Temporal reasoning · gold-v0.1
SYNTHETIC RECORD - Example Fairview Rheumatology - Medication History - 2026-05-28 Patient reference SYN-6002. METHOTREXATE 20 MG PO WEEKLY - status: inactive - start 2026-03-02 - end 2026-05-24 - reason: inadequate response FOLIC ACID 1 MG PO DAILY - status: inactive - start 2026-03-02 LISINOPRIL 10 MG PO DAILY - status: active
SYNTHETIC RECORD - Example Fairview Rheumatology - Office Visit - 2026-06-01 Patient reference SYN-6002. This 55-year-old woman was diagnosed with seropositive rheumatoid arthritis in 2020 and has been followed at this clinic since. She returns today reporting that her hands remain swollen and stiff most mornings, and she has started using a jar opener at home because her grip has weakened. She completed a trial of oral methotrexate 20 mg weekly from 2026-03-02 to 2026-05-24, which was stopped because her synovitis had not improved. She has otherwise been healthy, walks regularly for exercise, and denies any new rashes. Given her inadequate response to methotrexate, Immunara is being requested.
Decided by: default_review gate · auto_process 0.89
p_yes for yes/no questions; ticks are the thresholds a gate compares each one with.
all five decisions present and well-formed
patient.age=55, policy min_age=18
p_yes(material_contradiction)=0.050, review at >= 0.8
p_yes(documentation_complete)=0.970, request info below 0.6
missing_evidence=NONE (p=0.970), request info at >= 0.7
min(required p_yes)=0.000, auto at >= 0.89; p_yes(material_contradiction)=0.050, blocks at >= 0.2
case does not meet the autonomous-action bar
passed = the gate checked and did not fire; not reached = an earlier gate decided.
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 →