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AUTO-02

Smoke · smoke-v0.1

Case inputs

As of
2026-09-15
Patient
55 years, NY
Request
Immunara for rheumatoid arthritis
Insurance
Northstar, Northstar Choice · NSC-100482
Policy
immunara-v0.1
Inputs
sha256:901e9bb6b83d…

Documents 2

Medication history

medication_history
SYNTHETIC RECORD - MEDICATION HISTORY
METHOTREXATE 20 MG PO WEEKLY - status: inactive - start 2026-02-04 - end: see clinic note
FOLIC ACID 1 MG PO DAILY - status: inactive - start 2026-02-04
IBUPROFEN 400 MG PO AS NEEDED - status: active

Physician note

physician_note
SYNTHETIC RECORD - Rheumatology Follow-up - 2026-09-02
55-year-old male with rheumatoid arthritis, diagnosed in 2025 by rheumatology (anti-CCP
positive, erosive changes on hand X-ray).

He stopped methotrexate on 2026-07-15 because joint pain and morning stiffness did not improve
despite dose escalation. Discussed Immunara today; patient agrees to proceed.

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
0.970
Documentation complete
0.950
Material contradiction
0.130
Missing evidence
NONE 0.860
others: TREATMENT_HISTORY 0.10 · DOSAGE 0.04
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=55, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.130, review at >= 0.8

  4. documentationpassed

    p_yes(documentation_complete)=0.950, request info below 0.6

  5. missing_evidencepassed

    missing_evidence=NONE (p=0.860), request info at >= 0.7

  6. auto_processFIRED → AUTO_PROCESS

    min(required p_yes)=0.950, auto at >= 0.95; p_yes(material_contradiction)=0.130, 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)