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GOLD-TRK-12

Tricky or ambiguous · gold-v0.1

Case inputs

As of
2026-06-30
Patient
17 years, WI
Request
Immunara for rheumatoid arthritis
Insurance
CivicCare, CivicCare Plus · CCP-193825
Policy
immunara-v0.1
Inputs
sha256:4a4eb62f114f…

Documents 1

Physician note

problem_list
SYNTHETIC RECORD - Example Bramblewood Rheumatology - Problem List Update - 2026-06-30
Patient reference SYN-6634. 17-year-old boy, pediatric rheumatology transitioning to adult care next year.
- Rheumatoid arthritis, seropositive, established 2024, with active synovitis at both wrists on today's exam.
- Methotrexate 20 mg weekly, oral, taken January 5, 2026 through June 15, 2026, discontinued for inadequate response despite the full course.
- Growth and development otherwise age-appropriate; no other chronic conditions.
- Plan: Request Immunara given sustained disease activity despite methotrexate.

Decisions by provider

HUMAN_REVIEWcorrect

Decided by: age 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
0.980
Documentation complete
0.940
Material contradiction
0.080
Missing evidence
NONE 0.930
others: DOSAGE 0.03 · TREATMENT_HISTORY 0.02 · DIAGNOSIS 0.01
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. ageFIRED → HUMAN_REVIEW

    patient.age=17, policy min_age=18

  3. contradictionnot reached
  4. documentationnot reached
  5. missing_evidencenot reached
  6. auto_processnot reached
  7. default_reviewnot reached

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

  • patient age 17 is below the policy minimum of 18
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)