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GOLD-TMP-13

Temporal reasoning · gold-v0.1

Case inputs

As of
2026-08-14
Patient
41 years, AZ
Request
Immunara for rheumatoid arthritis
Insurance
CivicCare, CivicCare Plus · CCP-902217
Policy
immunara-v0.1
Inputs
sha256:5f8a44fbf012…

Documents 1

Physician note

consult_note
SYNTHETIC RECORD - Example Copper Basin Rheumatology - Follow-up Visit - 2026-08-14
Patient reference SYN-6013.

Subjective: Persistent nausea and vomiting after each methotrexate dose led her to stop the medication recently. She is 41 years old, with a seropositive rheumatoid arthritis diagnosis from 2020.
Objective: Mild synovitis at bilateral wrists. No oral ulcers. Vitals stable.
Assessment: Rheumatoid arthritis; oral methotrexate 15 mg weekly, started two months before this visit, was stopped on 2026-08-07 because of nausea, an intolerance.
Plan: Begin Immunara. Monitor for recurrent gastrointestinal symptoms.

Decisions by provider

HUMAN_REVIEWcorrect

Decided by: default_review 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
0.940
Material contradiction
0.150
Missing evidence
TREATMENT_HISTORY 0.540
others: NONE 0.44 · DOSAGE 0.01 · LAB_RESULT 0.01
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=41, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.150, review at >= 0.8

  4. documentationpassed

    p_yes(documentation_complete)=0.940, request info below 0.6

  5. missing_evidencepassed

    missing_evidence=TREATMENT_HISTORY (p=0.540), request info at >= 0.7

  6. auto_processpassed

    min(required p_yes)=0.000, auto at >= 0.89; p_yes(material_contradiction)=0.150, blocks at >= 0.2

  7. default_reviewFIRED → HUMAN_REVIEW

    case does not meet the autonomous-action bar

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

  • step_therapy p_yes=0.000 is below the 0.89 autonomous-action bar
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)