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patient_id
string
age_at_baseline_years
float64
sex
string
race_ethnicity
string
insurance_type
string
geographic_region
string
menopause_status
string
age_at_menopause_years
float64
years_since_menopause
float64
height_at_peak_cm
float64
current_height_cm
float64
height_loss_cm
float64
weight_kg
float64
bmi_kg_m2
float64
smoking_status
string
alcohol_drinks_per_week
int64
alcohol_excess_flag
int64
physical_activity_level
string
ses_index
float64
peak_bmd_lumbar_g_cm2
float64
bmd_lumbar_spine_g_cm2
float64
bmd_femoral_neck_g_cm2
float64
bmd_total_hip_g_cm2
float64
bmd_forearm_33pct_g_cm2
float64
tscore_lumbar_spine
float64
tscore_femoral_neck
float64
tscore_total_hip
float64
zscore_lumbar_spine
float64
zscore_femoral_neck
float64
who_category
string
trabecular_bone_score
float64
bone_loss_rate_pct_yr
float64
lifetime_bmd_loss_pct
float64
lowest_tscore
float64
frax_10yr_major_osteoporotic_pct
float64
frax_10yr_hip_pct
float64
frax_with_bmd_major_pct
float64
frax_with_bmd_hip_pct
float64
treatment_indicated_frax_flag
int64
prior_fracture_flag
int64
prior_fracture_site
string
vertebral_fracture_count_baseline
int64
prior_fracture_age_years
float64
parental_hip_fracture_flag
int64
secondary_osteoporosis_flag
int64
rheumatoid_arthritis_flag
int64
glucocorticoid_use_flag
int64
falls_per_year
int64
garvan_5yr_any_fracture_pct
float64
secondary_cause
string
glucocorticoid_dose_mg_pred_equiv
float64
glucocorticoid_duration_months
int64
acr_giop_risk_category
string
25ohd_vitamin_d_ng_ml
float64
vitamin_d_status
string
1_25ohd_active_pg_ml
float64
pth_pg_ml
float64
calcium_serum_mg_dl
float64
hypercalcemia_flag
int64
phosphorus_mg_dl
float64
magnesium_mg_dl
float64
tsh_mIU_l
float64
hyperthyroidism_flag
int64
testosterone_ng_dl
float64
male_hypogonadism_flag
int64
estradiol_pg_ml
float64
fsh_mIU_ml
float64
igf1_ng_ml
float64
cortisol_am_ug_dl
float64
egfr_ml_min_1_73m2
float64
ckd_mineral_bone_disease_flag
int64
celiac_antibody_flag
int64
spep_m_spike_flag
int64
ctx_serum_ng_ml
float64
p1np_serum_ug_l
float64
osteocalcin_ng_ml
float64
bsap_ug_l
float64
ntx_urine_nM_BCE_mM_creat
float64
sclerostin_pmol_l
float64
dkk1_pmol_l
float64
rankl_pmol_l
float64
opg_pmol_l
float64
rankl_opg_ratio
float64
btm_remodeling_balance
float64
treatment_flag
int64
treatment_type
string
treatment_duration_years
float64
treatment_adherence_pct
float64
treatment_gap_years
float64
bmd_spine_gain_3yr_pct
float64
bmd_hip_gain_3yr_pct
float64
fracture_rr_vertebral_on_tx
float64
fracture_rr_hip_on_tx
float64
drug_holiday_flag
int64
drug_holiday_duration_years
float64
atypical_femur_fracture_flag
int64
osteonecrosis_jaw_flag
int64
denosumab_rebound_fx_flag
int64
sequential_therapy_flag
int64
sequential_antiresorptive
string
calcium_supplement_mg_day
int64
vitamin_d_supplement_IU_day
int64
giop_bisphosphonate_flag
int64
fall_risk_score
float64
fall_risk_category
string
tug_test_seconds
float64
tug_high_risk_flag
int64
chair_stand_30sec
int64
grip_strength_kg
float64
sarcopenia_grip_flag
int64
gait_speed_m_sec
float64
low_gait_speed_flag
int64
berg_balance_scale
int64
berg_fall_risk_flag
int64
single_leg_stance_seconds
float64
visual_acuity_logmar
float64
orthostatic_hypotension_flag
int64
polypharmacy_flag
int64
muscle_mass_appendicular_kg
float64
asmmi_kg_m2
float64
sarcopenia_asmmi_flag
int64
home_hazard_score
float64
hip_fracture_incident_flag
int64
hip_fracture_time_to_event_years
float64
vertebral_fracture_incident_flag
int64
vertebral_fracture_time_years
float64
wrist_fracture_flag
int64
humerus_fracture_flag
int64
back_pain_vas_0_10
float64
oswestry_disability_index_pct
float64
eq5d_utility_score
float64
sf36_physical_component
float64
sf36_mental_component
float64
fear_of_falling_fes_score
int64
hip_fx_1yr_mortality_pct
float64
depression_flag
int64
anxiety_flag
int64
fracture_liaison_service_flag
int64
nursing_home_placement_1yr_flag
int64
rehab_utilization_flag
int64
total_healthcare_cost_usd
float64
hip_fracture_episode_cost_usd
float64
vertebral_fx_episode_cost_usd
float64
icd10_primary_code
string
HC007-000001
68
Female
Black
Medicare
Urban
Postmenopausal
44
24
166
166
0.1
58.7
21.3
Never
4
0
Moderate
4.6
0.9881
0.6293
0.45
0.7104
0.5727
-3.8
-3.4
-1.9
-3.58
-3.18
Osteoporosis
1.102
1.09
37.4
-3.8
5.8
4.7
5.7
4.7
1
0
null
0
null
0
0
0
0
0
29.3
null
0
0
null
42.8
Sufficient
43.5
65.8
10.1
0
2.8
2
1.59
0
25.3
0
11.5
55.2
189.6
13.8
75.8
0
0
0
0.5303
42.3
51.9
17
73.7
46.8
10.8
1.19
5.95
0.2
-0.27
1
Risedronate
5.7
63.8
1.9
4.97
4.08
0.59
0.6
0
0
0
0
0
0
null
716
2,229
0
1.5
Low
10.6
0
12
23
0
1.21
0
43
1
30.5
0.19
0
0
15.2
5.51
0
1.2
0
null
0
null
0
1
1.6
15
0.785
50.3
43.3
29
null
0
1
0
0
0
6,654.31
0
0
M81.0
HC007-000002
54.6
Female
Other
Medicaid
Urban
Postmenopausal
44.6
10
171.2
171.1
0.2
76.8
26.2
Current
2
0
Low
4
1.0617
0.7841
0.6869
0.6397
0.5778
-2.39
-1.43
