Tricky or ambiguous · gold-v0.1
SYNTHETIC RECORD - Example Hazelwood Rheumatology - Clinic Note - 2025-11-12 Patient reference SYN-6650. Persistent wrist and knee synovitis despite hydroxychloroquine brought this 41-year-old man in today for escalation of therapy. His seropositive rheumatoid arthritis was diagnosed in 2019. Plan: Start oral methotrexate 15 mg weekly. Provide folic acid and review liver monitoring requirements before the first dose.
SYNTHETIC RECORD - Example Hazelwood Rheumatology - June 5, 2026 Dear Health Plan Reviewer, Patient reference SYN-6650. This 41-year-old man has seropositive rheumatoid arthritis, an established diagnosis since 2019, and I am writing to request Immunara after an inadequate response to methotrexate. He began oral methotrexate 15 mg weekly on 2025-12-01 and took it through 2026-05-15, when it was discontinued because his wrist and knee synovitis had not improved despite an adequate trial period. With regards, The follow-up 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=41, policy min_age=18
p_yes(material_contradiction)=0.110, review at >= 0.8
p_yes(documentation_complete)=0.950, request info below 0.6
missing_evidence=NONE (p=0.950), request info at >= 0.7
min(required p_yes)=0.950, auto at >= 0.89; p_yes(material_contradiction)=0.110, 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 →