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GOLD-TRK-15

Tricky or ambiguous · gold-v0.1

Case inputs

As of
2026-06-15
Patient
31 years, AZ
Request
Immunara for rheumatoid arthritis
Insurance
CivicCare, CivicCare Plus
Policy
immunara-v0.1
Inputs
sha256:14e2364fea46…

Documents 1

Physician note

physician_note
SYNTHETIC RECORD - Example Wintergreen Rheumatology - Visit Summary - 2026-06-15
Patient reference SYN-5541. Swelling across both hands brought this 31-year-old woman back for a treatment review today.

RA, seropositive, was diagnosed in 2022 and remains active on exam, with synovitis at the wrists and MCPs. She took MTX 15 mg weekly from 2026-02-01 to 2026-06-01, discontinued because of elevated liver enzymes on routine labs, an intolerance. She did not bring an insurance card to today's visit and the front desk was unable to locate a member number on file.

Immunara is recommended given her ongoing RA activity and the intolerance to MTX.

Decisions by provider

REQUEST_INFOcorrect

Decided by: documentation gate · auto_process 0.89

Judgments

p_yes for yes/no questions; ticks are the thresholds a gate compares each one with.

Diagnosis supported
0.960
Step therapy met
0.970
Documentation complete
0.050
Material contradiction
0.080
Missing evidence
INSURANCE_INFORMATION 1.000
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=31, policy min_age=18

  3. contradictionpassed

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

  4. documentationFIRED → REQUEST_INFO

    p_yes(documentation_complete)=0.050, request info below 0.6

  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.

  • documentation is likely incomplete (p_yes=0.050)
  • most likely missing: insurance information (p=1.000)
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)