case_id int64 1 906 | age int64 14 73 | sex stringclasses 2
values | risk_tier stringclasses 3
values | risk_score int64 0 2 | urgency stringclasses 3
values | gold_differential listlengths 1 3 | escalation_required bool 2
classes | vignette stringclasses 345
values | perturbation_type stringclasses 4
values |
|---|---|---|---|---|---|---|---|---|---|
1 | 39 | female | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 39-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | original |
1 | 39 | female | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 39-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. This individual reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | lexical_rephrase |
1 | 39 | female | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 39-year-old female presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | symptom_removed |
1 | 39 | female | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 39-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. However, the patient denies severe respiratory distress. | contradictory_signal |
2 | 35 | female | High | 2 | urgent_ct_scan | [
"benign_condition"
] | true | A 35-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. Hemoptysis has been observed. | original |
2 | 35 | female | High | 2 | urgent_ct_scan | [
"benign_condition"
] | true | A 35-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. Hemoptysis has been observed. | lexical_rephrase |
2 | 35 | female | High | 2 | urgent_ct_scan | [
"benign_condition"
] | true | A 35-year-old female presents for pulmonary evaluation. Hemoptysis has been observed. | symptom_removed |
2 | 35 | female | High | 2 | urgent_ct_scan | [
"benign_condition"
] | true | A 35-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. Hemoptysis has been observed. However, the patient denies severe respiratory distress. | contradictory_signal |
4 | 35 | female | High | 2 | urgent_ct_scan | [
"benign_condition"
] | true | A 35-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. Hemoptysis has been observed. | original |
4 | 35 | female | High | 2 | urgent_ct_scan | [
"benign_condition"
] | true | A 35-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. Hemoptysis has been observed. | lexical_rephrase |
4 | 35 | female | High | 2 | urgent_ct_scan | [
"benign_condition"
] | true | A 35-year-old female presents for pulmonary evaluation. Hemoptysis has been observed. | symptom_removed |
4 | 35 | female | High | 2 | urgent_ct_scan | [
"benign_condition"
] | true | A 35-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. Hemoptysis has been observed. However, the patient denies severe respiratory distress. | contradictory_signal |
5 | 19 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 19-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. | original |
5 | 19 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 19-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. This individual reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. | lexical_rephrase |
5 | 19 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 19-year-old male presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. | symptom_removed |
5 | 19 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 19-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. However, the patient denies severe respiratory distress. | contradictory_signal |
8 | 33 | male | High | 2 | urgent_ct_scan | [
"copd",
"environmental_lung_disease",
"chronic_respiratory_infection"
] | true | A 33-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Shortness of breath is progressively worsening. Digital clubbing is present on examination. | original |
8 | 33 | male | High | 2 | urgent_ct_scan | [
"copd",
"environmental_lung_disease",
"chronic_respiratory_infection"
] | true | A 33-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. This individual reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Shortness of breath is progressively worsening. Digital clubbing is present on examination. | lexical_rephrase |
8 | 33 | male | High | 2 | urgent_ct_scan | [
"copd",
"environmental_lung_disease",
"chronic_respiratory_infection"
] | true | A 33-year-old male presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Shortness of breath is progressively worsening. Digital clubbing is present on examination. | symptom_removed |
8 | 33 | male | High | 2 | urgent_ct_scan | [
"copd",
"environmental_lung_disease",
"chronic_respiratory_infection"
] | true | A 33-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Shortness of breath is progressively worsening. Digital clubbing is present on examination. However, the patient denie... | contradictory_signal |
9 | 34 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease",
"chronic_respiratory_infection"
] | true | A 34-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | original |
9 | 34 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease",
"chronic_respiratory_infection"
] | true | A 34-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. This individual reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | lexical_rephrase |
9 | 34 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease",
"chronic_respiratory_infection"
] | true | A 34-year-old male presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | symptom_removed |
9 | 34 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease",
"chronic_respiratory_infection"
] | true | A 34-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. However, the patient denies severe respiratory distress. | contradictory_signal |
10 | 35 | female | High | 2 | urgent_ct_scan | [
"benign_condition"
] | true | A 35-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. Hemoptysis has been observed. | original |
10 | 35 | female | High | 2 | urgent_ct_scan | [
"benign_condition"
] | true | A 35-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. Hemoptysis has been observed. | lexical_rephrase |
