{"case_id": "LUW-001", "parent_case_id": null, "task": "evidence_extraction", "question": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.", "documents": [{"doc_id": "DOC-01", "date": "2025-01-15", "type": "primary_care_note", "text": "Assessment: type 2 diabetes status is active.\nHbA1c 6.4% on 2025-01-12"}, {"doc_id": "DOC-02", "date": "2025-02-03", "type": "laboratory_or_specialist_report", "text": "Metformin 1000 mg daily\nNo nephropathy or retinopathy documented"}], "prompt": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.\n\nRecords:\n[DOC-01 | 2025-01-15 | primary_care_note]\nAssessment: type 2 diabetes status is active.\nHbA1c 6.4% on 2025-01-12\n\n[DOC-02 | 2025-02-03 | laboratory_or_specialist_report]\nMetformin 1000 mg daily\nNo nephropathy or retinopathy documented\n\nReturn only one disposition: standard, rated, or refer.", "target_decision": "standard", "gold": {"condition": "type_2_diabetes", "status": "active", "control": "well_controlled", "decision": "standard", "policy_rules": ["DM_STANDARD_01"], "evidence_ids": ["DOC-01", "DOC-02"], "requires_human_review": false}, "perturbation": {"type": "none", "description": "Unperturbed base case."}}
{"case_id": "LUW-002", "parent_case_id": null, "task": "evidence_extraction", "question": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.", "documents": [{"doc_id": "DOC-01", "date": "2025-01-15", "type": "primary_care_note", "text": "Assessment: type 2 diabetes status is active.\nHbA1c 8.1% on 2025-02-03"}, {"doc_id": "DOC-02", "date": "2025-02-03", "type": "laboratory_or_specialist_report", "text": "Metformin 1000 mg daily\nNo end-organ complication documented"}], "prompt": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.\n\nRecords:\n[DOC-01 | 2025-01-15 | primary_care_note]\nAssessment: type 2 diabetes status is active.\nHbA1c 8.1% on 2025-02-03\n\n[DOC-02 | 2025-02-03 | laboratory_or_specialist_report]\nMetformin 1000 mg daily\nNo end-organ complication documented\n\nReturn only one disposition: standard, rated, or refer.", "target_decision": "rated", "gold": {"condition": "type_2_diabetes", "status": "active", "control": "not_well_controlled", "decision": "rated", "policy_rules": ["DM_RATED_01"], "evidence_ids": ["DOC-01", "DOC-02"], "requires_human_review": false}, "perturbation": {"type": "none", "description": "Unperturbed base case."}}
{"case_id": "LUW-003", "parent_case_id": null, "task": "evidence_extraction", "question": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.", "documents": [{"doc_id": "DOC-01", "date": "2025-01-15", "type": "primary_care_note", "text": "Assessment: type 2 diabetes status is active.\nType 2 diabetes noted in 2021"}, {"doc_id": "DOC-02", "date": "2025-02-03", "type": "laboratory_or_specialist_report", "text": "Last HbA1c 6.6% on 2022-02-10\nNo laboratory results after 2022"}], "prompt": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.\n\nRecords:\n[DOC-01 | 2025-01-15 | primary_care_note]\nAssessment: type 2 diabetes status is active.\nType 2 diabetes noted in 2021\n\n[DOC-02 | 2025-02-03 | laboratory_or_specialist_report]\nLast HbA1c 6.6% on 2022-02-10\nNo laboratory results after 2022\n\nReturn only one disposition: standard, rated, or refer.", "target_decision": "refer", "gold": {"condition": "type_2_diabetes", "status": "active", "control": "unknown", "decision": "refer", "policy_rules": ["DM_REFER_01"], "evidence_ids": ["DOC-01", "DOC-02"], "requires_human_review": true}, "perturbation": {"type": "none", "description": "Unperturbed base case."}}
{"case_id": "LUW-004", "parent_case_id": null, "task": "evidence_extraction", "question": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.", "documents": [{"doc_id": "DOC-01", "date": "2025-01-15", "type": "primary_care_note", "text": "Assessment: type 2 diabetes status is active.\nHbA1c 6.8% on 2024-10-08"}, {"doc_id": "DOC-02", "date": "2025-02-03", "type": "laboratory_or_specialist_report", "text": "Metformin 500 mg twice daily\nUrine albumin normal"}], "prompt": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.\n\nRecords:\n[DOC-01 | 2025-01-15 | primary_care_note]\nAssessment: type 2 diabetes status is active.\nHbA1c 6.8% on 2024-10-08\n\n[DOC-02 | 2025-02-03 | laboratory_or_specialist_report]\nMetformin 500 mg twice daily\nUrine albumin normal\n\nReturn only one disposition: standard, rated, or refer.", "target_decision": "standard", "gold": {"condition": "type_2_diabetes", "status": "active", "control": "well_controlled", "decision": "standard", "policy_rules": ["DM_STANDARD_01"], "evidence_ids": ["DOC-01", "DOC-02"], "requires_human_review": false}, "perturbation": {"type": "none", "description": "Unperturbed base case."}}
