Datasets:

ClarusC64
/

clinical-temporal-narrative-integrity-v0.1

id stringclasses 8 values	clinical_context stringclasses 8 values	narrative_text stringclasses 8 values	timeline_events stringclasses 8 values	temporal_inconsistencies stringclasses 8 values	causal_timeline_violations stringclasses 8 values	required_timeline_clarifications stringclasses 8 values	patient_safety_or_integrity_risk stringclasses 8 values	notes stringclasses 8 values	constraints stringclasses 1 value	gold_checklist stringclasses 1 value
CTNI-001	emergency_department	Day 1 chest pain onset at 08:00. Day 1 ECG at 10:00 normal. Troponin drawn at 11:00 pending. Note says discharged after negative troponin.	08:00 onset; 10:00 ECG; 11:00 troponin drawn; discharge time not stated	Troponin not resulted at time of claim	Discharge justified by negative troponin before result exists	What was troponin result time. What time was discharge. Any repeat troponin.	missed MI; unsafe discharge	Disposition integrity	Under 220 words.	4 outputs
CTNI-002	clinical_trial_reporting	Registry: Jan 10. Recruitment started Feb 1. Primary endpoint changed Mar 15. Paper claims endpoint prespecified before recruitment.	Jan 10 registration; Feb 1 recruitment start; Mar 15 endpoint change; paper claim	Endpoint change after recruitment contradicts prespecification claim	Causal narrative of prespecification violated by dates	What was original endpoint. When was change approved. Were analysts blinded.	scientific integrity failure; spin	Trial timeline distortion	Under 220 words.	4 outputs
CTNI-003	inpatient	Patient reports symptoms began after medication started. Chart shows medication started 2 days after symptom onset. Discharge summary blames medication.	symptom onset; med start later; discharge summary blame	Blame contradicts order	Medication cannot cause symptoms that predate first dose	Confirm exact symptom onset date. Confirm first dose date and time.	wrong attribution; missed diagnosis	Common charting error	Under 220 words.	4 outputs
CTNI-004	post_op	Fever began post-op Day 2. Antibiotics started Day 5. Note states antibiotics started promptly after fever onset.	Day2 fever; Day5 antibiotics	3 day delay contradicts prompt claim	Prompt-treatment claim violates interval	Why delay occurred. Any interim deterioration. Any cultures taken earlier.	sepsis risk; misdocumentation	Delay distortion	Under 220 words.	4 outputs
CTNI-005	follow_up	Discharged on Day 4. Follow-up note dated Day 3 says patient improved after discharge.	Day4 discharge; Day3 note	Note describes future event	Improvement after discharge cannot occur before discharge	Is note date incorrect. What is actual contact date.	documentation integrity; care coordination errors	Date stamp error	Under 220 words.	4 outputs
CTNI-006	stroke_pathway	Symptoms started at 07:00. Thrombolysis given at 06:30 per note. Later section says thrombolysis at 09:30.	07:00 onset; 06:30 thrombolysis; 09:30 thrombolysis	Internal timestamp contradiction	Time-to-treatment logic breaks; affects eligibility narrative	Which time is correct. Which source system time is used.	major safety and legal risk	Critical timestamp integrity	Under 220 words.	4 outputs
CTNI-007	medication_safety	Dose increased at week 8. SAEs increased week 9 onward. Report states SAEs occurred before escalation and were unrelated.	week8 escalation; week9 SAE rise; report claim	Claim conflicts with SAE rise timing	Dismissal of relatedness ignores temporal association	Provide SAE timeline by week. Any lag effects considered.	patient harm; misleading safety profile	Safety timing laundering	Under 220 words.	4 outputs
CTNI-008	diagnostic_workup	CT ordered Day 1. CT performed Day 3. Note says CT ruled out PE before anticoag started Day 2.	Day1 CT order; Day2 anticoag start; Day3 CT performed	CT cannot rule out PE before it happened	Causality narrative reversed	Confirm CT performance time. Was there interim imaging.	wrong anticoag rationale; risk	Order vs result confusion	Under 220 words.	4 outputs