Temporal reasoning · gold-v0.1
SYNTHETIC RECORD - Example Harbor Rheumatology Consultants - Laboratory Report - 2026-01-10 Patient reference SYN-6003. Rheumatoid factor: positive, 71 IU/mL (reference <14). Anti-CCP antibody: positive, 94 U/mL (reference <20). CBC: within normal limits.
SYNTHETIC RECORD - Example Harbor Rheumatology Consultants - April 20, 2026 Dear Colleague, Patient reference SYN-6003. I am writing regarding this 62-year-old man, whom I have followed for seropositive rheumatoid arthritis since 2019. He was referred back to your office for consideration of Immunara after an inadequate trial of conventional therapy. He took oral methotrexate 15 mg weekly from January 15, 2026 to April 16, 2026, which was discontinued due to nausea and intermittent vomiting that did not resolve with dose adjustment or antiemetics. His joint symptoms had been only partially controlled during this trial. He remains active despite his hand discomfort and has no other significant medical history. Please let me know if you require any additional records to complete this request. Sincerely, The referring rheumatologist
Decided by: auto_process 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=62, policy min_age=18
p_yes(material_contradiction)=0.070, review at >= 0.8
p_yes(documentation_complete)=0.920, request info below 0.6
missing_evidence=NONE (p=0.910), request info at >= 0.7
min(required p_yes)=0.920, auto at >= 0.89; p_yes(material_contradiction)=0.070, blocks at >= 0.2
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 →