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REV-01

Smoke · smoke-v0.1

Case inputs

As of
2026-09-15
Patient
16 years, MA
Request
Immunara for rheumatoid arthritis
Insurance
ExampleHealth, ExampleHealth Gold · EXH-551904
Policy
immunara-v0.1
Inputs
sha256:c4dbe52b6fcd…

Documents 1

Physician note

physician_note
SYNTHETIC RECORD - Rheumatology Note - 2026-09-04
16-year-old female with rheumatoid arthritis diagnosed in 2025 by rheumatology (RF positive,
anti-CCP positive, polyarticular synovitis).

Methotrexate 15 mg weekly from 2026-01-05 to 2026-05-18, stopped for inadequate response with
persistent synovitis and morning stiffness. Requesting Immunara.

Decisions by provider

HUMAN_REVIEWcorrect

Decided by: age gate · auto_process 0.95

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
0.940
Material contradiction
0.080
Missing evidence
NONE 0.920
others: DOSAGE 0.03 · DIAGNOSIS 0.02 · TREATMENT_HISTORY 0.02
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. ageFIRED → HUMAN_REVIEW

    patient.age=16, 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 16 is below the policy minimum of 18
Run details· q-v0.1

run_20260925T042324Z_eee114 · q-v0.1 · immunara-v0.1 (v0.1)

auto_process 0.95, recorded threshold. The reference smoke run, made with q-v0.1 before q-v0.2 was adopted.

questions: q-v0.1 →

Show expected answer (evaluation only)