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GOLD-TMP-19

Temporal reasoning · gold-v0.1

Case inputs

As of
2026-08-10
Patient
55 years, CA
Request
Immunara for rheumatoid arthritis
Insurance
CivicCare, CivicCare Plus · CCP-994402
Policy
immunara-v0.1
Inputs
sha256:5c8fd484d834…

Documents 2

Insurance card

insurance_card
SYNTHETIC RECORD - CivicCare Plus - Member Insurance Card - Issued 2026-01-01
Payer: CivicCare
Plan: CivicCare Plus
Member ID: CCP-994402
Group Number: CCPG-33217
Member Services: 555-0187

Physician note

problem_list
SYNTHETIC RECORD - Example Sierra Rheumatology - Problem List - 2026-08-01
Patient reference SYN-6019. 55-year-old woman.

- Seropositive rheumatoid arthritis, diagnosed 2020.
- Methotrexate 20 mg weekly from March 2021 to November 2021, discontinued for inadequate response; several other regimens tried since with variable effect.
- Hypertension, controlled on amlodipine.
- Plan: proceed with Immunara given the earlier inadequate response to methotrexate and continued disease activity on subsequent therapies.

Decisions by provider

AUTO_PROCESScorrect

Decided by: auto_process 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
0.970
Documentation complete
0.960
Material contradiction
0.070
Missing evidence
NONE 0.930
others: DOSAGE 0.05 · TREATMENT_HISTORY 0.02
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=55, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.070, review at >= 0.8

  4. documentationpassed

    p_yes(documentation_complete)=0.960, request info below 0.6

  5. missing_evidencepassed

    missing_evidence=NONE (p=0.930), request info at >= 0.7

  6. auto_processFIRED → AUTO_PROCESS

    min(required p_yes)=0.960, auto at >= 0.89; p_yes(material_contradiction)=0.070, blocks at >= 0.2

  7. default_reviewnot reached

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

  • all required judgments are at or above 0.89 and contradiction risk is below 0.2
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)