10 | 35 | female | High | 2 | urgent_ct_scan | [
"benign_condition"
] | true | A 35-year-old female presents for pulmonary evaluation. Hemoptysis has been observed. | symptom_removed |
10 | 35 | female | High | 2 | urgent_ct_scan | [
"benign_condition"
] | true | A 35-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. Hemoptysis has been observed. However, the patient denies severe respiratory distress. | contradictory_signal |
12 | 46 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 46-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | original |
12 | 46 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 46-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. This individual reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | lexical_rephrase |
12 | 46 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 46-year-old male presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | symptom_removed |
12 | 46 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 46-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. However, the patient denies severe respiratory distress. | contradictory_signal |
13 | 29 | female | High | 2 | urgent_ct_scan | [
"lung_cancer",
"copd",
"environmental_lung_disease"
] | true | A 29-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. Digital clubbing is present on e... | original |
13 | 29 | female | High | 2 | urgent_ct_scan | [
"lung_cancer",
"copd",
"environmental_lung_disease"
] | true | A 29-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. This individual reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. Digital clubbing is present ... | lexical_rephrase |
13 | 29 | female | High | 2 | urgent_ct_scan | [
"lung_cancer",
"copd",
"environmental_lung_disease"
] | true | A 29-year-old female presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. Digital clubbing is present on examination. | symptom_removed |
13 | 29 | female | High | 2 | urgent_ct_scan | [
"lung_cancer",
"copd",
"environmental_lung_disease"
] | true | A 29-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. Digital clubbing is present on e... | contradictory_signal |
14 | 45 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 45-year-old male presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | original |
14 | 45 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 45-year-old male presents for pulmonary evaluation. This individual reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | lexical_rephrase |
14 | 45 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 45-year-old male presents for pulmonary evaluation. Hemoptysis has been observed. | symptom_removed |
14 | 45 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 45-year-old male presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. However, the patient denies severe respiratory distress. | contradictory_signal |
15 | 45 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 45-year-old male presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | original |
15 | 45 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 45-year-old male presents for pulmonary evaluation. This individual reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | lexical_rephrase |
15 | 45 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 45-year-old male presents for pulmonary evaluation. Hemoptysis has been observed. | symptom_removed |
15 | 45 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 45-year-old male presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. However, the patient denies severe respiratory distress. | contradictory_signal |
16 | 35 | male | High | 2 | urgent_ct_scan | [
"chronic_respiratory_infection"
] | true | A 35-year-old male presents for pulmonary evaluation. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. | original |
16 | 35 | male | High | 2 | urgent_ct_scan | [
"chronic_respiratory_infection"
] | true | A 35-year-old male presents for pulmonary evaluation. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. | lexical_rephrase |
16 | 35 | male | High | 2 | urgent_ct_scan | [
"chronic_respiratory_infection"
] | true | A 35-year-old male presents for pulmonary evaluation. Unintentional weight loss is noted. Shortness of breath is progressively worsening. | symptom_removed |
16 | 35 | male | High | 2 | urgent_ct_scan | [
"chronic_respiratory_infection"
] | true | A 35-year-old male presents for pulmonary evaluation. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. However, the patient denies severe respiratory distress. | contradictory_signal |
17 | 47 | male | High | 2 | urgent_ct_scan | [
"chronic_respiratory_infection"
] | true | A 47-year-old male presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. | original |
17 | 47 | male | High | 2 | urgent_ct_scan | [
"chronic_respiratory_infection"
] | true | A 47-year-old male presents for pulmonary evaluation. This individual reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. | lexical_rephrase |
17 | 47 | male | High | 2 | urgent_ct_scan | [
"chronic_respiratory_infection"
] | true | A 47-year-old male presents for pulmonary evaluation. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. | symptom_removed |
17 | 47 | male | High | 2 | urgent_ct_scan | [
"chronic_respiratory_infection"
] | true | A 47-year-old male presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. However, the patient denies severe respiratory distress. | contradictory_signal |
18 | 37 | female | High | 2 | urgent_ct_scan | [
"environmental_lung_disease",
"chronic_respiratory_infection"
] | true | A 37-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | original |
18 | 37 | female | High | 2 | urgent_ct_scan | [
"environmental_lung_disease",
"chronic_respiratory_infection"
] | true | A 37-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. This individual reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | lexical_rephrase |
