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GOLD-MIS-06

Missing information · gold-v0.1

Case inputs

As of
2026-08-01
Patient
47 years, NC
Request
Immunara for rheumatoid arthritis
Insurance
ExampleHealth, ExampleHealth Gold · EXH-668842
Policy
immunara-v0.1
Inputs
sha256:b2f35a3ab9b9…

Documents 2

Physician note

problem_list
SYNTHETIC RECORD - Example Lakeshore Rheumatology - Problem List - 2026-07-28
Patient reference SYN-6650. 47-year-old man.

- Seropositive RA, established March 14, 2020 at this practice; longstanding and clinically stable.
- Hypertension, controlled on lisinopril.
- Mild plantar fasciitis, managed conservatively.
- Plan: review pharmacy-reported medication history and discuss candidacy for Immunara at next visit.

Medication history

medication_history
SYNTHETIC RECORD - Example Lakeshore Rheumatology - Medication History - 2026-07-28
Patient reference SYN-6650.
METHOTREXATE 15 MG PO WEEKLY - start 2026-01-08 - status:
LISINOPRIL 10 MG PO DAILY - status: active

Decisions by provider

REQUEST_INFOcorrect

Decided by: missing_evidence gate · auto_process 0.89

Judgments

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

Diagnosis supported
0.960
Step therapy met
0.025
Documentation complete
0.930
Material contradiction
0.120
Missing evidence
TREATMENT_HISTORY 0.800
others: NONE 0.17 · DIAGNOSIS 0.01 · DOSAGE 0.01
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)=0.120, review at >= 0.8

  4. documentationpassed

    p_yes(documentation_complete)=0.930, request info below 0.6

  5. missing_evidenceFIRED → REQUEST_INFO

    missing_evidence=TREATMENT_HISTORY (p=0.800), request info at >= 0.7

  6. auto_processnot reached
  7. default_reviewnot reached

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

  • missing treatment history (p=0.800)
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)