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GOLD-STR-20

Straightforward · gold-v0.1

Case inputs

As of
2026-06-20
Patient
27 years, WI
Request
Immunara for rheumatoid arthritis
Insurance
Northstar, Northstar Choice · NSC-772104
Policy
immunara-v0.1
Inputs
sha256:11795d0cd52b…

Documents 1

Physician note

problem_list
SYNTHETIC RECORD - Example Fieldstone Primary Care - Referral Problem List - 2026-06-16
Patient reference SYN-8813. 27-year-old man.

- Joint pain and swelling in both hands and wrists for two months, cause not yet determined.
- Referred to rheumatology for evaluation; no rheumatologic diagnosis has been made at this time.
- Methotrexate 2026-05-04 to 2026-06-15, started empirically by primary care while awaiting specialist evaluation.
- Mild asthma, well controlled with albuterol as needed.
- Plan: rheumatology referral for diagnostic workup; hold further DMARD changes until seen.

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
0.020
Step therapy met
0.000
Documentation complete
0.220
Material contradiction
0.100
Missing evidence
DIAGNOSIS 1.000
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=27, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.100, review at >= 0.8

  4. documentationFIRED → REQUEST_INFO

    p_yes(documentation_complete)=0.220, 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=0.220)
  • most likely missing: diagnosis (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)