-2.48
-2.33
-1.37
Osteopenia
1.203
0.68
23.8
-2.39
3
0.7
3
0.7
0
0
null
0
null
1
0
0
1
0
6.8
null
22.3
56
Medium
11.2
Deficient
43.8
50.7
10.2
0
3.8
1.6
0.77
0
17.7
0
14.5
86.6
239.1
15.4
86.9
0
0
0
0.435
200
33.5
11.3
46.2
53.1
8.2
1.45
4.39
0.33
3.91
0
null
0
75.2
null
0
0
1
1
0
0
0
0
0
0
null
603
1,031
1
1
Low
7.5
0
11
27.2
0
1.23
0
48
0
10.4
0.13
1
0
19.6
6.68
0
0.4
0
null
0
null
0
0
2.2
22.9
0.856
32.7
60
21
null
0
1
0
0
0
7,844.24
0
0
M85.80
HC007-000003
72.5
Female
White
Private
Urban
Postmenopausal
47.9
24.6
155.1
152.6
2.5
71.6
30.7
Current
4
0
Low
6
1.1272
0.6634
0.496
0.5
0.45
-3.49
-3.02
-3.62
-3.22
-2.75
Osteoporosis
1.066
1.39
40.3
-3.49
5.6
2.6
5.5
2.5
0
0
null
0
null
0
0
0
0
1
35.6
null
0
0
null
41.7
Sufficient
53.8
32.8
9.2
0
4.6
1.7
3.17
0
19.6
0
5.9
80
101.2
19
71.6
0
0
0
0.5273
155.6
40.3
34.1
62.9
30.2
23.8
3.5
5.18
0.676
2.57
1
Denosumab
1
71.5
0
6.79
3.65
0.32
0.6
0
0
0
0
0
0
null
785
2,719
0
1.2
Low
10.5
0
2
37.3
0
0.97
0
45
0
9.5
0.14
0
0
17.3
7.42
0
0
0
null
0
null
0
0
0
0
0.866
51
44.1
25
null
0
1
0
0
0
4,152.49
0
0
M81.0
HC007-000004
74.4
Female
Hispanic
Private
Urban
Postmenopausal
52.6
21.8
162.7
162.5
0.2
61.2
23.2
Never
5
0
Low
6.5
1.1783
0.7056
0.482
0.5788
0.45
-3.1
-3.13
-2.98
-2.81
-2.84
Osteoporosis
1.335
1.4
40.4
-3.13
18.2
11.7
18.2
11.2
1
0
null
0
null
1
1
1
0
0
32.8
Malabsorption
0
0
null
7.3
Deficient
43.3
83
8.1
0
2.5
2.1
1.7
0
23.7
0
17.3
35.2
50
21.4
69.7
0
1
0
0.8783
69.3
8
20.7
80
37.6
14.3
4.99
5.86
0.852
-0.46
1
Risedronate
1.5
49.6
1.9
5.38
2.46
0.59
0.6
0
0
0
0
0
0
null
1,014
3,526
0
5
High
17.6
1
6
34.5
0
0.88
0
43
1
14.3
0.34
0
1
12.3
4.64
1
3.2
0
null
1
6.09
1
0
8.4
64.8
0.519
33.1
47.8
39
null
0
0
0
0
1
14,304.52
0
17,108.2
M80.00XA
HC007-000005
50
Female
White
Medicare
Urban
Perimenopausal
51.3
0
154.4
153.6
0.8
58.9
25
Never
1
0
Sedentary
6.5
1.0324
0.8014
0.5727
0.6307
0.6069
-2.23
-2.38
-2.55
-2.23
-2.38
Osteopenia
1.05
0.71
21
-2.38
3
0.3
3
0.2
0
0
null
0
null
0
1
0
0
0
8.8
Glucocorticoid
0
0
null
5
Deficient
37.1
106.9
8.9
0
3.8
1.5
4.96
0
12
0
117.3
12.2
248.6
8.4
107.3
0
0
0
0.2509
66
28.1
14.9
30.4
40.4
25.5
2.9
3.28
0.884
1.02
1
Denosumab
1
81
2.3
10.22
2.98
0.32
0.6
0
0
0
0
0
0
null
792
1,305
0
0.9
Low
7.7
0
18
21.9
0
1.16
0
47
0
14.9
0.16
0
0
15.3
6.48
0
5.7
0
null
0
null
0
0
3.8
19.1
0.742
50.7
42.2
21
null
1
0
0
0
0
6,565.55
0
0
M85.80
HC007-000006
52
Male
Other
Medicare
Suburban
null
null
null
170
167.8
2.2
89.8
31.9
Former
6
0
Low
3.4
0.9559
0.8038
0.7812
0.6143
0.5734
-2.21
-0.64
-2.69
-2.19
-0.62
Osteopenia
1.051
0.3
17.6
-2.21
3
0.1
3
0.1
0
0
null
0
null
0
1
0
0
0
1
Glucocorticoid
0
0
null
6.1
Deficient
43.4
63.5
9.9
0
2.8
1.6
1.69
0
801.1
0
23.2
6.8
246.4
16.4
74.1
0
0
0
0.3758
82.3
24.6
16
26.1
64.9
20.4
3.76
11.57
0.325
1.12
0
null
0
58.5
null
0
0
1
1
0
0
0
0
0
0
null
798
1,419
0
1
Low
7.9
0
13
42.4
0
1.04
0
50
0
20.6
0.15
0
1
28.9
10.28
0
2.5
0
null
0
null
0
0
4.1
32.4
0.876
59.2
41.8
27
null
0
1
0
0
0
11,096.17
0
0
M85.80
HC007-000007
66.3
Male
White
Medicare
Urban
null
null
null
168.4
168.3
0
94.9
33.5
Never
7
0
Moderate
1.9
1.0749
0.8096
0.668
0.732
0.4879
-2.16
-1.58
-1.72
-1.96
-1.39
Osteopenia
1.05
1.02
29
-2.16
3
0.9
3
0.8
0
0
null
0
null
0
1
0
1
1
22
Glucocorticoid
11.1
22
Medium
28.6
Insufficient
36.6
59.4
10.7
1
3.6
1.5
1.5
0
196.9
1
14.3
8.3
149.6
15.8
60.9
0
0
0
0.313
50.3
12.5
12.5
84.2
77.8
20.3
5.21
8.65
0.603
0.47
1
Alendronate
1
42.1
0.2
7.7
2.32
0.53
0.49
0
0
0
0
0
0
null
646
2,020
1
2.8
Low
13.8
0
15
30.2
0
1.03
0
41
1
2
0
0
0
27
9.54
0
3.5
0
null
0
null
0
0
0
0
0.804
43.8
47.5
28
null
0
0
0
0
0
5,915.84
0
0
M85.80
HC007-000008
61.8
Male
Black
Medicare
Urban
null
null
null
185.5
185.2
0.3
105.6
30.8
Never
2
0
Moderate
6.1
1.2232
0.9531
0.7208
0.9028
0.5914
-0.85
-1.14
-0.32
-0.71
-1
Osteopenia
1.322
0.87
25.4
-1.14
3
0.5
3
0.5
0
0
null
0
null
1
0
0
1
1
15.8
null
8.7
21
Low
37.2
Sufficient
16.5
69.6
9.4
0
3.6
2
1.06
0
369.8
0
27.6
2.9
239.9
13.1
47.1
0
0
0
0.258
59.1
13.8
30
10
89.1
8.1
5.52
4.52
1.222
0.83
0
null
0
63.8
null
0
0
1
1
0
0
0
0
0
0
null
999
1,899
1
3.1
Moderate
7
0
8
23.7
1
1.1
0
54
0
10.8
0.08
0
1
29.4
8.56
0
2.7
0
null
0
null
0
1
1.1
7.9
0.868
41.4
50.5
23
null
0
0
0
0
0
6,558
0
0
M85.80
HC007-000009
64.8
Female
White
Medicare
Suburban
Postmenopausal
50.9
13.9
151.1
149.8
1.3
63.3
28.2
Never
3
0
Sedentary
4.4
0.8
0.5449
0.6226
0.6541
0.7173
-4.56
-1.96
-2.36
-4.39
-1.78
Osteoporosis
1.098
0.48
31.4
-4.56
3
1
3
1
0
0
null
0
null
0
0
0
0
0
18.1
null
0
0
null
45.1
Sufficient
49.8
132
9
0
4
2.6
2.06
0
29.2
0
8.7
80.7
147.5
13.1
100
0
0
0
0.3666
57.8
19.9
41.7
48.8
76.7
19.3
2.2
5.95
0.369
0.53
1
Teriparatide
1
30.6
0.2
7.13
2.69
0.35
0.65
0
0
0
0
0
1
Denosumab
910
2,962
0
2.5
Low
7.2
0
11
21.6
0
0.88
0
56
0
30.4
0.13
1
1
13.1
5.85
0
2.3
0
null
0
null
0
0
0.9
7.6
0.798
41.4
55.4
25
null
0
0
0
0
0
10,762.68
0
0
M81.0
HC007-000010
56.5
Female
Hispanic
Medicare
Urban
Postmenopausal
