Conflicting evidence · gold-v0.1
SYNTHETIC RECORD - Example Bellwood Rheumatology - Medication History - 2026-07-25 Patient reference SYN-2234. This medication list records dates in MM/DD/YYYY order. METHOTREXATE 20 MG PO WEEKLY - status: inactive - start 02/06/2026 - end 07/20/2026 - reason: inadequate response FOLIC ACID 1 MG PO DAILY - status: inactive - start 02/06/2026 SERTRALINE 50 MG PO DAILY - status: active
SYNTHETIC RECORD - Example Bellwood Rheumatology - Follow-up Visit - 2026-07-28 Patient reference SYN-2234. This 37-year-old woman has a seropositive rheumatoid arthritis diagnosis established at this practice in 2021, with recurrent wrist and finger synovitis. Her oral methotrexate, 20 mg weekly, started 2026-06-02 and was stopped 2026-07-20 because her joint swelling had not improved despite the trial, an inadequate response. She continues to report morning stiffness lasting about an hour and has found gardening increasingly difficult. She has no known drug allergies. Immunara is recommended given her sustained disease activity.
Decided by: default_review gate · auto_process 0.89
p_yes for yes/no questions; ticks are the thresholds a gate compares each one with.
all five decisions present and well-formed
patient.age=37, policy min_age=18
p_yes(material_contradiction)=0.560, review at >= 0.8
p_yes(documentation_complete)=0.970, request info below 0.6
missing_evidence=NONE (p=0.950), request info at >= 0.7
min(required p_yes)=0.595, auto at >= 0.89; p_yes(material_contradiction)=0.560, blocks at >= 0.2
case does not meet the autonomous-action bar
passed = the gate checked and did not fire; not reached = an earlier gate decided.
run_20260925T170857Z_b95be9 · q-v0.2 · immunara-v0.1 (v0.1)
auto_process 0.89, chosen on gen-v0.2-dev.
questions: q-v0.2 →