{"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":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0004883242,0.0001003147,0.0002467891,0.0004862272,0.00006207422,0.00001864472,0.0001477938,0.000115915,0.00006806385],"category_scores_gemma":[0.00008232696,0.00007080827,0.00002593085,0.0009888754,0.00006643251,0.0005121515,0.0000505381,0.0001393083,0.00004532516],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002673743,"about_ca_system_score_gemma":0.0004393218,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.001104531,"about_ca_topic_score_gemma":0.002559151,"domain_scores_codex":[0.9981086,0.00001612586,0.001106297,0.00007745442,0.0003680197,0.0003234923],"domain_scores_gemma":[0.9989573,0.00005080473,0.0005371404,0.0001425138,0.0002940801,0.00001810399],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"theoretical_or_conceptual","study_design_gemma":"qualitative","study_design_scores_codex":[0.00001495448,0.00003128712,0.007527286,0.002964953,0.00002192602,0.000002968277,0.009980767,5.882549e-7,0.00001308572,0.6761397,0.0009711077,0.3023314],"study_design_scores_gemma":[0.008170159,0.000319865,0.01695094,0.003045143,0.00002001279,0.00003009677,0.8287084,0.001643048,0.00008958522,0.001086044,0.1393857,0.0005510207],"study_design_candidate":"qualitative","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9810454,0.00007210836,0.006574189,0.006754809,0.0002097965,0.001178801,0.00002835965,0.0001858639,0.003950636],"genre_scores_gemma":[0.9989911,0.000008588445,0.00009978714,0.0005998867,0.0001044404,0.0001311353,0.00005112553,0.000008272192,0.000005655885],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.8187276,"threshold_uncertainty_score":0.2887478,"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."}}