{"id":"W3202293436","doi":"10.1136/bmjqs-2021-013493","title":"Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel","year":2021,"lang":"en","type":"article","venue":"BMJ Quality & Safety","topic":"Clinical Reasoning and Diagnostic Skills","field":"Medicine","cited_by":61,"is_retracted":false,"has_abstract":true,"ca_institutions":"Impact; McMaster University","funders":"Physicians' Services Incorporated Foundation","keywords":"Medicine; Medical diagnosis; Differential diagnosis; Medical history; Emergency medicine; Family medicine; Pediatrics; Internal medicine; Pathology","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaresearch","insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.001557718,0.0003030335,0.0008983132,0.00005666837,0.00009786873,0.00003650329,0.0002547464,0.00016874,0.001112946],"category_scores_gemma":[0.05337708,0.0001994691,0.0002343351,0.0004948471,0.0001222679,0.00007984936,0.0001175757,0.0005612233,0.00001983191],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001308316,"about_ca_system_score_gemma":0.0007413212,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0009953863,"about_ca_topic_score_gemma":0.001858128,"domain_scores_codex":[0.995268,0.0008593446,0.001606563,0.0006037592,0.001053774,0.0006085422],"domain_scores_gemma":[0.9677601,0.03087451,0.0002883434,0.0007157011,0.0001712208,0.0001901127],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.002516596,0.02954007,0.933369,0.0001381713,0.0002698452,0.0006211763,0.03079177,0.0000181188,0.0003045476,0.0001608864,0.0005632205,0.001706546],"study_design_scores_gemma":[0.01556456,0.003267988,0.9412131,0.0008514036,0.0004656371,0.00002581562,0.0344932,0.00006601058,0.003493837,0.00006291863,0.0001514918,0.0003440193],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9934369,0.000207302,0.00001595215,0.003846281,0.0001511801,0.00208987,0.00005366767,0.00004745181,0.0001514074],"genre_scores_gemma":[0.997664,0.0001725322,0.00001939621,0.001085645,0.0001425153,0.0005170121,0.000135023,0.00003287824,0.0002309809],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.05181937,"threshold_uncertainty_score":0.9998001,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.114928021330796,"score_gpt":0.4612128472726894,"score_spread":0.3462848259418934,"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."}}