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Record W2902306780 · doi:10.4018/ijeach.2019010109

Prescriptive Grammar for Clinical Prescribing Workflow

2018· article· en· W2902306780 on OpenAlexaff
Kalle Kauranen, Arnold Kim, Phillip Osial

Bibliographic record

VenueInternational Journal of Extreme Automation and Connectivity in Healthcare · 2018
Typearticle
Languageen
FieldHealth Professions
TopicElectronic Health Records Systems
Canadian institutionsThunder Bay Regional Health Sciences CentreLakehead University
Fundersnot available
KeywordsWorkflowSAFERComputer scienceVariety (cybernetics)GrammarParsingFocus (optics)Health careMedical prescriptionWork (physics)Process managementKnowledge managementSoftware engineeringMedicineNursingProgramming languageArtificial intelligenceEngineeringDatabaseComputer securityLinguistics

Abstract

fetched live from OpenAlex

Health information technology is being increasingly introduced into the healthcare environment with its benefits of providing safer and more effective practices. However, the new solutions are brought in issues of implementing them with existing clinical workflows and presents a variety of solutions that do not work well together. For healthcare professionals that want total control over their work, existing solutions can appear rigid and inflexible for their needs. Other solutions can also appear cumbersome as they take user experience for granted with their focus on ease of access. This research presents a prescriptive grammar for prescribing of medications which address the problems of fractured clinical workflow and rigid design of current prescribing tools. The author's solution uses a fully validated Parser Combinator Grammar with an Integrated Development Environment for the construction of prescriptions that once completed, are entered into an electronic health record using the HL7 standard.

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.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.006
metaresearch head score (Gemma)0.014
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: Theoretical or conceptual
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.006
Threshold uncertainty score0.031

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0060.014
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.002
Bibliometrics0.0020.001
Science and technology studies0.0010.004
Scholarly communication0.0040.003
Open science0.0020.002
Research integrity0.0020.003
Insufficient payload (model declined to judge)0.0060.002

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.

Opus teacher head0.242
GPT teacher head0.510
Teacher spread0.267 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designTheoretical or conceptual
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2018
Admission routes1
Has abstractyes

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