article_id string | title string | doi string | source_url string | license string | license_url string | patient_id string | bundle_id string | bundle string |
|---|---|---|---|---|---|---|---|---|
PMC10751923.1 | "Primary biliary cholangitis with features of autoimmune hepatitis in a 19-year-old adolescent with (...TRUNCATED) | 10.3389/fped.2023.1280409 | https://pmc.ncbi.nlm.nih.gov/articles/PMC10751923/ | CC BY 4.0 | https://creativecommons.org/licenses/by/4.0/ | p1 | 8cdac7a6-5541-5024-944e-708a6b52ec55 | "{\"resourceType\": \"Bundle\", \"id\": \"8cdac7a6-5541-5024-944e-708a6b52ec55\", \"type\": \"collec(...TRUNCATED) |
PMC12457179.1 | "Established and emerging use of sodium-glucose cotransporter-2 inhibitors in pediatric population w(...TRUNCATED) | 10.3389/fendo.2025.1629488 | https://pmc.ncbi.nlm.nih.gov/articles/PMC12457179/ | CC BY 4.0 | https://creativecommons.org/licenses/by/4.0/ | p1 | 15c97b01-c92b-5d5e-844d-66a0f228c5f4 | "{\"resourceType\": \"Bundle\", \"id\": \"15c97b01-c92b-5d5e-844d-66a0f228c5f4\", \"type\": \"collec(...TRUNCATED) |
PMC12577925.1 | "EDTA-dependent pseudothrombocytopenia mimicking dengue-associated severe thrombocytopenia: a case r(...TRUNCATED) | 10.1097/MS9.0000000000003916 | https://pmc.ncbi.nlm.nih.gov/articles/PMC12577925/ | CC BY 4.0 | https://creativecommons.org/licenses/by/4.0/ | p1 | 9443b3e1-26ee-528b-ac4a-f523d05016d3 | "{\"resourceType\": \"Bundle\", \"id\": \"9443b3e1-26ee-528b-ac4a-f523d05016d3\", \"type\": \"collec(...TRUNCATED) |
PMC12592069.1 | "Case Report: Dupilumab combined with allergen-specific immunotherapy in severe atopic dermatitis an(...TRUNCATED) | 10.3389/falgy.2025.1698053 | https://pmc.ncbi.nlm.nih.gov/articles/PMC12592069/ | CC BY 4.0 | https://creativecommons.org/licenses/by/4.0/ | p1 | 83c0fb45-4fca-52d4-b64a-c3193514db0c | "{\"resourceType\": \"Bundle\", \"id\": \"83c0fb45-4fca-52d4-b64a-c3193514db0c\", \"type\": \"collec(...TRUNCATED) |
PMC12605513.1 | "Case Report: Exogenous insulin antibody syndrome complicated with chronic renal failure and long-te(...TRUNCATED) | 10.3389/fendo.2025.1676062 | https://pmc.ncbi.nlm.nih.gov/articles/PMC12605513/ | CC BY 4.0 | https://creativecommons.org/licenses/by/4.0/ | p1 | 1455d9a9-7ade-501e-9294-79ddaf5c01a0 | "{\"resourceType\": \"Bundle\", \"id\": \"1455d9a9-7ade-501e-9294-79ddaf5c01a0\", \"type\": \"collec(...TRUNCATED) |
PMC12605513.1 | "Case Report: Exogenous insulin antibody syndrome complicated with chronic renal failure and long-te(...TRUNCATED) | 10.3389/fendo.2025.1676062 | https://pmc.ncbi.nlm.nih.gov/articles/PMC12605513/ | CC BY 4.0 | https://creativecommons.org/licenses/by/4.0/ | p2 | bd035542-1ff4-5ca9-9e87-6d8a2302b0c2 | "{\"resourceType\": \"Bundle\", \"id\": \"bd035542-1ff4-5ca9-9e87-6d8a2302b0c2\", \"type\": \"collec(...TRUNCATED) |
PMC12640626.1 | Congenital Leukemia: Presentation of Three Cases | 10.7759/cureus.95318 | https://pmc.ncbi.nlm.nih.gov/articles/PMC12640626/ | CC BY 4.0 | https://creativecommons.org/licenses/by/4.0/ | p1 | d45dd063-09e3-5b97-a09d-3125268d39c3 | "{\"resourceType\": \"Bundle\", \"id\": \"d45dd063-09e3-5b97-a09d-3125268d39c3\", \"type\": \"collec(...TRUNCATED) |
PMC12640626.1 | Congenital Leukemia: Presentation of Three Cases | 10.7759/cureus.95318 | https://pmc.ncbi.nlm.nih.gov/articles/PMC12640626/ | CC BY 4.0 | https://creativecommons.org/licenses/by/4.0/ | p2 | 4acf5488-ab0e-575c-9f04-8ac333176b8d | "{\"resourceType\": \"Bundle\", \"id\": \"4acf5488-ab0e-575c-9f04-8ac333176b8d\", \"type\": \"collec(...TRUNCATED) |
