Skip to content

AUTO-03

Smoke · smoke-v0.1

Case inputs

As of
2026-09-15
Patient
38 years, CA
Request
Immunara for rheumatoid arthritis
Insurance
CivicCare, CivicCare Plus · CCP-775120
Policy
immunara-v0.1
Inputs
sha256:ec7fd9821381…

Documents 1

Physician note

physician_note
SYNTHETIC RECORD - Rheumatology Note - 2026-09-08
38-year-old female with established rheumatoid arthritis, diagnosed in 2024 by rheumatology
(RF positive, anti-CCP positive).

She has been taking methotrexate 25 mg subcutaneously weekly since March 2026 and continues it
today. Despite good adherence she has ongoing active synovitis of the MCP joints and a DAS28 of
5.4, which we consider an inadequate response to methotrexate.

Plan: add Immunara; continue methotrexate for now.

Decisions by provider

HUMAN_REVIEWwrong, safe

Decided by: default_review 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
0.950
Documentation complete
0.910
Material contradiction
0.090
Missing evidence
NONE 0.800
others: TREATMENT_HISTORY 0.19 · DOSAGE 0.01
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=38, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.090, review at >= 0.8

  4. documentationpassed

    p_yes(documentation_complete)=0.910, request info below 0.6

  5. missing_evidencepassed

    missing_evidence=NONE (p=0.800), request info at >= 0.7

  6. auto_processpassed

    min(required p_yes)=0.910, auto at >= 0.95; p_yes(material_contradiction)=0.090, blocks at >= 0.2

  7. default_reviewFIRED → HUMAN_REVIEW

    case does not meet the autonomous-action bar

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

  • documentation_complete p_yes=0.910 is below the 0.95 autonomous-action bar
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)