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GOLD-MIS-14

Missing information · gold-v0.1

Case inputs

As of
2026-06-10
Patient
27 years, OK
Request
Immunara for rheumatoid arthritis
Insurance
CivicCare, CivicCare Plus
Policy
immunara-v0.1
Inputs
sha256:e56ba99e917e…

Documents 1

Physician note

physician_note
SYNTHETIC RECORD - Example Bridgeport Family Practice - Office Visit - 2026-06-08
Patient reference SYN-1180. Rheumatoid arthritis, seropositive and first identified by this office in 2024, continues under periodic surveillance for this 27-year-old man, seen today for medication review.

He started oral methotrexate 15 mg weekly on 2026-03-02, but developed persistent nausea within weeks and the medication was stopped on 2026-04-13 for this intolerance. He has not tried any other DMARD since. He did not bring his insurance card today and could not provide his member number from memory. He is otherwise healthy and works as a delivery driver.

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
0.060
Material contradiction
0.130
Missing evidence
INSURANCE_INFORMATION 0.970
others: DIAGNOSIS 0.01 · NONE 0.01 · TREATMENT_HISTORY 0.01
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=27, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.130, review at >= 0.8

  4. documentationFIRED → REQUEST_INFO

    p_yes(documentation_complete)=0.060, 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=0.060)
  • most likely missing: insurance information (p=0.970)
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)