Using the XML-based Clinical Document Architecture for exchange of structured discharge summaries
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
The XML-based Clinical Document Architecture (CDA) for document exchange defines a three-level document architecture with each higher level adding more specificity to the markup of the document. Such a layered architecture also meets the requirement for semantic processing of hierarchically structured clinical documents. The CDA supports shared care between hospital-based and community-based physicians, knowledge integration by permitting external links to other documents, and outcomes research through the capture of discrete and coded clinical data. The research reported has led to the successful prototyping of a CDA-based Structured Discharge Summary system. Structured discharge summaries are used to move clinical information from the clinical environment, such as the geriatrics department of a hospital, to the community environment of family practice. They are an education, communication, research, and administration tool in the Departments of Medicine and Family Medicine and at the Queen Elizabeth II Health Sciences Centre.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it