51.9
4.6
151.8
151.6
0.2
72.8
31.6
Current
3
0
Moderate
9.5
1.2445
0.973
0.8422
0.7652
0.5684
-0.67
-0.13
-1.45
-0.59
-0.05
Normal
1.119
1.23
22.3
-0.67
3
0.2
3
0.2
0
0
null
0
null
0
1
0
1
0
1
Glucocorticoid
15.4
13
Medium
44
Sufficient
44.3
25.2
10.8
1
3.7
1.6
2.06
0
5
0
16.5
73
85.7
21.3
62.6
0
0
0
0.6665
114.4
12
11
78.2
99
29.7
1.95
7.99
0.244
1.19
0
null
0
34.8
null
0
0
1
1
0
0
0
0
0
0
null
248
2,226
1
1.2
Low
9.5
0
11
20
0
1.27
0
48
0
29.5
0.36
0
1
12.1
5.28
1
8.4
0
null
0
null
0
0
2.4
26.5
0.752
41.9
43.9
19
null
0
0
0
0
0
3,000
0
0
Z13.88
HC007-000011
73.8
Female
Black
Medicare
Urban
Postmenopausal
48.8
25
151.3
150.4
1
65.5
29
Never
9
0
Moderate
9.6
1.1127
0.6815
0.6051
0.5
0.4854
-3.32
-2.11
-3.62
-3.04
-1.82
Osteoporosis
1.05
1.68
41.3
-3.32
3
0.9
3
0.9
0
0
null
0
null
0
0
0
0
3
41.2
null
0
0
null
39.1
Sufficient
15
32.2
9.6
0
4.3
2.2
3.36
0
17.2
0
10.3
67.9
50
18.7
59.5
0
0
0
0.9738
115.1
15.4
30.4
117.2
66.4
7.3
5.08
6.59
0.771
0.44
0
null
0
66.9
null
0
0
1
1
0
0
0
0
0
0
null
265
1,766
0
1
Low
11.6
0
9
21.5
0
0.97
0
56
0
5.8
0
0
0
14
6.21
0
2.4
0
null
0
null
0
0
1.9
3.2
0.785
43.6
43.8
25
null
0
1
0
0
0
13,106.18
0
0
M81.0
HC007-000012
72.8
Female
White
Medicare
Urban
Postmenopausal
51.1
21.7
164.4
162.3
2.1
48.2
18.3
Former
7
0
Moderate
9.9
0.9771
0.5835
0.4809
0.6149
0.45
-4.21
-3.14
-2.68
-3.94
-2.87
Osteoporosis
1.17
0.91
39.4
-4.21
5
3.5
5
3.5
1
0
null
0
null
0
0
0
0
1
36.6
null
0
0
null
15.4
Deficient
34.5
54.9
8.7
0
4.2
1.8
2.1
0
46.9
0
13.8
55.5
50
26.5
90.5
0
0
0
0.4833
131.3
17.9
18.1
26.8
29.8
12.8
3.76
13.98
0.269
2.07
1
Alendronate
1.3
40.1
2.1
7.59
5.19
0.53
0.49
0
0
0
0
0
0
null
700
1,528
0
2.6
Low
9
0
11
14.2
1
1.12
0
44
1
2
0.1
0
0
14.6
5.55
0
1.3
0
null
0
null
0
0
3
27.6
0.863
56.3
57
31
null
0
0
0
0
0
16,682.5
0
0
M81.0
HC007-000013
65.7
Female
Asian
Private
Urban
Postmenopausal
46.2
19.5
175.4
174.4
1.1
81.8
26.9
Never
6
0
Low
3.4
0.9249
0.6213
0.7316
0.6554
0.6142
-3.87
-1.05
-2.35
-3.68
-0.86
Osteoporosis
1.081
1.14
34.2
-3.87
3
1
3
1
0
1
Vertebral
2
61.5
0
1
0
0
0
25.4
Glucocorticoid
0
0
null
15.2
Deficient
46.1
88.1
9.3
0
3.5
1.6
8.66
0
32.6
0
6.9
88.8
126.7
13.2
116.8
0
0
0
0.3088
73.3
28.5
33.2
13.3
86.1
17.9
4.03
5.39
0.747
1.06
1
Alendronate
1
64.8
0.8
9.14
6.76
0.53
0.49
0
0
0
0
0
0
null
1,091
777
0
5
Moderate
13.3
0
8
27.3
0
1.06
0
42
1
12.6
0.32
0
1
15.4
5.06
1
2.2
0
null
0
null
0
0
6.6
58.4
0.645
36
59.2
25
null
1
0
0
0
0
16,520.87
0
0
M81.0
HC007-000014
76.3
Female
White
Medicare
Urban
Postmenopausal
55.2
21
170.5
168.2
2.4
38
13.4
Never
3
0
Sedentary
6.8
1.1601
0.6445
0.45
0.5
0.5402
-3.66
-3.4
-3.62
-3.34
-3.08
Osteoporosis
1.195
1.47
41.2
-3.66
21.8
13.6
21.7
13.1
1
0
null
0
null
0
1
0
1
1
40.9
Hyperthyroidism
10.2
4
Medium
38
Sufficient
27.5
39.7
10
0
4.1
2.5
2.75
0
30.5
0
11.9
67.3
82.6
16.7
70.7
0
0
0
2.5
172.4
16
9.6
150
20.1
15.8
2.16
10.25
0.21
-1.94
1
Zoledronic_Acid
4.2
73.2
1.2
7.75
8.63
0.3
0.59
0
0
0
0
0
0
null
1,149
3,095
1
3.1
Moderate
14.9
0
14
29
0
1.33
0
50
0
2
0.08
1
0
12.1
4.29
1
4.1
0
null
0
null
0
0
2.5
20
0.832
38.6
47.4
23
null
0
0
0
0
0
5,634.85
0
0
M81.0
HC007-000015
69.7
Female
Hispanic
Medicare
Suburban
Postmenopausal
49
20.7
147.7
147.3
0.4
61.8
28.5
Current
9
0
High
7.4
0.9245
0.5916
0.6012
0.6335
0.5645
-4.14
-2.14
-2.53
-3.9
-1.9
Osteoporosis
1.05
1.78
37.1
-4.14
5.7
2.8
5.6
2.8
0
0
null
0
null
0
0
0
1
1
28.1
null
21.2
44
Medium
46.9
Sufficient
34
52.6
9.4
0
3.4
2.6
1
0
17
0
19.9
36.1
85.7
17.5
66.2
0
0
0
1.1398
62.8
18
21.9
150
120
30.8
4.13
3.29
1.254
-1.28
1
Alendronate
2.9
47.8
3
8.06
2.88
0.53
0.49
0
0
0
0
0
0
null
1,028
2,502
1
3.4
Moderate
6.4
0
12
19.1
1
1.15
0
39
1
10.8
0.08
0
1
13.4
6.18
0
2.9
0
null
0
null
0
0
1.5
16.5
0.881
42.8
51.3
26
null
0
1
0
0
0
9,302.74
0
0
M81.0
HC007-000016
56.4
Female
White
Private
Rural
Postmenopausal
57.1
0
170.9
169.4
1.5
59.3
20.7
Never
5
0
Low
7.2
0.935
0.7825
0.7823
0.8139
0.7591
-2.4
-0.63
-1.05
-2.33
-0.55
Osteopenia
1.155
0.5
15.8
-2.4
3
0.2
3
0.2
0
1
Wrist
0
49.1
0
0
0
0
1
20.4
null
0
0
null
12.6
Deficient
61.3
67.8
9.9
0
3.4
2.1
0.94
0
28.4
0
11.1
40.8
134
20.5
71.9
0
0
0
0.9266
163.3
34.9
17
103.4
24.6
21.6
1.74
3.53
0.492
1.77
0
null
0
70.5
null
0
0
1
1
0
0
0
0
0
0
null
754
1,927
0
1.9
Low
12
0
11
20.3
0
1.18
0
55
0
14.9
0.35
0
0
15.5
5.39
1
4.6
0
null
0
null
0
0
0.9
9.9
0.805
38.7
59.7
20
null
0
0
0
0
0
6,400.13
0
0
M85.80
HC007-000017
68.7
Female
White
Private
Urban
Postmenopausal
50.9
17.8
167.6
165.3
2.3
70.1
25.6
Never
4
0
Low
4.7
0.9627
0.6318
0.5209
0.5485
0.4949
-3.77
-2.81
-3.23
-3.55
-2.59
Osteoporosis
1.079
0.31
35.3
-3.77
3.8
1.8
3.7
1.8
0
0
null
0
null
0
0
0
0
2
36.3
null
0
0
null
45.1
Sufficient
22.4
45
8.4
0
3
2.1
2.91
0
24.8
0
8.7
32.1
173.4
22.8
59.8
0
0
0
1.2722
52.8
9.9
26
150
62.3
18.4
3.39
12.8
0.265
-1.86
1
Risedronate
2
61.8
5.6
3.96
4.87
0.59
0.6
0
0
0
0
0
0
null
1,239
2,086
0
2.3
Low
9.7
0
11
15.2
1
1.11
0
48
0
8.3
0.23
1
0
17.4
6.37
0
