biomarker_panel stringclasses 8 values	imaging_summary stringclasses 8 values	biomarker_severity stringclasses 3 values	narrative_severity stringclasses 4 values	discordance_direction stringclasses 3 values	coherence_score_0_100 int64 12 88	coherence_label stringclasses 2 values	discordance_signature stringclasses 8 values	constraints stringclasses 1 value	gold_checklist stringclasses 7 values
NBDM-CS-001	42F, autoimmune flare	I feel fine. Just a bit tired. I’m not worried.	tone=optimistic; certainty=high; distress=low	CRP=48; ESR=72; ANA=high; IL-6=high	MRI: active synovitis	severe	mild	narrative_understates_biology	18	low-coherence	optimism_vs_inflammation	Under 160 words.	1 low score; 2 understates
NBDM-CS-002	36M, functional symptoms	My body is failing. I can’t cope. Everything feels dangerous.	tone=catastrophic; certainty=high; distress=high	CRP=2; ESR=6; CBC normal; TSH normal	CT: unremarkable	mild	severe	narrative_overstates_biology	22	low-coherence	catastrophe_vs_normal_panel	Under 160 words.	1 low score; 2 overstates
NBDM-CS-003	58M, cardiac risk	I get chest tightness with stairs. I’m concerned but steady.	tone=concerned; distress=mid; clarity=high	Troponin=normal; BNP=480; LDL=190	Echo: reduced EF	severe	severe	aligned	84	high-coherence	matched_cardiac_risk	Under 160 words.	1 high score; 2 aligned
NBDM-CS-004	29F, anxiety presentation	It’s annoying but I’m okay. I can still work.	tone=downplay; distress=low	CRP=1; ESR=4	Imaging: normal	mild	mild	aligned	78	high-coherence	benign_match	Under 160 words.	1 high score
NBDM-CS-005	47F, inflammatory bowel	I’m struggling. I’m scared to eat. I’m losing weight.	tone=distress_high; certainty=mid	CRP=35; calprotectin=900	MRI enterography: active inflammation	severe	severe	aligned	88	high-coherence	matched_ibd	Under 160 words.	1 high score
NBDM-CS-006	51M, metabolic syndrome denial	I’m healthy. Doctors overreact. No symptoms.	tone=defensive; certainty=high	A1c=9.4; ALT=120; TG=420	US: fatty liver	severe	none	narrative_understates_biology	12	low-coherence	denial_vs_metabolic	Under 160 words.	1 very low; 2 denial pattern
NBDM-CS-007	33F, pain amplification	It’s unbearable. I’m sure something is badly damaged.	tone=catastrophic; certainty=high	CRP=3; ESR=7; CK normal	MRI: mild degenerative changes	mild	severe	narrative_overstates_biology	28	low-coherence	pain_amplification	Under 160 words.	1 low; 2 overstates
NBDM-CS-008	60F, cancer treatment response	I feel hopeful but realistic. I notice less pain.	tone=balanced; clarity=high	CRP=6; tumor_marker down 60%	CT: lesion shrinkage	moderate	moderate	aligned	80	high-coherence	matched_response	Under 160 words.	1 high; 2 aligned