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Review regressions before expanding the test." ], "measure": "Successful outcomes, response time, human rework, and total cost per successful task.", "decision": "Keep the change only if it meets your preselected quality and latency limits and improves the metric you care about after setup and operating costs. Otherwise retain the baseline. This is an exploration plan, not a validated recommendation." }, "builder_review": null, "arxiv_id": "2610.27047", "title": "Discrete Neural Interlingua for Ontology-Agnostic EHR Modeling", "summary": "MEDIATOR replaces fixed-vocabulary EHR tokenizers and manual ontology crosswalks with a vector-quantized tokenizer that maps any clinical concept text into a shared discrete codebook, enabling cross-hospital transfer without hand-built mappings. 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