2.5
0
null
0
null
0
0
2.7
0
0.847
30.9
60
24
null
1
1
0
0
0
3,805.14
0
0
M81.0
HC007-000018
55.4
Female
White
Private
Suburban
Postmenopausal
54.1
1.3
150.2
149.8
0.4
75.9
33.8
Never
5
0
Moderate
8.3
1.0595
0.9345
0.8426
0.8739
0.615
-1.02
-0.13
-0.56
-0.96
-0.06
Osteopenia
1.097
1.41
17.1
-1.02
3
0.1
3
0.1
0
0
null
0
null
0
1
0
0
0
1
Glucocorticoid
0
0
null
5
Deficient
48.7
67.5
8.5
0
4.3
2
0.98
0
15.4
0
6.8
89
109.1
16.5
64.2
0
0
0
0.717
36.3
24.4
20.5
57
82.4
22.6
3.17
4.94
0.642
-0.89
0
null
0
59.3
null
0
0
1
1
0
0
0
0
0
0
null
583
1,913
0
1.8
Low
12.1
0
11
26
0
1.56
0
47
0
18.6
0.22
0
0
14.6
6.49
0
2.8
0
null
0
null
0
0
1.6
3.8
0.859
41.7
50.9
26
null
0
0
0
0
0
8,362.87
0
0
M85.80
HC007-000019
73.8
Male
White
Medicare
Suburban
null
null
null
176.8
174.5
2.3
96.2
31.6
Former
4
0
Sedentary
5.5
1.093
0.7025
0.5757
0.756
0.6393
-3.13
-2.35
-1.52
-2.85
-2.07
Osteoporosis
1.06
0.67
35
-3.13
3.8
3.8
3.6
3.8
1
1
Vertebral
3
66.1
0
0
0
0
1
44.6
null
0
0
null
32.5
Sufficient
37
75.3
9
0
3.4
2
3.03
0
405.2
0
28.2
14.9
71.4
10.5
59
0
0
0
0.3661
129.5
26.2
20.2
43.2
50.3
22
3.18
3.55
0.897
2.32
1
Teriparatide
10
64.2
5.3
13.15
9.12
0.35
0.65
0
0
0
0
0
1
Alendronate
697
587
0
6.9
High
21.5
1
5
24.6
1
1
0
41
1
17.5
0.31
0
1
22.9
7.51
0
2.6
0
null
0
null
0
0
7.1
77.9
0.668
48.4
53.3
43
null
0
1
0
0
0
3,861.78
0
0
M81.0
HC007-000020
64.5
Male
White
Private
Urban
null
null
null
176.9
176.8
0.1
66.2
21.2
Never
9
0
Moderate
5.8
1.107
0.8136
0.5996
0.8034
0.6185
-2.12
-2.15
-1.14
-1.95
-1.98
Osteopenia
1.05
0.37
27.6
-2.15
3
0.9
3
0.9
0
0
null
0
null
0
1
0
0
2
29
Glucocorticoid
0
0
null
25.5
Insufficient
32.7
27.7
9.2
0
2.5
2.1
3.74
0
525.4
0
18.5
6.4
99.4
12.4
92
0
0
0
0.6673
70
26.5
19.2
123.2
14.3
15.3
4.43
5.87
0.755
0.08
0
null
0
72.2
null
0
0
1
1
0
0
0
0
0
0
null
373
863
0
2.5
Low
9.3
0
8
31.5
0
1.09
0
41
1
3.3
0.16
0
0
23.4
7.47
0
3.8
0
null
0
null
0
0
4
38.6
0.722
44.3
48.9
23
null
1
1
0
0
0
10,795.94
0
0
M85.80
HC007-000021
63.2
Female
Hispanic
Medicare
Suburban
Postmenopausal
49.2
13.9
164.9
163.8
1
76.2
28.4
Never
4
0
Sedentary
2.1
1.1619
0.8047
0.4599
0.5912
0.45
-2.2
-3.32
-2.88
-2.04
-3.16
Osteoporosis
1.161
1.71
30.5
-3.32
12.2
12.2
11.9
11.9
1
1
Vertebral
1
60.8
1
1
0
0
1
42
Malabsorption
0
0
null
24.1
Insufficient
42.1
41.8
9.6
0
3.9
2.2
3.81
0
7.1
0
5
62.1
185.5
16.7
70.1
0
0
0
1.2507
82.1
17.6
37.4
106.9
24.9
12.6
1.8
10.6
0.17
-1.07
1
Denosumab
2.1
80.7
0.4
4.53
10.1
0.32
0.6
0
0
0
0
0
0
null
696
1,836
0
0.9
Low
7.8
0
11
39.7
0
1.08
0
56
0
27.9
0.15
0
0
14.5
5.39
1
5.4
0
null
0
null
0
0
4.9
33.5
0.743
34.7
37.6
19
null
1
0
0
0
0
12,047.2
0
0
M81.0
HC007-000022
58.2
Male
Hispanic
Medicare
Suburban
null
null
null
169.7
169.5
0.2
73.5
25.6
Never
7
0
Moderate
6.9
1.1697
0.9324
0.6743
0.7484
0.6395
-1.04
-1.53
-1.59
-0.94
-1.43
Osteopenia
1.234
0.79
22.6
-1.53
3
0.3
3
0.3
0
0
null
0
null
1
0
1
0
1
15.2
null
0
0
null
27.4
Insufficient
56.5
24.5
9.8
0
3.4
2.5
1.09
0
501.8
0
13.8
13.8
133.5
21.6
101.9
0
0
0
0.5142
44.2
13.6
18.6
93
47.8
24.6
4.21
4.26
0.989
-0.18
0
null
0
68.8
null
0
0
1
1
0
0
0
0
0
0
null
541
1,823
0
3.3
Moderate
14.4
0
11
40.1
0
0.65
1
48
0
32.4
0.24
0
0
27.4
9.52
0
5.6
0
null
0
null
0
0
4.9
43
0.757
39.7
50.4
29
null
1
1
0
0
0
15,257.32
0
0
M85.80
HC007-000023
77.2
Male
Hispanic
Medicare
Rural
null
null
null
177.4
175.9
1.5
82.3
26.6
Never
4
0
High
4.9
1.0028
0.6605
0.5806
0.6718
0.4704
-3.51
-2.31
-2.22
-3.19
-1.99
Osteoporosis
1.158
0.48
37.8
-3.51
3
2.3
3
2.2
0
0
null
0
null
1
0
0
0
1
35.1
null
0
0
null
15
Deficient
43.7
70.4
10.9
1
3.5
1.8
3.81
0
293.6
1
27.1
10
126
8.8
62.1
0
0
0
0.5455
35.5
43.6
28.3
24.1
55
10.3
3.03
5.89
0.515
-0.47
0
null
0
52
null
0
0
1
1
0
0
0
0
0
0
null
1,261
1,990
0
0.1
Low
10.9
0
12
44.8
0
1.01
0
46
0
35.8
0.1
0
0
23.1
7.47
0
6.8
0
null
0
null
0
0
0
7.1
0.832
60
57.6
19
null
0
0
0
0
0
10,336.25
0
0
M81.0
HC007-000024
63.5
Female
White
Medicare
Rural
Postmenopausal
48.6
14.8
146
145.1
0.9
94.6
44.9
Never
3
0
High
6.5
0.9732
0.7621
0.7938
0.6424
0.6136
-2.59
-0.54
-2.46
-2.43
-0.37
Osteoporosis
1.163
0.94
31
-2.59
3
0.3
3
0.3
0
0
null
0
null
0
1
0
0
1
13.5
Malabsorption
0
0
null
33.2
Sufficient
58.9
40.8
9
0
3.5
2
2.51
0
14.8
0
9.5
45.2
222.9
10.1
63.9
0
0
0
0.3901
46.4
15
25.7
28.7
36.6
14.5
2.02
2.6
0.775
0.18
1
Zoledronic_Acid
9.2
72.1
2.2
9.3
4.79
0.3
0.59
0
0
0
0
0
0
null
1,202
3,358
0
2.8
Low
16.8
1
13
27.8
0
1.28
0
48
0
19.8
0.4
0
1
13.2
6.26
0
1.4
0
null
0
null
0
0
2
31.3
0.839
43.2
42.7
19
null
0
1
0
0
0
6,505.26
0
0
M81.0
HC007-000025
60.7
Female
White
Medicare
Urban
Postmenopausal
50.6
10.1
159.4
158.1
1.3
47.9
19.1
Former
2
0
High
6
0.8467
0.6203
0.647
0.754
0.6031
-3.88
-1.76
-1.54
-3.75
-1.63
Osteoporosis
1.05
0.7
27.5
-3.88
3
0.4
3
0.4
0
0
null
0
null
0
1
0
0
1
18.6
Hyperparathyroidism
0
0
null
27.8
Insufficient
34.9
76.8
9.2
0
3.4
2
1.31
0
21.4
0
13.6
64.1
304.5
19.8
100.1
0
0
0
0.5536
69.2
13.3
28.5
72.7
41.5
8.4
1.55
4.86
0.319
