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GOLD-STR-14

Straightforward · gold-v0.1

Case inputs

As of
2026-06-01
Patient
24 years, NV
Request
Immunara for rheumatoid arthritis
Insurance
Northstar, Northstar Choice
Policy
immunara-v0.1
Inputs
sha256:7d2c8ded5745…

Documents 1

Physician note

clinic_note
SYNTHETIC RECORD - Example Fairview Rheumatology - New Patient Visit - 2026-05-28
Patient reference SYN-9012. Seen today after an urgent-care referral for worsening joint swelling and a medication side effect. Rheumatology confirmed his rheumatoid arthritis six months ago, citing symmetric small-joint swelling and a positive anti-CCP antibody; he is 24 years old.

He briefly tried oral methotrexate from 2026-04-06 to 2026-05-25, but stopped early after developing significant nausea that did not improve with dose adjustment or anti-nausea medication. He works as a line cook and says standing for long shifts has become harder with his wrist pain. He has not brought his insurance card to either visit and reports he is still waiting on a replacement from his employer.

Given his intolerance to methotrexate, Immunara is being considered.

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
0.070
Material contradiction
0.120
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=24, policy min_age=18

  3. contradictionpassed

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

  4. documentationFIRED → REQUEST_INFO

    p_yes(documentation_complete)=0.070, 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=0.070)
  • 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)