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GOLD-STR-16

Straightforward · gold-v0.1

Case inputs

As of
2026-06-30
Patient
63 years, MA
Request
Immunara for rheumatoid arthritis
Insurance
ExampleHealth, ExampleHealth Gold · EXH-220981
Policy
immunara-v0.1
Inputs
sha256:c2aa880c398f…

Documents 1

Physician note

referral_letter
SYNTHETIC RECORD - Example Highland Rheumatology - Transfer of Care Letter - 2026-06-25
Patient reference SYN-6689.

Dear New Treating Physician,

This letter transfers care for a 63-year-old man with an established diagnosis of rheumatoid arthritis, first diagnosed in 2017 and confirmed by longstanding positive serology and characteristic joint involvement.

His prior DMARD history, including whether he has taken methotrexate, is documented at his previous rheumatology practice, and we are awaiting the outside records before summarizing his medication trials here. He is a retired firefighter and mentions his hobby of fishing has become harder because of hand stiffness. He has well-controlled type 2 diabetes.

Please let us know once his history arrives so we can determine next steps, including a possible request for Immunara.

With regards,
The transferring rheumatologist

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
0.960
Step therapy met
0.000
Documentation complete
0.070
Material contradiction
0.080
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=63, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.080, review at >= 0.8

  4. documentationFIRED → REQUEST_INFO

    p_yes(documentation_complete)=0.070, 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: 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)