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				<full_title>Journal of Health Informatics and Digital Systems</full_title>
				<abbrev_title>J. Health Inform. Digit. Syst.</abbrev_title>
				<issn>3149-8973</issn>
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					<year>2025</year>
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				<issue>1</issue>
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					<title>Explainable Risk Stratification Model for Prioritizing Case Management Referrals Using Prior Utilization, Chronic Disease Burden, Social Needs Documentation, Missed Appointments, and Care Gap Indicators</title>
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            <given_name>Ayanda</given_name>
            <surname>Mokoena</surname>
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            <given_name>Kabelo</given_name>
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					<year>2025</year>
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