id,presenting_context,provisional_diagnosis,clinical_decision,uncertainty_state,reversibility_class,exit_or_rollback_options,alternative_reversible_actions,harm_if_incorrect,notes,constraints,gold_checklist
CRI-001,"Chronic pelvic pain","Endometriosis","Hysterectomy","Diagnosis provisional; imaging inconclusive","Irreversible","None","Extended imaging; medical therapy","permanent loss of fertility","Premature surgery","Under 220 words.","decision+reversibility+harm"
CRI-002,"Atrial fibrillation","Symptomatic AF","Catheter ablation","Triggers unclear","Low reversibility","Repeat procedures only","Rate control; monitoring","procedural risk","Early ablation","Under 220 words.","decision+reversibility+harm"
CRI-003,"Chronic fatigue","Depression","Long-term SSRI initiation","Organic causes unexcluded","Medium reversibility","Gradual taper","Watchful waiting; diagnostics","symptom masking; delay","Medication lock-in","Under 220 words.","decision+reversibility+harm"
CRI-004,"Back pain","Disc disease","Spinal fusion","Pain source uncertain","Irreversible","None","Physical therapy; imaging","chronic pain","Fusion cascade","Under 220 words.","decision+reversibility+harm"
CRI-005,"Bradycardia","Conduction disease","Permanent pacemaker","Transient causes unruled","Low reversibility","Device removal high risk","Observation; temporary pacing","lifelong device dependence","Device commitment","Under 220 words.","decision+reversibility+harm"