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Record W3025016988

Clinical Documentation Standards - Promise or Peril?

2008· article· en· W3025016988 on OpenAlexaff
Lynn Nagle

Bibliographic record

VenueElectronicHealthcare · 2008
Typearticle
Languageen
FieldHealth Professions
TopicElectronic Health Records Systems
Canadian institutionsCanada Health Infoway
Fundersnot available
KeywordsDocumentationStatus quoHealth careInternet privacyPublic relationsInformation systemPsychologyComputer scienceKnowledge managementPolitical science
DOInot available

Abstract

fetched live from OpenAlex

Imagine a future of integrated clinical information systems that transcend the physical boundaries of clinical units, institutions and community care, providing nurses with comprehensive access to information and knowledge to support the delivery of care to individuals and families. Imagine not having to gather the same information repeatedly, ask the same questions over and over again, or struggle to assimilate information from multiple sources and informants. Better yet, as a person needing the services of the healthcare system, imagine not having to rely on memory for details of family health history or repeatedly provide the same information to numerous caregivers over the course of a single encounter (or multiple encounters) to satisfy the requirements of their specific data collection forms. The future lies in the electronic health record – but are we taking the right steps to get there? In particular, are we sufficiently challenging the status quo of the documentation structures associated with clinical information management?

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)0.272
metaresearch head score (Gemma)0.398
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.272
Threshold uncertainty score0.897

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.2720.398
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0050.005
Science and technology studies0.0070.031
Scholarly communication0.0310.062
Open science0.0080.012
Research integrity0.0200.033
Insufficient payload (model declined to judge)0.0100.006

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 head0.164
GPT teacher head0.564
Teacher spread0.401 · 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.

Study designNot applicable
Domainnot available
GenreCommentary

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".

Quick stats

Citations1
Published2008
Admission routes1
Has abstractyes

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