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AUTO-01

Smoke · smoke-v0.1

Case inputs

As of
2026-09-15
Patient
47 years, MA
Request
Immunara for rheumatoid arthritis
Insurance
ExampleHealth, ExampleHealth Gold · EXH-448213
Policy
immunara-v0.1
Inputs
sha256:20cab3e6d966…

Documents 1

Physician note

physician_note
SYNTHETIC RECORD - Rheumatology Clinic Note - 2026-09-10
Patient: 47-year-old female.

Assessment: Seropositive rheumatoid arthritis, diagnosed 2025-11-03 based on symmetric
polyarthritis of the hands, positive RF and anti-CCP, and elevated CRP.

Treatment history: Methotrexate 15 mg weekly started 2026-01-12. Discontinued 2026-06-01
after 20 weeks because of inadequate response: persistent synovitis in both wrists, morning
stiffness over 1 hour, CDAI 28.

Plan: Request Immunara for rheumatoid arthritis.

Decisions by provider

AUTO_PROCESScorrect

Decided by: auto_process gate · auto_process 0.95

Judgments

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

Diagnosis supported
0.980
Step therapy met
0.980
Documentation complete
0.960
Material contradiction
0.050
Missing evidence
NONE 0.980
others: DOSAGE 0.02
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=47, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.050, review at >= 0.8

  4. documentationpassed

    p_yes(documentation_complete)=0.960, request info below 0.6

  5. missing_evidencepassed

    missing_evidence=NONE (p=0.980), request info at >= 0.7

  6. auto_processFIRED → AUTO_PROCESS

    min(required p_yes)=0.960, auto at >= 0.95; p_yes(material_contradiction)=0.050, blocks at >= 0.2

  7. default_reviewnot reached

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

  • all required judgments are at or above 0.95 and contradiction risk is below 0.2
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)