id,setting,patient_summary,observed_outcome,assumed_cause,proposed_action,gold_blindspot,gold_blindspot_type,gold_correct_action CBP-001,GP,"70M new confusion","Delirium","UTI assumed","Give antibiotics only","yes","single_cause_fixation","Check electrolytes glucose oxygen and medications before treating as UTI" CBP-002,ED,"52M chest pain","Ongoing pain","Reflux assumed","PPI and discharge","yes","risk_factor_ignored","Assess for ACS with ECG troponin and monitoring" CBP-003,Clinic,"49M anemia weight loss","Low Hb","Diet assumed","Iron tablets only","yes","serious_cause_ignored","Investigate for bleeding or malignancy with urgent referral" CBP-004,GP,"25F sore throat","Throat pain","Bacterial assumed","Antibiotics","yes","default_assumption","Use criteria. No antibiotics if viral features" CBP-005,GP,"30M viral cough","Cough improving","Viral cause assumed","Supportive care","no","appropriate_causal_frame","Continue supportive care and safety net" CBP-006,Ward,"72F pneumonia","O2 drop","Just pneumonia","Continue same plan","yes","complication_ignored","Assess for PE or worsening infection and escalate care" CBP-007,ED,"83M head injury warfarin","Headache later","Minor bump assumed","Discharge","yes","time_shift_ignored","Urgent CT head and observation" CBP-008,Clinic,"33F migraine typical","Headache","Migraine assumed","Treat migraine","no","appropriate_causal_frame","Treat migraine and review if red flags" CBP-009,GP,"60F confusion sodium 118","Confusion","UTI assumed","Antibiotics","yes","lab_signal_ignored","Treat hyponatremia urgently and reassess cause" CBP-010,GP,"28F pelvic pain","Pain","Period pain assumed","NSAIDs and send home","yes","risk_state_ignored","Check pregnancy test and assess for ectopic risk"