{"id":"W2322314876","doi":"10.1097/ans.0b013e3181b1056e","title":"Dilemmas, Tetralemmas, Reimagining the Electronic Health Record","year":2009,"lang":"en","type":"review","venue":"Advances in Nursing Science","topic":"Nursing Diagnosis and Documentation","field":"Nursing","cited_by":13,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Victoria","funders":"","keywords":"Dilemma; Documentation; Ideology; Electronic health record; Nursing practice; Nursing; Nursing documentation; Health care; Psychology; Sociology; Medicine; Nursing care; Computer science; Political science; Epistemology; Politics; Law","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.002206718,0.0005404878,0.001218965,0.0006899477,0.0009996535,0.0004146902,0.001443749,0.0001153954,0.0000132217],"category_scores_gemma":[0.000264437,0.0003549704,0.000232167,0.003400335,0.001290972,0.001655588,0.00002570929,0.001320437,0.00003065492],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.003611118,"about_ca_system_score_gemma":0.0008766591,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00006114221,"about_ca_topic_score_gemma":0.00007227253,"domain_scores_codex":[0.9947708,0.0004192934,0.001069102,0.001191369,0.0008573976,0.001692045],"domain_scores_gemma":[0.9975445,0.0005057341,0.0009006142,0.0008178415,0.00006977353,0.0001615019],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"not_applicable","study_design_scores_codex":[0.000009354771,0.00009061347,0.00001599396,0.0005021535,0.000001815507,0.000001482809,0.0003386783,0.00002171576,4.998084e-7,0.004394064,0.0009010697,0.9937226],"study_design_scores_gemma":[0.0001508819,0.0003839276,0.00003508574,0.04455341,0.00007375804,0.00005176802,0.0001021568,0.00005481348,0.000004708434,0.01633271,0.9378284,0.0004283935],"study_design_candidate":"design_other","study_design_consensus":null,"genre_codex":"review","genre_gemma":"review","genre_scores_codex":[0.000003491647,0.9851191,0.0002056839,0.003575016,0.005464421,0.001024908,0.000004368817,0.0001238397,0.004479149],"genre_scores_gemma":[0.0004372997,0.9963549,0.001922557,0.0006879473,0.0003877781,0.00007133099,0.000022152,0.00005429521,0.00006175641],"genre_candidate":"review","genre_consensus":"review","teacher_disagreement_score":0.9932942,"threshold_uncertainty_score":0.9998902,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02217283035428474,"score_gpt":0.4258532368731313,"score_spread":0.4036804065188466,"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."}}