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GOLD-STR-15

Straightforward · gold-v0.1

Case inputs

As of
2026-06-10
Patient
45 years, VA
Request
Immunara for rheumatoid arthritis
Insurance
CivicCare, CivicCare Plus · CCP-887701
Policy
immunara-v0.1
Inputs
sha256:1eaa0b5e3b8c…

Documents 1

Physician note

consult_note
SYNTHETIC RECORD - Example Brookside Rheumatology - New Patient Consultation - 2026-06-05
Patient reference SYN-5567. This 45-year-old woman transferred her care after moving from out of state. Her prior rheumatologist had established a diagnosis of seropositive rheumatoid arthritis, and records reviewed today confirm elevated rheumatoid factor and anti-CCP antibodies along with a history of symmetric hand and wrist swelling.

She recalls having taken some kind of arthritis medication in the past but cannot say which drug, dose, or dates, and her prior treatment records have not yet arrived from her previous clinic. She works as a hairstylist and reports her hand pain makes fine motor tasks difficult. She has no known drug allergies.

Immunara is being considered once her complete treatment history is available.

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
0.710
Step therapy met
0.000
Documentation complete
0.080
Material contradiction
0.110
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=45, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.110, review at >= 0.8

  4. documentationFIRED → REQUEST_INFO

    p_yes(documentation_complete)=0.080, 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=0.080)
  • 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)