Leveraging the NLM map from SNOMED CT to ICD-10-CM to facilitate adoption of ICD-10-CM
Conclusions ICD-10-CM will be easier for clinicians to manage if applications display short lists of candidate codes from which clinicians can subsequently select a code for further refinement. The PI-10 Services support ICD-10 migration by implementing this paradigm and enabling users to consistently and accurately find the best ICD-10-CM code(s) without translation from ICD-9-CM. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 13, 2015 Category: Information Technology Authors: Cartagena, F. P., Schaeffer, M., Rifai, D., Doroshenko, V., Goldberg, H. S. Tags: Research and Application Source Type: research

Case-based reasoning using electronic health records efficiently identifies eligible patients for clinical trials
Conclusions This relevance-based method can potentially be used to identify eligible patients for clinical trials by processing patient EHR data alone without parsing free-text eligibility criteria, and shows promise of efficient "case-based reasoning" modeled only on minimal trial participants. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 13, 2015 Category: Information Technology Authors: Miotto, R., Weng, C. Tags: Research and Applications Source Type: research

Using realist reviews to understand how health IT works, for whom, and in what circumstances
(Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 9, 2015 Category: Information Technology Authors: Randell, R., Greenhalgh, J., Dowding, D. Tags: Correspondence Source Type: research

Response to Randell et al. "Using realist reviews to understand how health IT works, for whom, and in what circumstances"
(Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 9, 2015 Category: Information Technology Authors: Otte-Trojel, T., de Bont, A., Rundall, T. G., van de Klundert, J. Tags: Correspondence Source Type: research

Careful Experiments Advance the Science of Informatics
(Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 9, 2015 Category: Information Technology Authors: Lenert, L. A., Taft, T. Tags: Correspondence Source Type: research

Pharmacovigilance from social media: mining adverse drug reaction mentions using sequence labeling with word embedding cluster features
Conclusion It is possible to extract complex medical concepts, with relatively high performance, from informal, user-generated content. Our approach is particularly scalable, suitable for social media mining, as it relies on large volumes of unlabeled data, thus diminishing the need for large, annotated training data sets. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 9, 2015 Category: Information Technology Authors: Nikfarjam, A., Sarker, A., O'Connor, K., Ginn, R., Gonzalez, G. Tags: Research and Application Source Type: research

Impact of the meaningful use incentive program on electronic health record adoption by US children's hospitals
Conclusions Children's hospitals are implementing pediatric-focused features, but a sizable proportion still finds their systems suboptimal for pediatric care. The meaningful use incentive program is failing to promote and in some cases delaying uptake of pediatric-oriented features. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 9, 2015 Category: Information Technology Authors: Nakamura, M. M., Harper, M. B., Castro, A. V., Yu, F. B., Jha, A. K. Tags: Research and Application Source Type: research

Electronic health records and health care quality over time in a federally qualified health center
The longitudinal effects of electronic health records (EHRs) on ambulatory quality are not clear. It is not known whether adoption and meaningful use of EHRs result in a brief period of quality improvement that then plateaus, or whether with ongoing use quality improvement continues. We studied health care quality at six sites of a Federally Qualified Health Center in New York State over 3 years (2008–2010) for 25 290 unique patients. Patients were twice as likely to receive recommended care on a set of 12 quality measures (11 of which are included in Stage 1 Meaningful Use) 3 years post-EHR implementation, compared ...
Source: Journal of the American Medical Informatics Association - March 9, 2015 Category: Information Technology Authors: Kern, L. M., Edwards, A. M., Pichardo, M., Kaushal, R. Tags: Brief Communication Source Type: research

Medical student awareness of and interest in clinical informatics
Conclusion We should work as a field to increase the quantity, quality, and publicity of CI learning opportunities for interested medical students. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 28, 2015 Category: Information Technology Authors: Banerjee, R., George, P., Priebe, C., Alper, E. Tags: Brief Communication Source Type: research

Technology-mediated interventions for enhancing medication adherence
Conclusions This review provides evidence for the inconsistent effectiveness of TMI for medication adherence and clinical outcomes. These results must be interpreted with caution due to a lack of high-quality studies. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 28, 2015 Category: Information Technology Authors: Mistry, N., Keepanasseril, A., Wilczynski, N. L., Nieuwlaat, R., Ravall, M., Haynes, R. B., the Patient Adherence Review Team Tags: Review Source Type: research

