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GOLD-STR-18

Straightforward · gold-v0.1

Case inputs

As of
2026-06-12
Patient
31 years, MN
Request
Immunara for rheumatoid arthritis
Insurance
CivicCare, CivicCare Plus · CCP-330218
Policy
immunara-v0.1
Inputs
sha256:ff5f3595ae15…

Documents 1

Physician note

problem_list
SYNTHETIC RECORD - Example Prairie Urgent Care - Problem List - 2026-06-08
Patient reference SYN-7781. 31-year-old man.

- Suspected rheumatoid arthritis; symmetric swelling of both hands for six weeks, serology pending.
- Referred to rheumatology for further workup and possible diagnosis confirmation.
- No DMARD has been started yet.
- Seasonal allergies, managed with over-the-counter antihistamines.
- Plan: await rheumatology evaluation and lab results before initiating any RA therapy.

Decisions by provider

REQUEST_INFOcorrect

Decided by: missing_evidence gate · auto_process 0.89

Judgments

p_yes for yes/no questions; ticks are the thresholds a gate compares each one with.

Diagnosis supported
0.030
Step therapy met
0.000
Documentation complete
0.750
Material contradiction
0.090
Missing evidence
DIAGNOSIS 0.950
others: TREATMENT_HISTORY 0.05
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=31, policy min_age=18

  3. contradictionpassed

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

  4. documentationpassed

    p_yes(documentation_complete)=0.750, request info below 0.6

  5. missing_evidenceFIRED → REQUEST_INFO

    missing_evidence=DIAGNOSIS (p=0.950), request info at >= 0.7

  6. auto_processnot reached
  7. default_reviewnot reached

passed = the gate checked and did not fire; not reached = an earlier gate decided.

  • missing diagnosis (p=0.950)
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)