{"id":"W4407098678","doi":"10.1007/s43678-025-00870-0","title":"CJEM debate: clinical decision rules–thinking beyond the algorithm","year":2025,"lang":"en","type":"editorial","venue":"Canadian Journal of Emergency Medicine","topic":"Clinical practice guidelines implementation","field":"Medicine","cited_by":1,"is_retracted":false,"has_abstract":false,"ca_institutions":"Saint John Regional Hospital; St. Joseph’s Healthcare Hamilton","funders":"","keywords":"Medicine; Algorithm; Management science; Computer science; Economics","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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.06432219,0.004420321,0.008281602,0.008123721,0.007972548,0.02792313,0.0104574,0.07235689,0.0168016],"category_scores_gemma":[0.3249187,0.002950218,0.006142789,0.005339069,0.01208671,0.01233009,0.004942104,0.07486771,0.01033875],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.01323664,"about_ca_system_score_gemma":0.02452549,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.01077589,"about_ca_topic_score_gemma":0.01904619,"domain_scores_codex":[0.9399188,0.02096432,0.008527384,0.004216911,0.02414399,0.002228663],"domain_scores_gemma":[0.6271692,0.2611122,0.00963,0.006101842,0.07772371,0.01826305],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"not_applicable","study_design_scores_codex":[0.00003324401,0.000009578193,0.00001852254,0.0002705147,0.00003578851,0.00003968101,0.00003133362,0.0000276927,0.000009932351,0.0008940268,0.9954994,0.003130235],"study_design_scores_gemma":[0.0003811321,0.00003591997,0.0002367517,0.004493595,0.0002492598,0.0001859255,0.0001623073,0.0005559196,0.00009199055,0.01057863,0.9829369,0.00009181019],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"editorial","genre_gemma":"editorial","genre_scores_codex":[0.00001598981,0.004898423,0.0002218858,0.1715593,0.8224337,0.00002711322,0.00004645141,0.00003001967,0.0007671671],"genre_scores_gemma":[0.0002968552,0.002801179,0.0003095096,0.077094,0.9175683,0.00004400852,0.00002081015,0.00004366855,0.001821561],"genre_candidate":"editorial","genre_consensus":"editorial","teacher_disagreement_score":0.07235689,"threshold_uncertainty_score":0.3401723,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.2000773471921356,"score_gpt":0.5204645566901118,"score_spread":0.3203872094979763,"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."}}