{"id":"W4406364094","doi":"10.2196/46007","title":"An Automated Clinical Laboratory Decision Support System for Test Utilization, Medical Necessity Verification, and Payment Processing","year":2025,"lang":"en","type":"article","venue":"Interactive Journal of Medical Research","topic":"Clinical Laboratory Practices and Quality Control","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Preprint; Test (biology); Payment; Medical laboratory; Computer science; Medicine; World Wide Web; Nursing","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":["metaresearch"],"consensus_categories":["metaresearch"],"category_scores_codex":[0.03791992,0.0001523954,0.0007673645,0.0003722419,0.000255002,0.000163609,0.0004906905,0.0005167673,0.0003339964],"category_scores_gemma":[0.1350055,0.0001073698,0.0001280843,0.0007159793,0.0004822117,0.0005326283,0.0001247539,0.002028752,0.000008607527],"about_ca_system_candidate":true,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002650498,"about_ca_system_score_gemma":0.007105159,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00001549599,"about_ca_topic_score_gemma":0.00002320101,"domain_scores_codex":[0.9919891,0.001593476,0.002111203,0.0004042111,0.003556192,0.0003458719],"domain_scores_gemma":[0.9468971,0.03631838,0.001179329,0.0005754107,0.01267599,0.002353724],"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":[0.01095825,0.005256566,0.0817843,0.001214219,0.0004263489,0.0005847897,0.0004455185,0.000001127646,0.0006847957,0.00129952,0.03943884,0.8579057],"study_design_scores_gemma":[0.02847634,0.0110918,0.2371243,0.01615644,0.0006438299,0.0004864659,0.01019351,0.2129676,0.001488811,0.0005455788,0.4803888,0.0004364468],"study_design_candidate":"design_other","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.8183137,0.002520681,0.0813096,0.09339081,0.001789936,0.001735677,0.00007975267,0.0001885296,0.0006712955],"genre_scores_gemma":[0.9950914,0.0007746072,0.00142389,0.001915669,0.0006917065,0.00002312441,0.00001387366,0.00001819171,0.00004749807],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.8574693,"threshold_uncertainty_score":0.9985237,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1619569650689311,"score_gpt":0.6037091617638252,"score_spread":0.4417521966948941,"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."}}