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GOLD-STR-12

Straightforward · gold-v0.1

Case inputs

As of
2026-06-15
Patient
55 years, NC
Request
Immunara for rheumatoid arthritis
Insurance
CivicCare, CivicCare Plus
Policy
immunara-v0.1
Inputs
sha256:c1ef9489e314…

Documents 3

Physician note

physician_note
SYNTHETIC RECORD - Example Millbrook Telehealth Rheumatology - Virtual Visit - 2026-06-12
Patient reference SYN-7729.

Subjective: 55-year-old man with an established diagnosis of rheumatoid arthritis since 2020 reports ongoing joint pain despite a lengthy course of methotrexate.
Objective: Symmetric swelling noted at bilateral MCP and wrist joints on video examination and confirmed by recent in-person labs.
Assessment: Rheumatoid arthritis, active, with intolerance to methotrexate 20 mg weekly taken January 12, 2026 through June 8, 2026, stopped after his blood counts dropped.
Plan: Proceed with Immunara pending insurance verification. Continue routine monitoring.

Medication history

medication_history
SYNTHETIC RECORD - Example Millbrook Telehealth Rheumatology - Medication History - 2026-06-12
Patient reference SYN-7729.
METHOTREXATE 20 MG PO WEEKLY - status: inactive - start 2026-01-12 - end 2026-06-08 - reason: low blood counts
FOLIC ACID 1 MG PO DAILY - status: inactive - start 2026-01-12

Other document

intake_form
SYNTHETIC RECORD - Example Millbrook Telehealth Rheumatology - New Patient Intake Form - 2026-06-12
Patient reference SYN-7729. Insurance card presented at check-in: No. Patient states he will mail a copy after locating it.

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
0.980
Step therapy met
0.970
Documentation complete
0.060
Material contradiction
0.080
Missing evidence
INSURANCE_INFORMATION 1.000
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=55, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.080, 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=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)