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GOLD-MIS-15

Missing information · gold-v0.1

Case inputs

As of
2026-08-18
Patient
44 years, MN
Request
Immunara for rheumatoid arthritis
Insurance
ExampleHealth, ExampleHealth Gold · EXH-449912
Policy
immunara-v0.1
Inputs
sha256:78efb5991428…

Documents 2

Physician note

problem_list
SYNTHETIC RECORD - Example Cascade Rheumatology - Problem List - 2026-08-15
Patient reference SYN-6602. 44-year-old woman.

- Rheumatoid arthritis (seropositive), documented by serology in 2021 at this practice; disease remains clinically active.
- Prior DMARD history per the intake form completed at her first visit.
- Seasonal allergies, managed as needed.
- Plan: evaluate for Immunara given persistent disease activity.

Other document

intake_form
SYNTHETIC RECORD - Example Cascade Rheumatology - New Patient Intake Form - 2026-08-15
Patient reference SYN-6602.
Prior DMARD use: Yes
Drug name(s): (left blank by patient)
Approximate dates taken: (left blank by patient)
Reason for stopping, if known: (left blank by patient)

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
0.150
Material contradiction
0.120
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=44, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.120, review at >= 0.8

  4. documentationFIRED → REQUEST_INFO

    p_yes(documentation_complete)=0.150, 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=0.150)
  • 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)