{"case_id": "LUW-005", "parent_case_id": null, "task": "evidence_extraction", "question": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.", "documents": [{"doc_id": "DOC-01", "date": "2025-01-15", "type": "primary_care_note", "text": "Assessment: coronary artery disease status is not_established.\nApplicant denies coronary artery disease"}, {"doc_id": "DOC-02", "date": "2025-02-03", "type": "laboratory_or_specialist_report", "text": "Stress echocardiogram 2024-07-09: no inducible ischemia\nFather had myocardial infarction at age 52"}], "prompt": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.\n\nRecords:\n[DOC-01 | 2025-01-15 | primary_care_note]\nAssessment: coronary artery disease status is not_established.\nApplicant denies coronary artery disease\n\n[DOC-02 | 2025-02-03 | laboratory_or_specialist_report]\nStress echocardiogram 2024-07-09: no inducible ischemia\nFather had myocardial infarction at age 52\n\nReturn only one disposition: standard, rated, or refer.", "target_decision": "standard", "gold": {"condition": "coronary_artery_disease", "status": "not_established", "control": "not_applicable", "decision": "standard", "policy_rules": ["CAD_STANDARD_01"], "evidence_ids": ["DOC-01", "DOC-02"], "requires_human_review": false}, "perturbation": {"type": "none", "description": "Unperturbed base case."}}
{"case_id": "LUW-006", "parent_case_id": null, "task": "evidence_extraction", "question": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.", "documents": [{"doc_id": "DOC-01", "date": "2025-01-15", "type": "primary_care_note", "text": "Assessment: coronary artery disease status is active_history.\nNSTEMI in 2019 treated with PCI"}, {"doc_id": "DOC-02", "date": "2025-02-03", "type": "laboratory_or_specialist_report", "text": "Cardiology follow-up 2025: stable without angina\nAspirin and statin listed"}], "prompt": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.\n\nRecords:\n[DOC-01 | 2025-01-15 | primary_care_note]\nAssessment: coronary artery disease status is active_history.\nNSTEMI in 2019 treated with PCI\n\n[DOC-02 | 2025-02-03 | laboratory_or_specialist_report]\nCardiology follow-up 2025: stable without angina\nAspirin and statin listed\n\nReturn only one disposition: standard, rated, or refer.", "target_decision": "rated", "gold": {"condition": "coronary_artery_disease", "status": "active_history", "control": "not_applicable", "decision": "rated", "policy_rules": ["CAD_RATED_01"], "evidence_ids": ["DOC-01", "DOC-02"], "requires_human_review": false}, "perturbation": {"type": "none", "description": "Unperturbed base case."}}
{"case_id": "LUW-007", "parent_case_id": null, "task": "evidence_extraction", "question": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.", "documents": [{"doc_id": "DOC-01", "date": "2025-01-15", "type": "primary_care_note", "text": "Assessment: coronary artery disease status is conflicting.\n2025 PCP note: denies prior myocardial infarction"}, {"doc_id": "DOC-02", "date": "2025-02-03", "type": "laboratory_or_specialist_report", "text": "2024 imported note: NSTEMI treated with PCI in 2019\nSource conflict requires review"}], "prompt": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.\n\nRecords:\n[DOC-01 | 2025-01-15 | primary_care_note]\nAssessment: coronary artery disease status is conflicting.\n2025 PCP note: denies prior myocardial infarction\n\n[DOC-02 | 2025-02-03 | laboratory_or_specialist_report]\n2024 imported note: NSTEMI treated with PCI in 2019\nSource conflict requires review\n\nReturn only one disposition: standard, rated, or refer.", "target_decision": "refer", "gold": {"condition": "coronary_artery_disease", "status": "conflicting", "control": "unknown", "decision": "refer", "policy_rules": ["CAD_REFER_01"], "evidence_ids": ["DOC-01", "DOC-02"], "requires_human_review": true}, "perturbation": {"type": "none", "description": "Unperturbed base case."}}
{"case_id": "LUW-008", "parent_case_id": null, "task": "evidence_extraction", "question": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.", "documents": [{"doc_id": "DOC-01", "date": "2025-01-15", "type": "primary_care_note", "text": "Assessment: coronary artery disease status is not_established.\nEvaluated for chest pain in 2024"}, {"doc_id": "DOC-02", "date": "2025-02-03", "type": "laboratory_or_specialist_report", "text": "Coronary CT angiography: no coronary plaque\nProblem list contains historical entry CAD?"}], "prompt": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.\n\nRecords:\n[DOC-01 | 2025-01-15 | primary_care_note]\nAssessment: coronary artery disease status is not_established.\nEvaluated for chest pain in 2024\n\n[DOC-02 | 2025-02-03 | laboratory_or_specialist_report]\nCoronary CT angiography: no coronary plaque\nProblem list contains historical entry CAD?\n\nReturn only one disposition: standard, rated, or refer.", "target_decision": "standard", "gold": {"condition": "coronary_artery_disease", "status": "not_established", "control": "not_applicable", "decision": "standard", "policy_rules": ["CAD_STANDARD_01"], "evidence_ids": ["DOC-01", "DOC-02"], "requires_human_review": false}, "perturbation": {"type": "none", "description": "Unperturbed base case."}}
