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GOLD-MIS-02

Missing information · gold-v0.1

Case inputs

As of
2026-07-02
Patient
45 years, OH
Request
Immunara for rheumatoid arthritis
Insurance
CivicCare, CivicCare Plus
Policy
immunara-v0.1
Inputs
sha256:65d34640e31d…

Documents 1

Physician note

physician_note
SYNTHETIC RECORD - Example Union Square Family Health - Urgent Care Referral Visit - 2026-06-29
Patient reference SYN-8865.

Subjective: A 45-year-old man reports pain migrating between his wrists, knees and ankles since around March 10, 2026, with no clear trigger. He denies any prior arthritis diagnosis and cannot recall taking any arthritis-specific medication.
Objective: Mild swelling noted at the right wrist and left knee today; no swelling elsewhere. Vitals unremarkable.
Assessment: Polyarthralgia of undetermined cause. No diagnosis of rheumatoid arthritis or any other specific arthritis has been made at this visit.
Plan: Refer to rheumatology for further workup, including baseline labs. Discussed activity modification in the meantime.

Decisions by provider

REQUEST_INFOcorrect

Decided by: documentation gate · auto_process 0.89

Judgments

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

Diagnosis supported
0.020
Step therapy met
0.000
Documentation complete
0.070
Material contradiction
0.110
Missing evidence
DIAGNOSIS 0.910
others: INSURANCE_INFORMATION 0.08 · TREATMENT_HISTORY 0.01
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=45, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.110, review at >= 0.8

  4. documentationFIRED → REQUEST_INFO

    p_yes(documentation_complete)=0.070, request info below 0.6

  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.

  • documentation is likely incomplete (p_yes=0.070)
  • most likely missing: diagnosis (p=0.910)
Run details· q-v0.2

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 →

Show expected answer (evaluation only)