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GOLD-MIS-09

Missing information · gold-v0.1

Case inputs

As of
2026-08-10
Patient
33 years, IL
Request
Immunara for rheumatoid arthritis
Insurance
ExampleHealth, ExampleHealth Gold · EXH-225566
Policy
immunara-v0.1
Inputs
sha256:6df42f705584…

Documents 2

Physician note

physician_note
SYNTHETIC RECORD - Example Northgate Rheumatology - Follow-up Visit - 2026-08-07
Patient reference SYN-8843.

Subjective: 33-year-old woman reports ongoing hand stiffness despite her current regimen, unchanged from recent visits.
Objective: Mild synovitis at bilateral MCPs. Vitals stable.
Assessment: Seropositive rheumatoid arthritis, an established diagnosis on the chart since 2022. Her DMARD history is per the attached current medication list from her pharmacy.
Plan: Review the attached list before deciding on next steps toward Immunara. Continue current supportive care.

Medication history

medication_history
SYNTHETIC RECORD - Example Northgate Rheumatology - Current Medication List - 2026-08-07
Patient reference SYN-8843.
LISINOPRIL 5 MG PO DAILY - status: active
ATORVASTATIN 20 MG PO DAILY - status: active
OMEPRAZOLE 20 MG PO DAILY - status: active

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
0.970
Step therapy met
0.000
Documentation complete
0.520
Material contradiction
0.170
Missing evidence
TREATMENT_HISTORY 1.000
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=33, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.170, review at >= 0.8

  4. documentationFIRED → REQUEST_INFO

    p_yes(documentation_complete)=0.520, 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=0.520)
  • most likely missing: treatment history (p=1.000)
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)