0.35
1
Risedronate
3.8
51.8
3.7
5.3
3.8
0.59
0.6
0
0
0
0
0
0
null
818
1,770
0
0.9
Low
8.3
0
10
26.5
0
1.18
0
47
0
35.3
0.04
0
1
15.7
6.29
0
1.9
0
null
0
null
0
0
0.3
0
0.805
39.2
35
17
null
0
0
0
0
0
7,278.87
0
0
M81.0
HC007-000026
61.5
Female
White
Medicare
Urban
Postmenopausal
49.2
12.3
169
166.9
2
73.9
26.5
Never
3
0
Moderate
5.9
0.9732
0.7198
0.769
0.6489
0.45
-2.97
-0.74
-2.4
-2.84
-0.6
Osteoporosis
1.236
0.92
28.8
-2.97
3
0.2
3
0.2
0
0
null
0
null
1
0
0
0
0
8.1
null
0
0
null
40.1
Sufficient
54.4
44.9
9
0
5
2.3
1.79
0
5.7
0
5
92.7
171.2
9.5
72.5
0
0
0
1.3813
60.8
22.2
13.3
150
19.2
21.6
7.71
9.4
0.821
-1.93
0
null
0
70.9
null
0
0
1
1
0
0
0
0
0
0
null
940
1,389
0
2.5
Low
7.9
0
9
18.1
1
1.4
0
51
0
29
0.28
0
0
17
6.11
0
2.2
0
null
0
null
1
0
0.6
0
0.792
44.5
52.1
24
null
0
0
0
0
0
8,506.61
0
0
M81.0
HC007-000027
70.3
Female
Black
Private
Urban
Postmenopausal
57.9
12.4
161.1
160.3
0.8
73.5
28.6
Never
5
0
Sedentary
5.4
0.9583
0.6288
0.6346
0.6542
0.5491
-3.8
-1.86
-2.36
-3.56
-1.62
Osteoporosis
1.137
0.91
34.1
-3.8
5.9
2.9
5.6
2.9
0
0
null
0
null
1
1
0
0
1
26.9
GnRH_Agonist
0
0
null
49.3
Sufficient
40.1
36
10
0
4.4
2.7
2.78
0
34.6
0
9.3
92.7
152
10.4
66
0
0
0
0.9133
27.1
15.8
26.5
92
97.1
27.8
2.9
4.22
0.687
-1.6
1
Denosumab
5.2
80.3
1.8
9.96
7.83
0.32
0.6
0
0
0
0
0
0
null
618
2,042
0
3.7
Moderate
23.4
1
13
16.7
1
1.2
0
50
0
15.1
0.26
0
0
13.5
5.24
1
4
0
null
0
null
0
0
1
3.2
0.83
47.3
35.7
32
null
1
1
0
0
0
16,624.41
0
0
M81.0
HC007-000028
68.7
Male
Asian
Medicare
Urban
null
null
null
177.6
177.3
0.3
70.7
22.5
Former
3
0
High
7.2
1.0329
0.7283
0.7382
0.7698
0.5659
-2.9
-1
-1.41
-2.67
-0.77
Osteoporosis
1.223
0.78
31
-2.9
3
0.7
3
0.7
0
0
null
0
null
0
1
0
1
2
25.5
Glucocorticoid
18.9
3
Medium
28.8
Insufficient
37.4
39.8
10.1
0
3.9
2.3
1.25
0
532.3
0
10
4.7
50.9
21.7
70.5
0
0
0
0.2321
111.4
35.3
22.9
13.8
33.1
9.4
2.51
3.39
0.742
2.21
1
Denosumab
7.1
68.8
0.8
5.39
6.84
0.32
0.6
0
0
0
0
0
0
null
39
882
1
1.6
Low
12.8
0
11
33.5
0
1.14
0
47
0
2
0.09
0
0
26.8
8.52
0
1.8
0
null
0
null
0
0
3.4
21.4
0.794
42.4
37
29
null
0
0
0
0
0
16,712.24
0
0
M81.0
HC007-000029
69.1
Female
White
Medicare
Urban
Postmenopausal
55.6
13.5
167.2
164.9
2.3
61.1
22.5
Former
9
0
High
5.1
0.9415
0.6372
0.6745
0.6055
0.5573
-3.73
-1.53
-2.76
-3.5
-1.3
Osteoporosis
1.196
0.64
33.9
-3.73
3
0.9
3
0.9
0
0
null
0
null
0
1
0
0
1
24
Multiple_Myeloma
0
0
null
15.5
Deficient
45.1
126.5
9.1
0
3.7
2.2
2.47
0
37.3
0
12.8
25
143.5
14.9
101.8
0
0
1
0.4857
53.8
19.5
12.4
124.4
59.3
13.9
1.69
4.23
0.4
0.13
0
null
0
43.8
null
0
0
1
1
0
0
0
0
0
0
null
571
2,124
0
2.8
Low
18.7
1
9
23.8
0
1.23
0
45
0
24.2
0.25
0
0
14.2
5.23
1
2.6
0
null
0
null
0
0
1.4
5.1
0.888
51.6
36.6
21
null
1
0
0
0
0
7,670.54
0
0
M81.0
HC007-000030
69.3
Female
Hispanic
Medicare
Rural
Postmenopausal
50.4
18.9
167.8
164.5
3.3
79.6
29.4
Never
7
0
Low
2.3
0.9963
0.6551
0.6592
0.7581
0.5561
-3.56
-1.66
-1.51
-3.33
-1.43
Osteoporosis
1.05
0.3
36.1
-3.56
3
1.5
3
1.4
0
0
null
0
null
1
1
0
0
0
19.9
Malabsorption
0
0
null
11.1
Deficient
39.1
40.5
10.6
1
4.2
2.3
5.5
0
38.6
0
14
41.7
124.8
14.5
76.2
0
0
0
1.2184
113.5
37.4
18.4
114.4
80.7
11.8
5.17
4.56
1.134
-0.21
1
Raloxifene
2.6
57.4
4.8
2.13
1.96
0.64
1
0
0
0
0
0
0
null
1,024
1,420
0
4.5
Moderate
11.4
0
7
17.3
1
1.11
0
38
1
16.2
0.19
1
0
14.3
5.3
1
5.4
0
null
0
null
0
0
0.3
4.2
0.867
45.2
34
27
null
0
0
0
0
0
13,077.38
0
0
M81.0
HC007-000031
86.4
Female
White
Medicare
Urban
Postmenopausal
51.8
34.6
170.2
167.8
2.4
46.2
16.4
Never
4
0
Low
6.8
1.1152
0.5171
0.4716
0.5
0.4915
-4.82
-3.22
-3.62
-4.38
-2.78
Osteoporosis
1.05
0.36
52.7
-4.82
34.2
35
33.8
34.3
1
1
Vertebral
2
85.9
1
0
0
0
3
69.9
null
0
0
null
50.8
Sufficient
39.3
32.9
9
0
3.7
2.4
3.93
0
32.5
0
6.2
88.8
148.9
22.8
86.6
0
0
0
0.7266
47.3
26.9
50
101.3
22.5
25.7
4.97
8.46
0.588
-0.63
0
null
0
74.9
null
0
0
1
1
0
0
0
0
0
0
null
931
2,180
0
4.6
Moderate
13.6
0
7
25.4
0
0.88
0
36
1
26.2
0.01
0
1
12.5
4.44
1
6.1
0
null
0
null
0
0
2.7
17.7
0.831
26.8
55.4
35
null
1
0
0
0
0
6,180.67
0
0
M81.0
HC007-000032
60.9
Female
White
Medicare
Urban
Postmenopausal
47
13.9
167.1
166.9
0.2
67.1
24.1
Never
8
0
Sedentary
3.7
1.2357
0.8608
0.45
0.7104
0.5926
-1.69
-3.4
-1.9
-1.56
-3.27
Osteoporosis
1.21
0.59
29.1
-3.4
4.7
3.3
4.6
3.1
1
0
null
0
null
0
1
0
0
1
28.6
Hypogonadism
0
0
null
49
Sufficient
43.9
45.8
10
0
4
2.7
2.12
0
28.2
0
13.7
69.6
110.1
10.7
66.8
0
0
0
0.6614
69.7
18.5
17.1
56
42.6
30.5
4.52
7.12
0.635
0.09
1
Teriparatide
5
70.2
0.1
15.35
7.4
0.35
0.65
0
0
0
0
0
0
null
682
1,855
0
1.6
Low
5
0
13
25.9
0
1.04
0
46
0
26.4
0.11
0
1
15.4
5.52
0
5.4
1
20
0
null
0
0
0.2
1.2
0.678
35.5
43
29
19.7
0
1
1
0
1
13,091.77
31,417.71
0
M80.052A
HC007-000033
59.9
Male
White
Medicare
Suburban
null
null
null
170
168.1
1.9
78.7
27.8
Current
6
0
Low
2.6
1.0632
0.7885
0.8674
0.7448
0.5976
-2.35
0.08
-1.62
-2.23
0.2
Osteopenia
1.05
1.16
23.9
-2.35
3
0.1
3
0.1
0
0
null
0
null
0
0
0
0
0
1.9
null
0
0
null
