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GOLD-MIS-19

Missing information · gold-v0.1

Case inputs

As of
2026-09-20
Patient
39 years, WI
Request
Immunara for rheumatoid arthritis
Insurance
Northstar, Northstar Choice · NSC-556634
Policy
immunara-v0.1
Inputs
sha256:a0fd98af4ac4…

Documents 2

Physician note

problem_list
SYNTHETIC RECORD - Example Maple Ridge Rheumatology - Problem List - 2026-09-15
Patient reference SYN-7712. 39-year-old woman.

- Rheumatoid arthritis diagnosis per the referring rheumatologist's letter, enclosed.
- Methotrexate 2025-11-10 to 2026-04-27, discontinued for inadequate response.
- Mild seasonal asthma, well controlled.
- Plan: proceed toward Immunara given persistent disease activity.

Physician note

referral_letter
SYNTHETIC RECORD - Example Outside Rheumatology Partners - Referral Letter - 2026-09-10

Dear Colleague,

I am pleased to transfer the care of this 39-year-old woman, who carries a diagnosis of seropositive rheumatoid arthritis established on April 2, 2024 after a positive rheumatoid factor and months of symmetric joint swelling.

She has since moved to your area and will need ongoing management, including consideration of Immunara given her disease course.

Sincerely,
The referring rheumatologist

Decisions by provider

AUTO_PROCESScorrect

Decided by: auto_process 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
0.960
Documentation complete
0.930
Material contradiction
0.090
Missing evidence
NONE 0.830
others: DOSAGE 0.11 · TREATMENT_HISTORY 0.03 · DIAGNOSIS 0.02
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=39, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.090, review at >= 0.8

  4. documentationpassed

    p_yes(documentation_complete)=0.930, request info below 0.6

  5. missing_evidencepassed

    missing_evidence=NONE (p=0.830), request info at >= 0.7

  6. auto_processFIRED → AUTO_PROCESS

    min(required p_yes)=0.930, auto at >= 0.89; p_yes(material_contradiction)=0.090, blocks at >= 0.2

  7. default_reviewnot reached

passed = the gate checked and did not fire; not reached = an earlier gate decided.

  • all required judgments are at or above 0.89 and contradiction risk is below 0.2
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)