PMC12640626.1 | Congenital Leukemia: Presentation of Three Cases | 10.7759/cureus.95318 | https://pmc.ncbi.nlm.nih.gov/articles/PMC12640626/ | CC BY 4.0 | https://creativecommons.org/licenses/by/4.0/ | p3 | 7a510eb3-8697-52ad-bb42-f4328669da50 | "{\"resourceType\": \"Bundle\", \"id\": \"7a510eb3-8697-52ad-bb42-f4328669da50\", \"type\": \"collec(...TRUNCATED) |
PMC12689009.1 | "Ocular administration of brinzolamide leading to Stevens-Johnson syndrome/toxic epidermal necrolysi(...TRUNCATED) | 10.1097/MD.0000000000046362 | https://pmc.ncbi.nlm.nih.gov/articles/PMC12689009/ | CC BY 4.0 | https://creativecommons.org/licenses/by/4.0/ | p1 | ff8a0c04-6663-5283-a132-a25b6e992cf7 | "{\"resourceType\": \"Bundle\", \"id\": \"ff8a0c04-6663-5283-a132-a25b6e992cf7\", \"type\": \"collec(...TRUNCATED) |
Synthetic EHR from case reports
Patients described in open-access (CC BY) PubMed Central case reports, as HL7 FHIR R4 Bundles. Every clinical fact cites the sentence or table cell it came from. reflection/Beam-1.0-501B-A23B-NVFP4 did the reading (patients, clinical facts, measurement tables, timeline and ICD-10-CM selection); a deterministic compiler built the FHIR, which was checked with the official HL7 validator.
Browse every article and record in the Space; the code that built it is on GitHub.
| Config | Rows | Content |
|---|---|---|
uncoded |
39 | One Bundle per patient (JSON string in bundle) |
coded |
39 | The same Bundles with unreviewed model-selected ICD-10-CM codes |
extraction |
30 | One cited extraction record per article (JSON string in record) and its 79 figures |
Each row also has article_id, title, doi, source_url, license and license_url.
Extraction was text-only:
figure images are not included, but each extraction row lists its figures (figure_id, label,
caption, image_urls), and the links are public PubMed Central open-access files.
How it was generated
| Setting | Value |
|---|---|
| Model | reflection/Beam-1.0-501B-A23B-NVFP4 |
| Sampling | temperature 0.7, top-p 0.99, reasoning effort max |
| Context | 131,072 tokens |
| Generated on | Modal: 3 containers with 4× NVIDIA B300 each (no B200s were free), one vLLM server per container, up to 3 articles at a time per server |
| Servers | 3 × 4× NVIDIA B300 SXM6 AC |
| GPU-hours | 14.3 |
| Wall clock | 2.06 h on the GPUs |
| Model calls | 3,826 |
| Model tokens | 47,828,170 input, 39,074,913 output (30,457,691 reasoning), repairs included |
Size
| Config | Rows | MB | Tokens |
|---|---|---|---|
coded |
39 | 55.48 | 32,061,800 |
extraction |
30 | 28.1 | 10,784,929 |
uncoded |
39 | 53.95 | 31,694,631 |
| total | 108 | 137.53 | 74,541,360 |
Tokens: the FHIR bundle or extraction record of each row, counted with the reflection/Beam-1.0-501B-A23B-NVFP4 tokenizer. Each bundle embeds its source article and extraction packet as base64 attachments, which make up much of its size.
Limitations
- Model output, not clinically reviewed. Codes are research normalization, not billing.
- Times are relative to the case as reported; no dates, encounters or clinicians are invented.
- Case reports over-represent rare and unusual presentations.
- Identities are synthetic, but the source articles are public.
License and attribution
Every source article is open access under a Creative Commons Attribution license (CC BY); each row names its article's license, license link and source link. The records are adaptations: facts were extracted from the article text by the model and compiled into FHIR, so they are not the articles themselves. Released under CC BY 4.0; when you use a record, credit the original case report as given in its row. ICD-10-CM content comes from the CDC/NCHS FY2027 release.
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