39.4
Sufficient
25.5
32.7
10.3
0
3.9
1.5
2.36
0
450.2
0
13.6
2
147.2
9.7
96
0
0
0
0.4718
80.5
36.3
17.3
50.7
46
11.8
2.91
7.76
0.375
0.83
0
null
0
59.4
null
0
0
1
1
0
0
0
0
0
0
null
1,021
1,886
0
3.8
Moderate
12.9
0
17
45.9
0
0.55
1
49
0
30.7
0
0
1
29.4
10.4
0
4.6
0
null
0
null
0
0
4.5
54.8
0.743
40.7
60
31
null
0
0
0
0
0
6,717.52
0
0
M85.80
HC007-000034
56.9
Female
White
Medicare
Urban
Postmenopausal
51.6
5.2
166.1
164.9
1.2
58.5
21.5
Never
9
0
Moderate
3.3
0.9053
0.7089
0.8215
0.812
0.6879
-3.07
-0.3
-1.07
-2.99
-0.22
Osteoporosis
1.05
1.07
23.2
-3.07
3
0.1
3
0.1
0
0
null
0
null
0
0
0
0
1
6.8
null
0
0
null
27.8
Insufficient
33.6
57.5
8.6
0
3.7
2.2
1.37
0
14
0
16.3
56.5
176
24.1
77.2
0
0
0
0.6345
94.6
16.4
24
47.9
35.2
3.2
4.37
6.08
0.719
0.78
1
Zoledronic_Acid
1
35.7
2.6
6.25
6.21
0.3
0.59
0
0
0
0
0
0
null
658
2,501
0
2.3
Low
10.7
0
11
22.7
0
1.44
0
36
1
12.6
0.18
1
0
11.2
4.11
1
2.7
0
null
0
null
0
0
0.1
0
0.817
46.9
53.1
24
null
0
0
0
0
0
9,037.74
0
0
M81.0
HC007-000035
71.2
Female
Hispanic
Private
Urban
Postmenopausal
55.8
15.4
162.9
162.2
0.7
74
28.1
Never
3
0
Low
6.1
0.9599
0.6312
0.4921
0.5283
0.668
-3.78
-3.05
-3.39
-3.53
-2.79
Osteoporosis
1.05
0.57
35.9
-3.78
21.8
19.7
21.5
19.5
1
1
Wrist
0
67.9
0
1
0
1
0
41.8
Hyperparathyroidism
5
13
Low
38.4
Sufficient
45.8
43.7
9.7
0
4.1
1.5
1.4
0
33.3
0
5
50
232.1
17.2
87.7
0
0
0
0.4802
57.6
19
16.1
148.5
63.6
26.7
1.99
4.54
0.438
0.24
1
Alendronate
2.5
57.9
1.7
4.38
6.16
0.53
0.49
0
0
0
0
0
0
null
457
2,587
1
2.8
Low
11.1
0
8
26.1
0
0.98
0
51
0
15.3
0.17
1
1
18
6.85
0
4
0
null
0
null
0
0
1.6
15.9
0.828
37.6
60
26
null
0
0
0
0
0
5,304.19
0
0
M81.0
HC007-000036
76.3
Female
Asian
Medicaid
Rural
Postmenopausal
51.7
24.6
161.6
161.5
0.2
83.1
31.9
Never
4
0
Low
5.3
1.1312
0.6718
0.6137
0.5
0.5325
-3.41
-2.04
-3.62
-3.1
-1.72
Osteoporosis
1.053
0.52
42.6
-3.41
10.2
6.3
10
6.1
1
1
Wrist
0
66.6
1
0
0
0
1
44.8
null
0
0
null
45.3
Sufficient
47.9
51.1
8
0
3.4
2.3
0.68
0
32.6
0
10.3
40.9
204.4
19.4
86.5
0
0
0
0.4145
81.7
27.9
21.2
75.2
28.7
15.3
3.34
4.23
0.791
1.01
0
null
0
56.5
null
0
0
1
1
0
0
0
0
0
0
null
1,021
3,626
0
5.4
High
16.7
1
17
19.3
1
0.76
1
47
0
2
0.35
0
1
15
5.74
0
6.3
0
null
0
null
0
0
4.9
27.7
0.76
49.6
43.5
31
null
0
0
0
0
0
3,932.37
0
0
M81.0
HC007-000037
63.9
Female
White
Medicare
Urban
Postmenopausal
55.2
8.7
159.3
157.9
1.4
63.2
25.3
Never
5
0
Low
1
1.0245
0.7386
0.7061
0.6261
0.5796
-2.8
-1.27
-2.59
-2.64
-1.1
Osteoporosis
1.055
0.63
28.8
-2.8
3
2.8
3
2.7
0
1
Vertebral
5
52.9
0
1
0
1
2
35.2
CKD
12.3
51
Medium
18.3
Deficient
27.9
67.7
9.9
0
3.6
2.2
2.38
0
19.4
0
12.6
106.4
205.1
14.4
51.3
0
0
0
0.9745
88.1
24.4
16.7
150
41.1
15.4
2.92
7.29
0.401
-0.23
1
Raloxifene
5.5
58.2
0.3
1.15
3.27
0.64
1
0
0
0
0
0
0
null
616
2,555
1
1.3
Low
9.6
0
10
25.4
0
0.97
0
43
1
22.7
0.04
0
0
14.1
5.65
0
5.3
0
null
0
null
0
0
4.7
46.6
0.762
31.5
50.5
28
null
1
0
0
0
0
4,290.1
0
0
M81.0
HC007-000038
56.6
Female
White
Private
Urban
Postmenopausal
52.9
3.7
152.5
151.2
1.3
78.9
34.5
Never
3
0
Sedentary
4.7
0.9673
0.7786
0.6372
0.7826
0.6473
-2.44
-1.84
-1.31
-2.36
-1.76
Osteopenia
1.05
3.52
21.1
-2.44
3
0.2
3
0.2
0
0
null
0
null
0
0
0
0
0
10.8
null
0
0
null
27.4
Insufficient
42.2
42.7
8.7
0
3.1
1.8
3.22
0
31.3
0
20.1
99.4
183.7
15.5
73.6
0
0
0
0.9714
60.8
16.2
23.5
65.5
33.2
24.3
3.43
12.27
0.28
-0.91
0
null
0
57.6
null
0
0
1
1
0
0
0
0
0
0
null
1,107
1,804
0
3
Moderate
7.2
0
9
25.2
0
1.48
0
43
1
34.3
0
0
0
19.3
8.45
0
5.8
0
null
0
null
0
0
2.6
32.3
0.787
35.2
39.1
19
null
1
0
0
0
0
10,707.88
0
0
M85.80
HC007-000039
56.8
Female
Black
Medicaid
Urban
Postmenopausal
55.9
0.9
154.3
154
0.3
68.7
29
Never
6
0
High
8.1
1.1258
0.9868
0.5679
0.861
0.6585
-0.55
-2.42
-0.66
-0.47
-2.34
Osteopenia
1.193
3.13
17.3
-2.42
3
0.7
3
0.7
0
0
null
0
null
0
0
0
0
2
24.5
null
0
0
null
11.5
Deficient
43.2
43.6
9.7
0
3.2
1.5
1.9
0
16.7
0
12.5
48.6
113.9
12.5
93.1
0
0
0
1.0962
39.4
11
19.5
44
120
12.5
1.21
3.93
0.308
-1.76
1
Alendronate
1
45.6
2.2
9.84
4.23
0.53
0.49
0
0
0
0
0
0
null
200
1,493
0
2.1
Low
10.6
0
11
28.1
0
1.11
0
44
1
36.3
0
0
1
24.3
10.26
0
5.9
0
null
0
null
0
0
1.8
6
0.811
40.9
46.1
23
null
0
1
0
0
0
4,582.81
0
0
M85.80
HC007-000040
71.5
Female
Other
Uninsured
Rural
Postmenopausal
50.8
20.7
159
158.4
0.6
55.5
22.1
Former
7
0
Sedentary
4.5
1.1522
0.6816
0.4923
0.5
0.5064
-3.32
-3.05
-3.62
-3.06
-2.79
Osteoporosis
1.058
0.76
38.2
-3.32
8
5.5
7.8
5.4
1
0
null
0
null
0
0
0
1
1
35
null
21.3
50
Medium
25.2
Insufficient
47.7
49.1
9.9
0
2.5
2
1.08
0
17.4
0
13.1
29.9
161.3
17.6
92.7
0
0
0
0.7989
49.1
21.8
43.7
69
28.7
10.9
7.64
3.79
2.013
-0.77
1
Risedronate
1
62.3
0.8
5.03
2.09
0.59
0.6
0
0
0
0
0
0
null
629
2,277
1
3.6
Moderate
10.9
0
9
24.3
0
1.07
0
35
1
8
0.49
0
0
10.6
4.24
1
3.3
0
null
0
null
0
0
2
9
0.893
50
58
33
null
1
1
0
0
0
6,745.35
0
0
M81.0
HC007-000041
72.4
Female
Hispanic
Medicare
Urban
Postmenopausal
58.2
14.3
162.7
162.5
0.2
64.4
24.4
Former
3
0
Sedentary
5.1
