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GOLD-STR-17

Straightforward · gold-v0.1

Case inputs

As of
2026-06-18
Patient
50 years, SC
Request
Immunara for rheumatoid arthritis
Insurance
Northstar, Northstar Choice · NSC-441209
Policy
immunara-v0.1
Inputs
sha256:46a6a17ee3da…

Documents 1

Physician note

physician_note
SYNTHETIC RECORD - Example Eastport Rheumatology - Office Visit - 2026-06-15
Patient reference SYN-3321.

Subjective: 50-year-old woman with an established diagnosis of rheumatoid arthritis, first diagnosed at this practice in 2021, presents requesting a change in therapy because her current regimen is not controlling her symptoms well.
Objective: Synovitis at bilateral wrists and several MCP joints. Vitals within normal limits.
Assessment: Rheumatoid arthritis, active.
Plan: Request Immunara for this patient. Continue current supportive care.

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
0.000
Documentation complete
0.100
Material contradiction
0.090
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=50, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.090, review at >= 0.8

  4. documentationFIRED → REQUEST_INFO

    p_yes(documentation_complete)=0.100, 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=0.100)
  • 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)