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GOLD-TMP-15

Temporal reasoning · gold-v0.1

Case inputs

As of
2026-09-10
Patient
28 years, MN
Request
Immunara for rheumatoid arthritis
Insurance
Northstar, Northstar Choice · NSC-355812
Policy
immunara-v0.1
Inputs
sha256:688079386608…

Documents 1

Physician note

problem_list
SYNTHETIC RECORD - Example Northshore Rheumatology - Problem List Update - 2026-09-10
Patient reference SYN-6015. 28-year-old woman.

- Seropositive rheumatoid arthritis, diagnosed 2023.
- Methotrexate 15 mg weekly, started this February and stopped in July, discontinued for nausea and mouth sores.
- Mild asthma, well controlled with albuterol as needed.
- Plan: pursue Immunara; methotrexate not tolerated.

Decisions by provider

HUMAN_REVIEWwrong, safe

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
0.970
Step therapy met
0.857
Documentation complete
0.940
Material contradiction
0.080
Missing evidence
NONE 0.900
others: DOSAGE 0.05 · TREATMENT_HISTORY 0.04 · LAB_RESULT 0.01
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=28, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.080, review at >= 0.8

  4. documentationpassed

    p_yes(documentation_complete)=0.940, request info below 0.6

  5. missing_evidencepassed

    missing_evidence=NONE (p=0.900), request info at >= 0.7

  6. auto_processpassed

    min(required p_yes)=0.857, auto at >= 0.89; p_yes(material_contradiction)=0.080, 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=0.857 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)