{"case_id": "LUW-009", "parent_case_id": null, "task": "evidence_extraction", "question": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.", "documents": [{"doc_id": "DOC-01", "date": "2025-01-15", "type": "primary_care_note", "text": "Assessment: cancer history status is resolved.\nBasal cell carcinoma excised in 2021"}, {"doc_id": "DOC-02", "date": "2025-02-03", "type": "laboratory_or_specialist_report", "text": "Dermatology 2025: no recurrence\nNo additional treatment"}], "prompt": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.\n\nRecords:\n[DOC-01 | 2025-01-15 | primary_care_note]\nAssessment: cancer history status is resolved.\nBasal cell carcinoma excised in 2021\n\n[DOC-02 | 2025-02-03 | laboratory_or_specialist_report]\nDermatology 2025: no recurrence\nNo additional treatment\n\nReturn only one disposition: standard, rated, or refer.", "target_decision": "standard", "gold": {"condition": "cancer_history", "status": "resolved", "control": "not_applicable", "decision": "standard", "policy_rules": ["CA_STANDARD_01"], "evidence_ids": ["DOC-01", "DOC-02"], "requires_human_review": false}, "perturbation": {"type": "none", "description": "Unperturbed base case."}}
{"case_id": "LUW-010", "parent_case_id": null, "task": "evidence_extraction", "question": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.", "documents": [{"doc_id": "DOC-01", "date": "2025-01-15", "type": "primary_care_note", "text": "Assessment: cancer history status is resolved_history.\nLocalized thyroid cancer treated in 2017"}, {"doc_id": "DOC-02", "date": "2025-02-03", "type": "laboratory_or_specialist_report", "text": "Oncology 2025: no evidence of disease\nAnnual surveillance continues"}], "prompt": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.\n\nRecords:\n[DOC-01 | 2025-01-15 | primary_care_note]\nAssessment: cancer history status is resolved_history.\nLocalized thyroid cancer treated in 2017\n\n[DOC-02 | 2025-02-03 | laboratory_or_specialist_report]\nOncology 2025: no evidence of disease\nAnnual surveillance continues\n\nReturn only one disposition: standard, rated, or refer.", "target_decision": "rated", "gold": {"condition": "cancer_history", "status": "resolved_history", "control": "not_applicable", "decision": "rated", "policy_rules": ["CA_RATED_01"], "evidence_ids": ["DOC-01", "DOC-02"], "requires_human_review": false}, "perturbation": {"type": "none", "description": "Unperturbed base case."}}
{"case_id": "LUW-011", "parent_case_id": null, "task": "evidence_extraction", "question": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.", "documents": [{"doc_id": "DOC-01", "date": "2025-01-15", "type": "primary_care_note", "text": "Assessment: cancer history status is unresolved.\nBreast mass biopsy pending"}, {"doc_id": "DOC-02", "date": "2025-02-03", "type": "laboratory_or_specialist_report", "text": "Oncology consultation scheduled\nNo final pathology in record"}], "prompt": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.\n\nRecords:\n[DOC-01 | 2025-01-15 | primary_care_note]\nAssessment: cancer history status is unresolved.\nBreast mass biopsy pending\n\n[DOC-02 | 2025-02-03 | laboratory_or_specialist_report]\nOncology consultation scheduled\nNo final pathology in record\n\nReturn only one disposition: standard, rated, or refer.", "target_decision": "refer", "gold": {"condition": "cancer_history", "status": "unresolved", "control": "not_applicable", "decision": "refer", "policy_rules": ["CA_REFER_01"], "evidence_ids": ["DOC-01", "DOC-02"], "requires_human_review": true}, "perturbation": {"type": "none", "description": "Unperturbed base case."}}
{"case_id": "LUW-012", "parent_case_id": null, "task": "evidence_extraction", "question": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.", "documents": [{"doc_id": "DOC-01", "date": "2025-01-15", "type": "primary_care_note", "text": "Assessment: cancer history status is not_established.\nMother had breast cancer at age 44"}, {"doc_id": "DOC-02", "date": "2025-02-03", "type": "laboratory_or_specialist_report", "text": "Applicant has no personal cancer diagnosis\nScreening mammogram documented as negative"}], "prompt": "Determine the applicant's condition status and control. Cite supporting document IDs; do not infer an applicant diagnosis from family history or a ruled-out condition.\n\nRecords:\n[DOC-01 | 2025-01-15 | primary_care_note]\nAssessment: cancer history status is not_established.\nMother had breast cancer at age 44\n\n[DOC-02 | 2025-02-03 | laboratory_or_specialist_report]\nApplicant has no personal cancer diagnosis\nScreening mammogram documented as negative\n\nReturn only one disposition: standard, rated, or refer.", "target_decision": "standard", "gold": {"condition": "cancer_history", "status": "not_established", "control": "not_applicable", "decision": "standard", "policy_rules": ["CA_STANDARD_01"], "evidence_ids": ["DOC-01", "DOC-02"], "requires_human_review": false}, "perturbation": {"type": "none", "description": "Unperturbed base case."}}