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GOLD-STR-05

Straightforward · gold-v0.1

Case inputs

As of
2026-06-15
Patient
47 years, FL
Request
Immunara for rheumatoid arthritis
Insurance
Northstar, Northstar Choice · NSC-903341
Policy
immunara-v0.1
Inputs
sha256:ae4707169aa3…

Documents 1

Physician note

physician_note
SYNTHETIC RECORD - Example Crossing Rheumatology - Office Visit - 06/10/2026
Patient reference SYN-5561. Date format: MM/DD/YYYY (US) throughout this note.

Subjective: 47-year-old woman with a long-standing diagnosis of seropositive rheumatoid arthritis, first diagnosed in 2019, presents for reassessment and reports persistent hand and wrist pain despite completing a lengthy course of methotrexate.
Objective: Synovitis noted at bilateral wrists and MCP joints. No rashes. Weight stable.
Assessment: Rheumatoid arthritis, active despite oral methotrexate 15 mg weekly from 10/06/2025 to 04/13/2026, discontinued for inadequate response.
Plan: Proceed with Immunara. Continue routine rheumatology follow-up every three months.

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
0.980
Step therapy met
0.970
Documentation complete
0.950
Material contradiction
0.070
Missing evidence
NONE 0.850
others: TREATMENT_HISTORY 0.12 · DOSAGE 0.02 · LAB_RESULT 0.01
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=47, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.070, review at >= 0.8

  4. documentationpassed

    p_yes(documentation_complete)=0.950, request info below 0.6

  5. missing_evidencepassed

    missing_evidence=NONE (p=0.850), request info at >= 0.7

  6. auto_processFIRED → AUTO_PROCESS

    min(required p_yes)=0.950, auto at >= 0.89; p_yes(material_contradiction)=0.070, 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)