{"id":"W4415041597","doi":"10.1186/s12969-025-01150-y","title":"Referral letters to pediatric rheumatology: referral content and impact on triage – an observational study","year":2025,"lang":"en","type":"article","venue":"Pediatric Rheumatology","topic":"Healthcare Systems and Technology","field":"Business, Management and Accounting","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"BC Children's Hospital; University of Alberta","funders":"University of Alberta; Canadian Rheumatology Association; Women and Children's Health Research Institute; Children's Health Research Institute","keywords":"Referral; Triage; Observational study; Patient referral; Rheumatology","routes":{"ca_aff":true,"ca_fund":true,"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":[0.001146416,0.0004670096,0.001181158,0.001955302,0.0003709188,0.000150693,0.0005159852,0.0003516114,0.00007397124],"category_scores_gemma":[0.0008963954,0.0003956559,0.0001188898,0.001539815,0.00006026227,0.0004997843,0.0003305717,0.0004822435,0.0002066015],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001175264,"about_ca_system_score_gemma":0.0001805299,"about_ca_topic_candidate":true,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0109912,"about_ca_topic_score_gemma":0.0009950757,"domain_scores_codex":[0.9965078,0.0001560809,0.001282859,0.000923852,0.0003047797,0.0008246107],"domain_scores_gemma":[0.9982262,0.0003201273,0.0005015934,0.0006352397,0.0002335054,0.00008329088],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.000252595,0.0003211626,0.9585644,0.0002874479,0.00005469646,0.00002829367,0.00009190673,0.0000179017,0.000007535296,0.02558145,0.01351582,0.001276765],"study_design_scores_gemma":[0.002575785,0.0003083244,0.9922008,0.00002036905,0.00011548,0.00004103626,0.0005600748,0.0002369684,5.606493e-7,0.0008224985,0.002687801,0.0004303197],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.987467,0.000294855,0.0001360608,0.008143195,0.001820483,0.00132626,0.00001101411,0.0003932773,0.0004078396],"genre_scores_gemma":[0.99663,0.0001046197,0.00009674071,0.002446187,0.0003239377,0.0002175303,0.00005016192,0.00004124191,0.00008959371],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.03363635,"threshold_uncertainty_score":0.9998496,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1302340640948186,"score_gpt":0.3473360860652814,"score_spread":0.2171020219704627,"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."}}