{"id":"W3127999619","doi":"10.2196/24820","title":"Factors Contributing to Diagnostic Discordance Between Store-and-Forward Teledermatology Consultations and In-Person Visits: Case Series","year":2021,"lang":"en","type":"article","venue":"JMIR Dermatology","topic":"Cutaneous Melanoma Detection and Management","field":"Medicine","cited_by":4,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Teledermatology; Medicine; Store and forward; Concordance; Differential diagnosis; Diagnostic accuracy; Medical diagnosis; Pediatrics; Health care; Telemedicine; Family medicine; Medical emergency; Pathology; Radiology; Internal medicine","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":[0.001465225,0.0009001704,0.0005720262,0.002192047,0.002665198,0.001358983,0.001272135,0.002072752,0.001971694],"category_scores_gemma":[0.01753322,0.0008455769,0.0006094057,0.001787597,0.00160712,0.001065499,0.00158545,0.001803527,0.0004361944],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001373572,"about_ca_system_score_gemma":0.001081179,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.003271056,"about_ca_topic_score_gemma":0.004000898,"domain_scores_codex":[0.996707,0.000779551,0.0006656988,0.0005310188,0.0007069246,0.0006097406],"domain_scores_gemma":[0.9833853,0.007597385,0.005713944,0.001252635,0.0008082994,0.001242468],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"case_report","study_design_scores_codex":[0.0001181885,0.0002312681,0.6392789,0.00008702644,0.0000373715,0.3506685,0.003133252,0.0001522507,0.0005672305,0.0001628327,0.0005796595,0.004983535],"study_design_scores_gemma":[0.00002115826,0.0002156256,0.09091782,0.00009719611,0.00005492151,0.9021628,0.003535842,0.0008427501,0.0009871628,0.0001814104,0.0009516231,0.00003173395],"study_design_candidate":"case_report","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9971142,0.0005680902,0.0006257145,0.0001913591,0.00003330645,0.00005985226,0.00005014445,0.00001630424,0.001340981],"genre_scores_gemma":[0.9990407,0.0001806946,0.0004275022,0.0001091043,0.00006750839,0.00001530502,0.00005227641,0.000006739052,0.0001001583],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.003271056,"threshold_uncertainty_score":0.009966016,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01970836119844331,"score_gpt":0.2923756993712803,"score_spread":0.272667338172837,"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."}}