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RI-01

Smoke · smoke-v0.1

Case inputs

As of
2026-09-15
Patient
61 years, TX
Request
Immunara for rheumatoid arthritis
Insurance
ExampleHealth, ExampleHealth Gold · EXH-903311
Policy
immunara-v0.1
Inputs
sha256:01bbe7c0b2f9…

Documents 1

Physician note

physician_note
SYNTHETIC RECORD - New Patient Rheumatology Consult - 2026-09-11
61-year-old male referred with rheumatoid arthritis, diagnosed by his previous rheumatologist in
2023 (records reviewed: RF positive, anti-CCP positive, erosions on foot X-ray).

Prior treatment records were not available at this visit, and the patient is unsure which
medications he has taken for arthritis. Requesting Immunara.

Decisions by provider

REQUEST_INFOcorrect

Decided by: documentation gate · auto_process 0.95

Judgments

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

Diagnosis supported
0.840
Step therapy met
0.000
Documentation complete
0.080
Material contradiction
0.120
Missing evidence
TREATMENT_HISTORY 1.000
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=61, policy min_age=18

  3. contradictionpassed

    p_yes(material_contradiction)=0.120, review at >= 0.8

  4. documentationFIRED → REQUEST_INFO

    p_yes(documentation_complete)=0.080, 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=0.080)
  • most likely missing: treatment history (p=1.000)
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)