Skip to content

GOLD-TRK-13

Tricky or ambiguous · gold-v0.1

Case inputs

As of
2026-07-10
Patient
17 years, MN
Request
Immunara for rheumatoid arthritis
Insurance
Northstar, Northstar Choice · NSC-451029
Policy
immunara-v0.1
Inputs
sha256:83d5bd2d074f…

Documents 1

Physician note

physician_note
SYNTHETIC RECORD - Example Cormorant Rheumatology - Visit Note - 2026-07-10
Patient reference SYN-8825.
Subjective: This 17-year-old girl, who turns 18 next month, returns for follow-up of hand and knee swelling.
Objective: Synovitis persists at the bilateral wrists and knees. Growth parameters normal for age.
Assessment: Seropositive rheumatoid arthritis, established 2023. She took oral methotrexate 15 mg weekly from October 1, 2025 to March 1, 2026, discontinued for inadequate response given ongoing synovitis throughout the trial.
Plan: Request Immunara given the inadequate response to methotrexate. Continue routine monitoring.

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
0.970
Documentation complete
0.950
Material contradiction
0.100
Missing evidence
NONE 0.760
others: TREATMENT_HISTORY 0.11 · DIAGNOSIS 0.06 · DOSAGE 0.04
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)