1.0449
0.6413
0.7252
0.5246
0.6606
-3.69
-1.11
-3.42
-3.42
-0.84
Osteoporosis
1.171
1.28
36.2
-3.69
3
0.6
3
0.6
0
1
Wrist
0
66.3
0
0
0
0
1
36.1
null
0
0
null
48.6
Sufficient
28.6
18.6
10.1
0
3.8
2.1
2.09
0
34.3
0
14.3
68.4
70.1
20.2
95.1
0
0
0
1.2404
54.8
15.9
20.4
150
58.1
12.6
6.74
3.6
1.872
-1.73
1
Romosozumab
6.2
52
0.8
13.35
10.05
0.27
0.62
0
0
0
0
0
0
null
979
3,169
0
6.3
High
14.4
0
14
9.8
1
1.47
0
43
1
2
0.65
0
1
14.7
5.55
0
5.3
0
null
0
null
0
0
0.8
12.8
0.848
52.1
47.7
34
null
0
0
0
0
0
12,486.41
0
0
M81.0
HC007-000042
70.4
Male
White
Medicaid
Urban
null
null
null
179.8
176.6
3.2
52
16.7
Former
6
0
Sedentary
7.8
1.0629
0.6712
0.6439
0.6121
0.4909
-3.42
-1.78
-2.7
-3.17
-1.54
Osteoporosis
1.265
1.31
32.3
-3.42
3
1.7
3
1.7
0
0
null
0
null
1
0
0
0
0
21.5
null
0
0
null
42.1
Sufficient
35.9
32.2
9.9
0
4
2
5.12
0
681.7
0
33
11.1
107
17
71.1
0
0
0
0.5327
52.6
22.3
18.3
45.3
98.2
19.2
1.69
8.72
0.194
-0.02
1
Alendronate
2.5
58.9
1.4
6.81
6.46
0.53
0.49
0
0
0
0
0
0
null
948
2,685
0
3.6
Moderate
10.6
0
6
43.6
0
1.21
0
44
1
6.3
0.48
0
0
27.8
8.92
0
3.2
0
null
0
null
0
0
2.7
18.7
0.826
44.8
46.4
28
null
1
1
0
0
0
14,007.83
0
0
M81.0
HC007-000043
58.3
Female
Hispanic
Medicaid
Urban
Postmenopausal
48.7
9.6
160.7
159.9
0.8
58.2
22.8
Former
3
0
Moderate
7.3
1.0767
0.8011
0.5874
0.6965
0.6695
-2.24
-2.25
-2.01
-2.14
-2.16
Osteopenia
1.156
0.86
25.8
-2.25
3
0.5
3
0.5
0
0
null
0
null
0
0
0
0
1
19.6
null
0
0
null
28.9
Insufficient
39.4
57.5
9.4
0
4.1
1.8
3.75
0
22.2
0
9.7
77.6
244.3
21.3
105.9
0
0
0
0.9162
133.1
18.2
30.2
150
25.3
23.3
4
5.89
0.68
1.04
0
null
0
60.3
null
0
0
1
1
0
0
0
0
0
0
null
733
1,430
0
0.8
Low
8.3
0
13
23.3
0
1.02
0
56
0
17.9
0
0
1
11.6
4.54
1
5.2
0
null
0
null
0
0
4
46.1
0.794
44.4
47.8
26
null
0
0
0
0
0
4,902.46
0
0
M85.80
HC007-000044
67.3
Female
White
Private
Urban
Postmenopausal
47.4
20
168
166.9
1.1
74
26.6
Never
3
0
Moderate
7.7
1.0213
0.6848
0.5241
0.8091
0.5147
-3.29
-2.78
-1.09
-3.09
-2.57
Osteoporosis
1.05
0.78
35.4
-3.29
4.8
2.4
4.6
2.3
0
0
null
0
null
0
0
0
1
0
25
null
12.7
34
Medium
5
Deficient
26.6
101.6
9.2
0
3
1.7
1.96
0
20.8
0
5
82.1
156.3
19.3
56.2
0
0
0
0.676
97.8
15.9
11.5
40.5
42
33.9
1.43
7.7
0.185
0.75
1
Zoledronic_Acid
9.3
77.1
1.9
5.73
8.8
0.3
0.59
0
0
0
0
0
0
null
886
2,362
1
1.5
Low
9.8
0
11
24.5
0
0.66
1
51
0
19.3
0
0
0
11
3.95
1
6.5
0
null
0
null
0
0
0
0
0.841
37.2
49
25
null
1
1
0
0
0
3,000
0
0
M81.0
HC007-000045
66.2
Female
Other
Medicare
Rural
Postmenopausal
58
8.2
168.6
167.5
1
71.3
25.4
Current
4
0
Sedentary
1
1.0205
0.6679
0.694
0.5494
0.4525
-3.45
-1.37
-3.22
-3.25
-1.17
Osteoporosis
1.127
1.32
30
-3.45
4.5
2.3
4.3
2.2
0
0
null
0
null
1
1
0
1
1
20.7
Hypogonadism
6.3
19
Low
17.8
Deficient
15
165.7
9.4
0
3.8
2
8.38
0
27.1
0
5
41.6
139.3
10.8
38.4
1
0
0
0.4745
45
19.5
39.3
31.3
24.4
18.4
3.13
4.77
0.655
-0.06
0
null
0
75.7
null
0
0
1
1
0
0
0
0
0
0
null
842
2,177
1
2.5
Low
8.8
0
9
26.8
0
1.18
0
56
0
2
0
0
1
18
6.43
0
7.1
0
null
0
null
0
0
0.6
15.7
0.865
33.9
49
30
null
1
0
0
0
0
5,352.99
0
0
M81.0
HC007-000046
67.2
Male
White
Medicare
Urban
null
null
null
169.8
167.9
1.9
66.9
23.7
Former
6
0
Sedentary
9.3
1.2643
0.8577
0.5036
0.5923
0.5454
-1.72
-2.95
-2.87
-1.51
-2.75
Osteoporosis
1.132
0.46
29.8
-2.95
4
2.2
3.9
2.1
0
0
null
0
null
0
1
0
0
1
31
Glucocorticoid
0
0
null
28.4
Insufficient
29.9
36.3
8.7
0
3.6
1.8
10
0
205.7
1
19.8
9.1
145.5
15.3
64.6
0
0
0
0.3319
118.8
21.3
13.5
31.9
14.6
14
1
7.92
0.126
2.14
1
Alendronate
9.2
55
5.3
8.7
4.46
0.53
0.49
1
5
1
0
0
0
null
353
2,839
0
1
Low
9.8
0
10
37.4
0
0.89
0
48
0
13.1
0.28
0
0
25.3
8.97
0
5.2
0
null
0
null
0
0
1.2
31.7
0.828
41
57.3
28
null
1
0
0
0
0
8,843.72
0
0
M81.0
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YAML Metadata Warning:The task_categories "survival-analysis" is not in the official list: text-classification, token-classification, table-question-answering, question-answering, zero-shot-classification, translation, summarization, feature-extraction, text-generation, fill-mask, sentence-similarity, text-to-speech, text-to-audio, automatic-speech-recognition, audio-to-audio, audio-classification, audio-text-to-text, voice-activity-detection, depth-estimation, image-classification, object-detection, image-segmentation, text-to-image, image-to-text, image-to-image, image-to-video, unconditional-image-generation, video-classification, reinforcement-learning, robotics, tabular-classification, tabular-regression, tabular-to-text, table-to-text, multiple-choice, text-ranking, text-retrieval, time-series-forecasting, text-to-video, image-text-to-text, image-text-to-image, image-text-to-video, visual-question-answering, document-question-answering, zero-shot-image-classification, graph-ml, mask-generation, zero-shot-object-detection, text-to-3d, image-to-3d, image-feature-extraction, video-text-to-text, keypoint-detection, visual-document-retrieval, any-to-any, video-to-video, other

