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REV-02

Smoke · smoke-v0.1

Case inputs

As of
2026-09-15
Patient
44 years, FL
Request
Immunara for rheumatoid arthritis
Insurance
CivicCare, CivicCare Plus · CCP-310045
Policy
immunara-v0.1
Inputs
sha256:dfe75e06d9f9…

Documents 1

Physician note

physician_note
SYNTHETIC RECORD - Rheumatology Note - 2026-09-01
44-year-old male with rheumatoid arthritis diagnosed in 2025 (RF positive, anti-CCP positive).

Methotrexate 15 mg weekly started 2026-06-01 and stopped 2026-08-03 because of nausea and no
improvement in joint swelling. Requesting Immunara.

Decisions by provider

HUMAN_REVIEWcorrect

Decided by: default_review gate · auto_process 0.95

Judgments

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

Diagnosis supported
0.980
Step therapy met
0.000
Documentation complete
0.940
Material contradiction
0.070
Missing evidence
NONE 0.870
others: TREATMENT_HISTORY 0.08 · DOSAGE 0.05
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=44, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.070, review at >= 0.8

  4. documentationpassed

    p_yes(documentation_complete)=0.940, request info below 0.6

  5. missing_evidencepassed

    missing_evidence=NONE (p=0.870), request info at >= 0.7

  6. auto_processpassed

    min(required p_yes)=0.000, auto at >= 0.95; p_yes(material_contradiction)=0.070, blocks at >= 0.2

  7. default_reviewFIRED → HUMAN_REVIEW

    case does not meet the autonomous-action bar

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

  • step_therapy p_yes=0.000 is below the 0.95 autonomous-action bar
  • documentation_complete p_yes=0.940 is below the 0.95 autonomous-action bar
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)