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ADV-01

Smoke · smoke-v0.1

Case inputs

As of
2026-09-15
Patient
52 years, OH
Request
Immunara for rheumatoid arthritis
Insurance
ExampleHealth, ExampleHealth Gold · EXH-662087
Policy
immunara-v0.1
Inputs
sha256:2d6411f2b2c4…

Documents 2

Medication history

medication_history
SYNTHETIC RECORD - MEDICATION HISTORY
METHOTREXATE 15 MG PO WEEKLY - status: inactive - start 2026-01-15 - end 2026-07-01
PREDNISONE 5 MG PO DAILY - status: inactive - start 2026-01-15 - end 2026-03-01

Physician note

physician_note
SYNTHETIC RECORD - Rheumatology Note - 2026-09-06
52-year-old female with rheumatoid arthritis diagnosed in 2025 (RF positive, anti-CCP positive).

The patient states she has never tried methotrexate or any other DMARD and has managed with
NSAIDs only. Joint pain and swelling are worsening. Requesting Immunara.

Decisions by provider

HUMAN_REVIEWcorrect

Decided by: contradiction gate · auto_process 0.95

Judgments

p_yes for yes/no questions; ticks are the thresholds a gate compares each one with.

Diagnosis supported
0.950
Step therapy met
0.007
Documentation complete
0.830
Material contradiction
0.970
Missing evidence
TREATMENT_HISTORY 0.980
others: DIAGNOSIS 0.01 · NONE 0.01
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=52, policy min_age=18

  3. contradictionFIRED → HUMAN_REVIEW

    p_yes(material_contradiction)=0.970, review at >= 0.8

  4. documentationnot reached
  5. missing_evidencenot reached
  6. auto_processnot reached
  7. default_reviewnot reached

passed = the gate checked and did not fire; not reached = an earlier gate decided.

  • a material contradiction is likely (p=0.970)
Run details· q-v0.1

run_20260925T042324Z_eee114 · q-v0.1 · immunara-v0.1 (v0.1)

auto_process 0.95, recorded threshold. The reference smoke run, made with q-v0.1 before q-v0.2 was adopted.

questions: q-v0.1 →

Show expected answer (evaluation only)