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GOLD-MIS-07

Missing information · gold-v0.1

Case inputs

As of
2026-06-30
Patient
55 years, WA
Request
Immunara for rheumatoid arthritis
Insurance
Northstar, Northstar Choice
Policy
immunara-v0.1
Inputs
sha256:bdc84fc79ca1…

Documents 1

Physician note

physician_note
SYNTHETIC RECORD - Example Harborview Rheumatology - New Patient Consultation - 2026-06-28
Patient reference SYN-4408.

Subjective: A 55-year-old woman transfers her care after relocating. She reports a diagnosis of rheumatoid arthritis made several years ago and ongoing hand and wrist symptoms.
Objective: Symmetric synovitis at the bilateral wrists and MCPs. Rheumatoid factor and anti-CCP drawn today both return positive, confirming a seropositive presentation consistent with her reported history.
Assessment: Seropositive rheumatoid arthritis, established. Her prior treatment records have not yet arrived from her previous rheumatologist, and she is unable to recall which medications she was given or for how long.
Plan: Request outside records. Hold on Immunara pending a complete treatment history. She did not bring an insurance card to today's visit.

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
0.950
Step therapy met
0.000
Documentation complete
0.040
Material contradiction
0.120
Missing evidence
TREATMENT_HISTORY 0.710
others: INSURANCE_INFORMATION 0.29
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)=0.120, review at >= 0.8

  4. documentationFIRED → REQUEST_INFO

    p_yes(documentation_complete)=0.040, 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=0.040)
  • most likely missing: treatment history (p=0.710)
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)