{ "model_type": "esi_triage_bert_v44", "architecture": "BERTv44Heads multi-head", "encoder": "microsoft/BiomedNLP-BiomedBERT-base-uncased-abstract-fulltext", "model_version": "v70b", "training_config": { "epochs": 3, "batch_size": 64, "lr": 3e-5, "bf16": true, "label_smoothing_esi": 0.05, "phase_3_consistency_alpha": 0.15, "eng_features_dim": 12, "age_bucket_head": true, "pain_bucket_head": true, "loss_weights": { "esi": 2.0, "symptom": 1.5, "resource": 1.0, "resource_count": 0.8, "flag": 0.6, "vitals": 1.0, "ner": 0.5, "medrec": 0.5, "airway": 0.6, "resus": 0.6, "pain": 0.099, "age": 0.06, "arrival": 0.3, "gender": 0.2, "gestalt": 0.3, "disposition": 0.2, "syndrome": 0.2, "history": 0.1, "last_dx": 0.1, "age_bucket": 1.0, "pain_bucket": 1.0, "consistency": 0.15 } }, "heads": { "esi": "5-class CE (PRIMARY)", "symptom": "200-dim BCE per symptom", "flag": "3-class CE airway/resus/altered_mental", "vitals": "6-dim regression", "airway": "binary BCE", "resus": "binary BCE", "ner": "21-class BIO span tagging", "arrival": "5-class CE", "age_bucket": "8-class CE", "pain_bucket": "5-class CE", "medrec": "binary BCE anticoag/antiplatelet", "resource_count": "3-class CE (0/1/2+ bucket)", "gestalt": "5-class CE OUT-1..5" }, "esi_head_input_dim": 780, "esi_head_dim_breakdown": "768 BERT [CLS] + 12 engineered features", "max_length": 128, "encoder_dim": 768, "training_corpus": "v70+ (v67 base 405,242 records + 109 v70+ synth)", "training_data_sources": [ "MIMIC-IV-ED (Boston compact CC, pyxis-truth resources)", "MIETIC clean holdout (UCSF narrative)", "MC-MED clean holdout (Stanford compact CC)", "Lukina v3 (Russian-physician style narrative)", "ER-REASON (UCSF academic narrative, truncated)", "v70+ synth (DOA discrimination, ICH-on-anticoag, MCMED walk-in coverage)" ], "ship_metrics": { "val_esi_exact_epoch_3": 0.781, "val_esi_adjacent_epoch_3": 0.980, "stack_esi1_recall_mcmed": 0.84, "stack_esi1_recall_mietic": 0.967, "stack_esi1_recall_lukina": 1.0, "stack_esi1_recall_mimic": 0.876, "stack_esi1_recall_3corpus_avg": 0.881 } }