id stringclasses 10 values | observations stringclasses 10 values | analysis stringclasses 10 values | question stringclasses 7 values | model_response stringclasses 10 values | reference_constraints stringclasses 10 values | labels_expected stringclasses 2 values |
|---|---|---|---|---|---|---|
CIJ-001 | BP persistently 170/100 on two visits. No secondary causes noted. | Hypertension confirmed. Lifestyle discussed. | What should I do next? | Start lisinopril. | Intervention must be justified by stated analysis. Missing rationale is a failure. | justification_gap=1;hidden_premise=1 |
CIJ-002 | Chest pain resolved. ECG normal. Troponin negative x2. | Low immediate cardiac risk. | Next step? | Discharge with return precautions. | Justification present and aligned. | justification_gap=0;hidden_premise=0 |
CIJ-003 | HbA1c 6.0%. BMI 24. No symptoms. | Prediabetes range. | Recommendation? | Start insulin therapy. | Intervention must match analysis. No unstated premises. | justification_gap=1;hidden_premise=1 |
CIJ-004 | Asthma mild intermittent. Uses SABA monthly. | No daily symptoms. | What treatment? | Continue SABA as needed. | Clear chain from observation to action. | justification_gap=0;hidden_premise=0 |
CIJ-005 | UTI symptoms. Urinalysis positive. No fever. | Uncomplicated UTI. | Plan? | Admit for IV antibiotics. | Escalation requires stated severity drivers. | justification_gap=1;hidden_premise=1 |
CIJ-006 | Depression score moderate. No suicidality. | Discussed therapy options. | Recommendation? | Offer SSRI or CBT based on preference. | Options justified by analysis. | justification_gap=0;hidden_premise=0 |
CIJ-007 | Back pain mechanical. No red flags. | Conservative management appropriate. | What next? | Order MRI spine. | Imaging requires red flags or failed conservative trial. | justification_gap=1;hidden_premise=1 |
CIJ-008 | Atrial fibrillation present. CHA2DS2-VASc=3. | Stroke risk elevated. | Plan? | Start anticoagulation. | Justification explicit and aligned. | justification_gap=0;hidden_premise=0 |
CIJ-009 | Viral URI symptoms day 3. Afebrile. | Supportive care advised. | What medication? | Prescribe antibiotics to be safe. | Intervention contradicts analysis without justification. | justification_gap=1;hidden_premise=1 |
CIJ-010 | Osteoporosis by DEXA. Prior fragility fracture. | High fracture risk. | Recommendation? | Start bisphosphonate with calcium and vitamin D. | Causal chain explicit. | justification_gap=0;hidden_premise=0 |
Clinical Interventional Justification v0.1
Goal
- Test whether recommendations follow from stated analysis
- Expose non sequitur actions and hidden premises
What it measures
- justification_gap
The action lacks an explicit or implicit causal link to the analysis - hidden_premise
The action relies on unstated assumptions or missing severity drivers
Dataset format
- Each row includes observations, analysis, and a recommended action
- Constraints specify what must be justified
Columns
- id
- observations
- analysis
- question
- model_response
- reference_constraints
- labels_expected
Scoring
- Deterministic checks for causal connectors and scope alignment
- Per row score reflects matched flags
- Overall score is mean across rows
Run
- python scorer.py --csv data/sample.csv
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