18 | 37 | female | High | 2 | urgent_ct_scan | [
"environmental_lung_disease",
"chronic_respiratory_infection"
] | true | A 37-year-old female presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | symptom_removed |
18 | 37 | female | High | 2 | urgent_ct_scan | [
"environmental_lung_disease",
"chronic_respiratory_infection"
] | true | A 37-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. However, the patient denies severe respiratory distress. | contradictory_signal |
20 | 24 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 24-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | original |
20 | 24 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 24-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. This individual reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | lexical_rephrase |
20 | 24 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 24-year-old male presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | symptom_removed |
20 | 24 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 24-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. However, the patient denies severe respiratory distress. | contradictory_signal |
22 | 29 | female | High | 2 | urgent_ct_scan | [
"chronic_respiratory_infection"
] | true | A 29-year-old female presents for pulmonary evaluation. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. | original |
22 | 29 | female | High | 2 | urgent_ct_scan | [
"chronic_respiratory_infection"
] | true | A 29-year-old female presents for pulmonary evaluation. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. | lexical_rephrase |
22 | 29 | female | High | 2 | urgent_ct_scan | [
"chronic_respiratory_infection"
] | true | A 29-year-old female presents for pulmonary evaluation. Unintentional weight loss is noted. Shortness of breath is progressively worsening. | symptom_removed |
22 | 29 | female | High | 2 | urgent_ct_scan | [
"chronic_respiratory_infection"
] | true | A 29-year-old female presents for pulmonary evaluation. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. However, the patient denies severe respiratory distress. | contradictory_signal |
23 | 45 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 45-year-old male presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | original |
23 | 45 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 45-year-old male presents for pulmonary evaluation. This individual reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | lexical_rephrase |
23 | 45 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 45-year-old male presents for pulmonary evaluation. Hemoptysis has been observed. | symptom_removed |
23 | 45 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 45-year-old male presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. However, the patient denies severe respiratory distress. | contradictory_signal |
24 | 44 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 44-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | original |
24 | 44 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 44-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. This individual reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | lexical_rephrase |
24 | 44 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 44-year-old male presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | symptom_removed |
24 | 44 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 44-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. However, the patient denies severe respiratory distress. | contradictory_signal |
26 | 28 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 28-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | original |
26 | 28 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 28-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. This individual reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | lexical_rephrase |
26 | 28 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 28-year-old male presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | symptom_removed |
26 | 28 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 28-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. However, the patient denies severe respiratory distress. | contradictory_signal |
28 | 27 | male | High | 2 | urgent_ct_scan | [
"lung_cancer",
"copd",
"environmental_lung_disease"
] | true | A 27-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. Digital clubbing is present on exa... | original |
28 | 27 | male | High | 2 | urgent_ct_scan | [
"lung_cancer",
"copd",
"environmental_lung_disease"
] | true | A 27-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. This individual reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. Digital clubbing is present on... | lexical_rephrase |
28 | 27 | male | High | 2 | urgent_ct_scan | [
"lung_cancer",
"copd",
"environmental_lung_disease"
] | true | A 27-year-old male presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. Digital clubbing is present on examination. | symptom_removed |
28 | 27 | male | High | 2 | urgent_ct_scan | [
"lung_cancer",
"copd",
"environmental_lung_disease"
] | true | A 27-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. Digital clubbing is present on exa... | contradictory_signal |
29 | 37 | female | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 37-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. | original |
29 | 37 | female | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 37-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. This individual reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. | lexical_rephrase |
29 | 37 | female | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 37-year-old female presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. | symptom_removed |
