{"id":"W2266718091","doi":"10.2196/medinform.4801","title":"Disruptive Innovation: Implementation of Electronic Consultations in a Veterans Affairs Health Care System","year":2016,"lang":"en","type":"article","venue":"JMIR Medical Informatics","topic":"Healthcare Systems and Technology","field":"Business, Management and Accounting","cited_by":64,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Veterans Affairs; Specialty; Electronic health record; Health care; Medical emergency; Medicine; Health information technology; Health records; Protected health information; Nursing; Family medicine; Public health; Health policy; HRHIS","routes":{"ca_aff":false,"ca_fund":false,"ca_venue":true,"about_ca":false,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.01342555,0.000240824,0.0002030251,0.001485335,0.003504281,0.003883433,0.001428445,0.0009821553,0.001367877],"category_scores_gemma":[0.04626534,0.0002540132,0.0003503462,0.001806363,0.002151731,0.002224354,0.004986519,0.001377864,0.0001226876],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.01103622,"about_ca_system_score_gemma":0.01774855,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.03942897,"about_ca_topic_score_gemma":0.04787311,"domain_scores_codex":[0.9825305,0.0104596,0.001027502,0.0009332493,0.002685494,0.0023636],"domain_scores_gemma":[0.9553146,0.02362484,0.007906168,0.00211163,0.004581044,0.00646178],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0003135804,0.001642635,0.7297582,0.0004996026,0.0001108879,0.002384855,0.08263744,0.00204423,0.001258507,0.00439092,0.005208194,0.1697509],"study_design_scores_gemma":[0.000123048,0.002731656,0.7872086,0.000720901,0.00007389131,0.001853825,0.1710519,0.008829039,0.001184571,0.002403045,0.02372378,0.00009564911],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9924874,0.0002826861,0.0007351708,0.003487666,0.0000259009,0.0001394944,0.00007423171,0.00003788424,0.002729521],"genre_scores_gemma":[0.9981065,0.0001386944,0.0009581148,0.0004552823,0.00002361832,0.00004678967,0.00005260573,0.000005214926,0.0002130634],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.03942897,"threshold_uncertainty_score":0.08007371,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01273339601071925,"score_gpt":0.3236798949556487,"score_spread":0.3109464989449294,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}