data/train.csv

id,condition_family,pre_state_vector_summary,pre_trajectory_summary,intervention,intervention_class,post_state_vector_summary,post_trajectory_summary,observed_change_window,pre_basin_signature,post_basin_signature,transition_pathway_summary,coherence_gain_evidence,shift_class,relapse_watchouts,notes,constraints,gold_checklist
IBSM-001,metabolic,"A1c 8.2; fasting insulin high; TG high; sleep fragmented; activity low","12 month plateau with slow upward creep","Time restricted eating plus sleep regularization","lifestyle","A1c 6.9; TG down; sleep stable; activity higher","3 month steady improvement then stable","6 months","Hyperinsulinemia plus dyslipidemia plus circadian disruption","Lower insulin demand plus stable circadian rhythm plus improved activity tolerance","Sleep stabilizes then appetite timing improves then glycemic markers follow","Multi-modal alignment in sleep plus labs plus behavior","Sustained shift","Stress relapse and sleep collapse","Shows multi axis coherence gain","Under 240 words.","pre+post+path+evidence+class"
IBSM-002,neuroimmune,"PEM present; HRV low; orthostatic symptoms; labs mostly normal","Relapsing crashes after exertion","Pacing protocol plus autonomic rehab","behavioral","Crashes reduced; HRV modestly improved; function higher","2 month improvement with fewer rebounds","4 months","Exertion to crash to deconditioning loop","Lower crash frequency plus higher baseline stability","Reduced exertion spikes then gradual tolerance rebuild","Fewer crashes plus improved digital phenotype stability","Partial shift","Overreach triggers crash","Not full exit but basin shallower","Under 240 words.","pre+post+path+evidence+class"
IBSM-003,respiratory,"Eosinophils high; wheeze frequent; steroid bursts","Flares with allergens","Biologic anti IL5 therapy","drug","Eosinophils normalize; flares rare; steroid need drops","Sustained improvement","9 months","Eosinophilic airway inflammation basin","Controlled eosinophilic inflammation basin","Biologic reduces eosinophils then airway reactivity drops","Labs plus symptom reduction with fewer steroids","Sustained shift","Stopping drug leads relapse","Drug dependent stability","Under 240 words.","pre+post+path+evidence+class"
IBSM-004,cardiac,"AF episodes weekly; sleep apnea untreated; HRV low","Episodes triggered by poor sleep","CPAP plus weight loss","device plus lifestyle","AF episodes rare; sleep stable; HRV improves","Steady improvement","8 months","Sleep disruption driven trigger basin","Lower trigger susceptibility basin","Sleep correction reduces triggers then rhythm stabilizes","Trigger reduction plus durable rhythm change","Sustained shift","CPAP nonadherence","Shows leverage through upstream driver","Under 240 words.","pre+post+path+evidence+class"
IBSM-005,psycho_somatic,"Insomnia severe; GI dysmotility; anxiety spikes; cortisol AM high","Chronic hyperarousal","Trauma focused therapy plus sleep protocol","therapy plus behavioral","Sleep improves; GI symptoms reduce; anxiety spikes less","Gradual improvement then stable","7 months","Hyperarousal loop basin","Regulated autonomic tone basin","Therapy reduces arousal reactivity then sleep consolidates then gut stabilizes","Multi domain improvement not just symptom masking","Sustained shift","Acute stressor may reactivate","Good example of cross system shift","Under 240 words.","pre+post+path+evidence+class"
IBSM-006,autoimmune,"Joint pain flares; rash episodic; CRP often normal; fatigue","Flares every 6 to 8 weeks","Steroid burst only","drug","Flares stop briefly then return","Relief then rebound","3 months","Immune flare basin","Same basin with suppressed expression","Symptom suppression without loop change","No durable lab or frequency change","No shift","Steroid dependency","Perturbation not transition","Under 240 words.","pre+post+path+evidence+class"
IBSM-007,renal,"Proteinuria rising; BP rising; eGFR slowly falling","Monotone decline","ACE inhibitor plus sodium restriction","drug plus lifestyle","Proteinuria down; BP controlled; eGFR slope slows","Stabilization","10 months","Hypertension damage reinforcement basin","Slower decline basin","BP control reduces ongoing damage then renal markers stabilize","Slope change plus multi marker stabilization","Partial shift","Adherence loss and volume overload","Shift in slope not full exit","Under 240 words.","pre+post+path+evidence+class"
IBSM-008,infectious,"Periodic fevers; innate spikes; cultures negative","Monthly cycles","Targeted IL1 blockade","drug","Cycles stop; markers normalize; function improves","Sustained","12 months","Autoinflammatory cycle basin","Controlled innate tone basin","Blockade interrupts cycle and stabilizes baseline","Cycle cessation plus marker normalization","Sustained shift","Stop drug relapse","Clear basin transition with dependency","Under 240 words.","pre+post+path+evidence+class"