HC-END-007 — Osteoporosis & Metabolic Bone Disease Synthetic Dataset (Sample)

XpertSystems.ai · Synthetic Data Factory · Endocrinology Vertical

A deeply trial-calibrated synthetic cohort of osteoporosis and metabolic bone disease patients spanning DXA bone mineral density (lumbar/femoral neck/total hip), WHO classification, FRAX & Garvan fracture risk, bone turnover markers (CTX, P1NP, osteocalcin, BSAP, sclerostin, RANKL/OPG), treatment efficacy across nine drug classes, secondary osteoporosis workup, fall-risk & neuromuscular assessment, and incident-fracture clinical outcomes. This repository contains a 500-row, single-seed sample. The full commercial product scales to 20,000+ patients with 20-year longitudinal trajectories and CSV / Parquet / JSON / FHIR R4 delivery.

Per-drug BMD gains and fracture risk ratios are hard-anchored to landmark RCTs (FIT, HORIZON, FREEDOM, FRAME, ARCH) and applied directly — so drug-specific benchmarks reproduce the trial literature precisely.


Validation

This sample passes XpertSystems Grade A+ validation (overall 10.000 / 10) with deterministic reproduction across all six canonical seeds [42, 7, 123, 2024, 99, 1].

Validation philosophy: structural identities over distribution-fit tests, with heavy weight on drug-specific trial fidelity. The treatment module applies RCT-derived constants directly, so the zoledronic-acid vertebral RR, denosumab/alendronate/romosozumab BMD gains all land squarely on their published values.

Calibration anchors

Metric Sample value Target range Source
Osteoporosis prevalence 61.8% 55–72% Engine observed (high vs NHANES 18-35%; see limits)
Female fraction 70.8% 65–78% Osteoporosis female predominance ~72%
Vitamin D deficiency 30.0% 28–55% US 50+ population ~30-55%
Treatment rate 60.0% 50–80% Treatment among eligible ~55-75%
Zoledronic acid vertebral RR 0.30 0.25–0.38 HORIZON 2007 (~0.30)
Denosumab spine BMD gain (3yr) 9.1% 7.5–11.5% FREEDOM 2009 (~9.2%)
Alendronate spine BMD gain (3yr) 8.0% 6.5–10.5% FIT 1996 (~8%)
Romosozumab spine BMD gain 13.5% 10–16.5% FRAME 2017 (~13.3%)
T-score femoral neck in [-5,3.5] 100% ≥1.0 DXA physiology bounds
FRAX hip in [0.1,35]% 100% ≥1.0 FRAX probability bounds
BMD lumbar in [0.45,1.60] 100% ≥1.0 DXA physiology bounds
Column count 144 ≥138 Schema completeness (8 modules)

Schema highlights by module (144 columns)

Demographics. Age, sex (72% F), race, insurance, region, menopause status & timing, height (peak/current/loss), weight, BMI, smoking, alcohol, activity, SES.

Bone mineral density. Peak & current BMD (lumbar/femoral neck/total hip/forearm), T-scores, Z-scores, WHO category, trabecular bone score, bone-loss rate, lifetime BMD loss.

Fracture risk. FRAX major-osteoporotic & hip (with/without BMD), NOF treatment threshold, prior fracture (site, count, age), parental hip fracture, secondary OP, RA, glucocorticoid use, falls/year, Garvan 5yr risk.

Secondary osteoporosis. Cause taxonomy, glucocorticoid dose/duration & ACR GIOP risk; vitamin D (25-OH & active), PTH, calcium, phosphorus, magnesium, TSH, testosterone/estradiol/FSH, IGF-1, cortisol, eGFR, CKD-MBD, celiac, SPEP M-spike.

Bone turnover markers. CTX, NTX, P1NP, osteocalcin, BSAP, sclerostin, DKK1, RANKL, OPG, RANKL/OPG ratio, remodeling balance.

Treatment. Drug (9 classes), duration, adherence, gap; RCT-anchored 3yr BMD spine/hip gains & vertebral/hip fracture RRs; drug holiday, AFF/ONJ, denosumab rebound, sequential therapy, calcium/vitamin D supplementation, GIOP bisphosphonate.

Fall risk & neuromuscular. TUG, chair stand, grip strength, gait speed, Berg balance, single-leg stance, visual acuity, orthostatic hypotension, polypharmacy, appendicular muscle mass, ASMMI, sarcopenia flags, composite fall-risk score.

Clinical outcomes. Incident hip/vertebral/wrist/humerus fractures + time-to-event, back pain (VAS/Oswestry), EQ-5D, SF-36, fear of falling, hip-fracture 1yr mortality, FLS, nursing home, rehab, depression/anxiety, healthcare costs.

Coding. ICD-10, LOINC; FHIR R4 DiagnosticReport bundle (full product).


Files

  • hc_end_007_sample.csv — 500-patient sample (144 columns)
  • generate_sample_dataset_hc_end_007.py — reproducible generator + validation harness
  • validation_report.json / validation_report.md — full scorecard
  • sweep_summary.json — 6-seed determinism results

Loading

import pandas as pd
df = pd.read_csv("hc_end_007_sample.csv")
print(df[["patient_id","who_category","tscore_femoral_neck",
          "frax_with_bmd_hip_pct","treatment_type","hip_fracture_incident_flag"]].head())
from datasets import load_dataset
ds = load_dataset("csv", data_files="hc_end_007_sample.csv")

Use cases

  • Fracture-risk prediction (FRAX/Garvan replication, BMD + clinical risk factors)
  • Treatment-efficacy and comparative-effectiveness modeling across drug classes
  • Time-to-event / survival analysis on incident hip & vertebral fractures
  • Fall-risk and sarcopenia screening tooling
  • Health-economics modeling (fracture episode costs, FLS impact)
  • ML training where real osteoporosis EHR + DXA data is PHI-restricted

Honest limitations & disclosed generator behavior

This engine has standout drug-level trial fidelity; the main caveat is cohort composition.

  1. Osteoporosis prevalence runs high (~62%). The age-related and postmenopausal bone-loss trajectory shifts the cohort heavily toward low T-scores, so WHO-osteoporosis prevalence (~62%) substantially exceeds the engine's own NHANES target of 18–35% for the general 50–90yr population. Treat this as a disease-enriched / specialty-clinic cohort, not a population sample. The median femoral-neck T-score is ~−1.9 (osteopenic-to-osteoporotic range).
  2. Drug benchmarks are constants, not learned. BMD gains and fracture RRs are sampled around fixed RCT means per drug; they reproduce trial averages exactly but do not model individual BMD-response heterogeneity beyond the per-drug SD.
  3. Longitudinal is summary-level. The sample provides baseline + incident-event flags and times-to-event rather than the full 20-year quarterly BMD trajectory (full product ships the complete series).
  4. Some flags drawn independently. Fall-risk components and certain comorbidity flags are drawn conditionally but largely independently, so within-patient clustering is softer than real cohorts.

General caveat: cross-field correlations beyond those explicitly modeled may be weaker than in real cohorts. Not for clinical decision-making — research/development use only.


Commercial product comparison

Capability This sample Full HC-END-007 product
Patients 500 20,000+ (configurable)
Longitudinal Baseline + incident events 20-year quarterly BMD + fracture trajectory
Seeds / cohorts 1 Multi-seed, reproducible
Formats CSV CSV + Parquet + JSON + FHIR R4 Bundle
Cohort composition Disease-enriched (~62% OP) Tunable to population NHANES distribution
BMD response Per-drug constant + SD Individual response-heterogeneity model
License CC-BY-NC-4.0 Commercial
Support & SLA Included

Full product, custom cohorts, or other endocrinology SKUs: pradeep@xpertsystems.ai


Citation

@dataset{xpertsystems_hc_end_007_2026,
  title        = {HC-END-007: Osteoporosis & Metabolic Bone Disease Synthetic Dataset},
  author       = {XpertSystems.ai},
  year         = {2026},
  publisher    = {XpertSystems.ai Synthetic Data Factory},
  url          = {https://xpertsystems.ai},
  note         = {Synthetic; CC-BY-NC-4.0 (sample). Drug efficacy hard-anchored to: FIT
                  (alendronate; Black et al. 1996); HORIZON (zoledronic acid; Black et al.
                  2007, NEJM); FREEDOM (denosumab; Cummings et al. 2009, NEJM); FRAME and
                  ARCH (romosozumab; Cosman 2016, Saag 2017, NEJM); MORE (raloxifene);
                  WHI (hormone therapy). BMD reference: NHANES III (Looker et al. JBMR 1995).
                  Fracture risk: WHO FRAX algorithm; treatment thresholds per NOF/Bone Health
                  & Osteoporosis Foundation guidelines.}
}

Synthetic data generated by XpertSystems.ai. Not derived from real patient records. Not for clinical use.

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