29 | 37 | female | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 37-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. However, the patient denies severe respiratory distress. | contradictory_signal |
31 | 19 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 19-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. | original |
31 | 19 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 19-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. This individual reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. | lexical_rephrase |
31 | 19 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 19-year-old male presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. | symptom_removed |
31 | 19 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 19-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. However, the patient denies severe respiratory distress. | contradictory_signal |
33 | 29 | female | High | 2 | urgent_ct_scan | [
"chronic_respiratory_infection"
] | true | A 29-year-old female presents for pulmonary evaluation. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. | original |
33 | 29 | female | High | 2 | urgent_ct_scan | [
"chronic_respiratory_infection"
] | true | A 29-year-old female presents for pulmonary evaluation. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. | lexical_rephrase |
33 | 29 | female | High | 2 | urgent_ct_scan | [
"chronic_respiratory_infection"
] | true | A 29-year-old female presents for pulmonary evaluation. Unintentional weight loss is noted. Shortness of breath is progressively worsening. | symptom_removed |
33 | 29 | female | High | 2 | urgent_ct_scan | [
"chronic_respiratory_infection"
] | true | A 29-year-old female presents for pulmonary evaluation. Hemoptysis has been observed. Unintentional weight loss is noted. Shortness of breath is progressively worsening. However, the patient denies severe respiratory distress. | contradictory_signal |
34 | 64 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 64-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. | original |
34 | 64 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 64-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. This individual reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. | lexical_rephrase |
34 | 64 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 64-year-old male presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. | symptom_removed |
34 | 64 | male | High | 2 | urgent_ct_scan | [
"environmental_lung_disease"
] | true | A 64-year-old male presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. Unintentional weight loss is noted. However, the patient denies severe respiratory distress. | contradictory_signal |
35 | 37 | female | High | 2 | urgent_ct_scan | [
"environmental_lung_disease",
"chronic_respiratory_infection"
] | true | A 37-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | original |
35 | 37 | female | High | 2 | urgent_ct_scan | [
"environmental_lung_disease",
"chronic_respiratory_infection"
] | true | A 37-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. This individual reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | lexical_rephrase |
35 | 37 | female | High | 2 | urgent_ct_scan | [
"environmental_lung_disease",
"chronic_respiratory_infection"
] | true | A 37-year-old female presents for pulmonary evaluation. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. | symptom_removed |
35 | 37 | female | High | 2 | urgent_ct_scan | [
"environmental_lung_disease",
"chronic_respiratory_infection"
] | true | A 37-year-old female presents for pulmonary evaluation. There is a significant history of tobacco exposure. The patient reports chronic exposure to environmental pollutants. Hemoptysis has been observed. However, the patient denies severe respiratory distress. | contradictory_signal |
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Check out the documentation for more information.
PulmoBench: A Structured Clinical Reasoning Benchmark for Pulmonology
Overview
PulmoBench is a structured benchmark designed to evaluate large language models in clinical risk stratification and safety-aware pulmonary reasoning.
The dataset is derived from a publicly available lung cancer risk dataset and transformed into natural language clinical vignettes with structured annotations.
Dataset Structure
Each sample contains:
- case_id (int)
- age (int)
- sex (str)
- risk_tier (low / medium / high)
- risk_score (0–2 ordinal)
- urgency (routine_followup / specialist_consult / urgent_ct_scan / immediate_referral)
- gold_differential (list[str])
- escalation_required (bool)
- vignette (str)
- perturbation_type (original / lexical_rephrase / symptom_removed / contradictory_signal)
Task Definition
Given a vignette, models must predict:
- Risk tier
- Urgency
- Differential diagnoses
- Safety escalation
Intended Use
PulmoBench is designed for evaluating:
- Clinical reasoning robustness
- Prompt engineering sensitivity
- Safety compliance
- Escalation reliability Not intended for real-world medical deployment.
Test loading:
from datasets import load_dataset
dataset = load_dataset("saibhossain/PulmoBench")
print(dataset)
output :
DatasetDict({
train: Dataset({
features: ['case_id', 'age', 'sex', 'risk_tier', 'risk_score', 'urgency', 'gold_differential', 'escalation_required', 'vignette', 'perturbation_type'],
num_rows: 2544
})
validation: Dataset({
features: ['case_id', 'age', 'sex', 'risk_tier', 'risk_score', 'urgency', 'gold_differential', 'escalation_required', 'vignette', 'perturbation_type'],
num_rows: 544
})
test: Dataset({
features: ['case_id', 'age', 'sex', 'risk_tier', 'risk_score', 'urgency', 'gold_differential', 'escalation_required', 'vignette', 'perturbation_type'],
num_rows: 548
})
})
--
Source Dataset
Derived from: Lung Cancer Prediction
License
Other (specified in description)
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