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GOLD-MIS-11

Missing information · gold-v0.1

Case inputs

As of
2026-06-22
Patient
36 years, MI
Request
Immunara for rheumatoid arthritis
Insurance
CivicCare, CivicCare Plus
Policy
immunara-v0.1
Inputs
sha256:5b0c78cc418d…

Documents 2

Physician note

problem_list
SYNTHETIC RECORD - Example Willowbrook Rheumatology - Problem List - 2026-06-18
Patient reference SYN-7765. 36-year-old woman.

- Dx: seropositive rheumatoid arthritis (2023); ongoing management at this practice.
- Methotrexate 20 mg weekly from 2026-01-10 to 2026-05-05, discontinued for inadequate response.
- Iron deficiency anemia, on oral supplementation.
- Plan: proceed toward Immunara given ongoing synovitis.

Insurance card

insurance_card
SYNTHETIC RECORD - CivicCare Plus - Member Insurance Card (copy) - 2026-06-18
Payer: CivicCare
Plan: CivicCare Plus
Group Number: CCP-GRP-4471
Member ID: ______________
Customer Service: 555-0142

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
0.970
Documentation complete
0.070
Material contradiction
0.070
Missing evidence
INSURANCE_INFORMATION 0.990
others: NONE 0.01
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=36, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.070, 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: insurance information (p=0.990)
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)