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id
stringclasses
8 values
patient_profile
stringclasses
8 values
timepoints
stringclasses
2 values
omics_summary
stringclasses
8 values
clinical_narrative
stringclasses
8 values
candidate_patterns
stringclasses
8 values
model_selected_pattern
stringclasses
2 values
evidence_trace
stringclasses
8 values
convergence_label
stringclasses
2 values
convergence_failure_signature
stringclasses
3 values
constraints
stringclasses
1 value
gold_checklist
stringclasses
8 values
MOCA-CS-001
38F, multi-system fatigue + dysautonomia
T0,T1,T2
Transcript: interferon high at T0->normal T2; Metabolites: kynurenine high T0->mid T2; Microbiome: low diversity T0->improves; Proteome: IL-6 high T0->low T2
T0 post-viral onset, orthostatic intolerance, brain fog. Partial response to anti-inflammatory + sleep normalization by T2
P1: interferon-driven tryptophan shunt|P2: isolated microbiome dysbiosis|P3: mitochondrial primary failure
P1
Links IFN up, kynurenine up, IL-6 up with symptoms; improvement tracks T2
convergent
none
Under 160 words.
1 single pattern; 2 time-aligned
MOCA-CS-002
45M, episodic pain + GI dysmotility
T0,T1
Metabolites: bile acids distorted; Microbiome: bile-tolerant taxa high; Proteome: low FGF19; Transcript: FXR target genes low
Bloating, RUQ pain, oily stools. Worsens after fatty meals. Improves with bile acid binder
P1: bile acid–FXR feedback loop collapse|P2: generic IBS|P3: unrelated inflammation
P1
FGF19 low + FXR targets low + bile acids distorted; binder response supports loop
convergent
none
Under 160 words.
1 loop collapse; 2 treatment response
MOCA-CS-003
29F, neuro + skin flares
T0,T1,T2
Transcript: mast cell activation signature varies; Proteome: histamine pathway proteins high; Metabolites: methylation markers low; Microbiome: variable
Migraines, hives, flushing. Triggered by heat and alcohol. Partial response to antihistamine
P1: mast cell mediator instability with methylation bottleneck|P2: migraine only|P3: microbiome only
P1
Cross-omic alignment with triggers and response
convergent
none
Under 160 words.
1 integrated explanation
MOCA-CS-004
50F, fatigue + anemia
T0,T1
Transcript: heme synthesis down; Proteome: ferritin high; Metabolites: lactate high; Microbiome: mild dysbiosis
Fatigue, dyspnea. Iron supplements worsen nausea. No clear diagnosis
P1: inflammation-driven iron sequestration + heme suppression|P2: iron deficiency only|P3: microbiome only
P2
Selects iron deficiency despite ferritin high
nonconvergent
single-omic-overweighting
Under 160 words.
1 must respect ferritin
MOCA-CS-005
34M, cognitive decline episodes
T0,T1
Metabolites: ammonia high; Transcript: urea cycle genes down; Proteome: ALT high; Microbiome: urease producers high
Confusion episodes after high protein meals. Improves with lactulose
P1: urea cycle bottleneck with gut ammonia load|P2: anxiety|P3: mitochondrial
P1
Ammonia + urea genes + urease taxa + lactulose response
convergent
none
Under 160 words.
1 cross-scale
MOCA-CS-006
41F, pain + fatigue
T0,T1,T2
Many markers: cytokines slightly high; metabolites mixed; microbiome mixed
Diffuse symptoms, no time structure, no response to trials
P1: single loop collapse|P2: uncertain, insufficient convergence|P3: three unrelated hits
P1
Claims single cause without evidence
nonconvergent
overconfident-minimality
Under 160 words.
1 must allow insufficient evidence
MOCA-CS-007
52M, cardiometabolic syndrome
T0,T1
Metabolites: branched-chain AAs high; Transcript: insulin signaling down; Proteome: CRP high; Microbiome: low butyrate taxa
Rising A1c, BP. Improves with weight loss and metformin
P1: insulin resistance + inflammation loop|P2: microbiome only|P3: genetics only
P1
Multiple layers align; intervention response aligns
convergent
none
Under 160 words.
1 loop; 2 response
MOCA-CS-008
27F, recurrent infections + gut symptoms
T0,T1
Transcript: low B-cell activation; Proteome: low IgA; Microbiome: pathobionts high; Metabolites: SCFAs low
Sinopulmonary infections. Diarrhea. Improves with Ig replacement + diet
P1: mucosal immune deficiency → dysbiosis cascade|P2: IBS only|P3: vitamin deficiency
P1
IgA low + infections + dysbiosis; intervention matches
convergent
none
Under 160 words.
1 immune→microbiome

What this dataset tests

Whether a model can identify a cross-scale dysregulation pattern
that coherently explains multi-omic shifts and the clinical course.

It penalizes
laundry-list explanations.

It rewards
minimal convergent control failures.

Data format

Each row contains

  • longitudinal multi-omic summaries
  • a clinical narrative across time
  • candidate convergent patterns
  • a selected pattern with an evidence trace

Labels

  • convergent
  • partially-convergent
  • nonconvergent

Partial convergence includes
cases where evidence is insufficient
and the model states that clearly.

Suggested prompt wrapper

System

You evaluate whether the model found a convergent cross-scale dysregulation pattern.

User

Patient Profile
{patient_profile}

Timepoints
{timepoints}

Omics Summary
{omics_summary}

Clinical Narrative
{clinical_narrative}

Candidate Patterns
{candidate_patterns}

Model Selected Pattern
{model_selected_pattern}

Evidence Trace
{evidence_trace}

Return

  • one label
  • one sentence stating whether the explanation converges across omic layers

Citation

ClarusC64 dataset family

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