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RI-02

Smoke · smoke-v0.1

Case inputs

As of
2026-09-15
Patient
29 years, WA
Request
Immunara for rheumatoid arthritis
Insurance
Northstar, Northstar Choice · NSC-220917
Policy
immunara-v0.1
Inputs
sha256:7dade7a395c5…

Documents 1

Physician note

physician_note
SYNTHETIC RECORD - Rheumatology Consult - 2026-09-09
29-year-old female with 4 months of hand and wrist pain and morning stiffness.
RF and anti-CCP are pending; hand X-rays ordered. Differential includes rheumatoid arthritis,
viral arthritis, and psoriatic arthritis. Workup pending; diagnosis not yet established.

Methotrexate 15 mg weekly was started empirically by urgent care on 2026-03-02 and stopped on
2026-07-20 with no improvement in symptoms.

Would like to request Immunara if rheumatoid arthritis is confirmed.

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
0.030
Step therapy met
0.730
Documentation complete
0.430
Material contradiction
0.120
Missing evidence
DIAGNOSIS 1.000
Gate path· 7 gates, in engine order
  1. providerpassed

    all five decisions present and well-formed

  2. agepassed

    patient.age=29, policy min_age=18

  3. contradictionpassed

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

  4. documentationFIRED → REQUEST_INFO

    p_yes(documentation_complete)=0.430, 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=0.430)
  • most likely missing: diagnosis (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)