Development of data representation standards by the human proteome organization proteomics standards initiative
Conclusion In its first dozen years of operation, the PSI has produced many standards that have accelerated the field of proteomics by facilitating data exchange and deposition to data repositories. We look to the future to continue developing standards for new proteomics technologies and workflows and mechanisms for integration with other omics data types. Our products facilitate the translation of genomics and proteomics findings to clinical and biological phenotypes. The PSI website can be accessed at http://www.psidev.info. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 28, 2015 Category: Information Technology Authors: Deutsch, E. W., Albar, J. P., Binz, P.-A., Eisenacher, M., Jones, A. R., Mayer, G., Omenn, G. S., Orchard, S., Vizcaino, J. A., Hermjakob, H. Tags: Review Source Type: research

Using age, triage score, and disposition data from emergency department electronic records to improve Influenza-like illness surveillance
Objective Markers of illness severity are increasingly captured in emergency department (ED) electronic systems, but their value for surveillance is not known. We assessed the value of age, triage score, and disposition data from ED electronic records for predicting influenza-related hospitalizations.Materials and Methods From June 2006 to January 2011, weekly counts of pneumonia and influenza (P&I) hospitalizations from five Montreal hospitals were modeled using negative binomial regression. Over lead times of 0–5 weeks, we assessed the predictive ability of weekly counts of 1) total ED visits, 2) ED visits with...
Source: Journal of the American Medical Informatics Association - February 26, 2015 Category: Information Technology Authors: Savard, N., Bedard, L., Allard, R., Buckeridge, D. L. Tags: Research and Applications Source Type: research

An exploration of the properties of the CORE problem list subset and how it facilitates the implementation of SNOMED CT
Conclusion The CORE Problem List Subset is a useful resource for the implementation of Systematized Nomenclature of Medicine Clinical Terms in electronic health records. It offers good coverage of frequently used terms, which account for a high proportion of term usage. If future datasets are incorporated into the CORE Subset, it is likely that its size will remain small and manageable. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 26, 2015 Category: Information Technology Authors: Fung, K. W., Xu, J. Tags: Research and Applications Source Type: research

Parameterizing time in electronic health record studies
Conclusions Of the three parameterizations, sequence time appeared to produce the most stationary series, possibly because clinicians adjust their sampling to the acuity of the patient. Parameterizing by sequence time may be applicable to association and clustering experiments on electronic health record data. A limitation of this study is that laboratory data were derived from only one institution. Sequence time appears to be an important potential parameterization. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 26, 2015 Category: Information Technology Authors: Hripcsak, G., Albers, D. J., Perotte, A. Tags: Research and Applications Source Type: research

Visualizing collaborative electronic health record usage for hospitalized patients with heart failure
Conclusion EHRs encode valuable interactions, implicitly or explicitly, between patients and providers. Network analysis provided strong evidence of multidisciplinary record access of patients with heart failure across teams of 100+ providers. Further investigation may lead to clearer understanding of how record access information can be used to strategically guide care coordination for patients hospitalized for heart failure. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 20, 2015 Category: Information Technology Authors: Soulakis, N. D., Carson, M. B., Lee, Y. J., Schneider, D. H., Skeehan, C. T., Scholtens, D. M. Tags: Research and Applications Source Type: research

Metrics and tools for consistent cohort discovery and financial analyses post-transition to ICD-10-CM
In the United States, International Classification of Disease Clinical Modification (ICD-9-CM, the ninth revision) diagnosis codes are commonly used to identify patient cohorts and to conduct financial analyses related to disease. In October 2015, the healthcare system of the United States will transition to ICD-10-CM (the tenth revision) diagnosis codes. One challenge posed to clinical researchers and other analysts is conducting diagnosis-related queries across datasets containing both coding schemes. Further, healthcare administrators will manage growth, trends, and strategic planning with these dually-coded datasets. T...
Source: Journal of the American Medical Informatics Association - February 12, 2015 Category: Information Technology Authors: Boyd, A. D., 'John' Li, J., Kenost, C., Joese, B., Min Yang, Y., Kalagidis, O. A., Zenku, I., Saner, D., Bahroos, N., Lussier, Y. A. Tags: Brief Communication Source Type: research

Nursing domain of CI governance: recommendations for health IT adoption and optimization
Conclusion Applied CI work is highly interprofessional with patient safety implications that heighten the need for best practice models for governance structures, adequate resource allocation, and role-based competencies. Overall, there is a notable lack of a centralized CI group comprised of formally trained informaticians to provide expertise and promote adherence to informatics principles within EHR implementation governance structures. Our model of the nursing domain of CI governance with recommended roles, partnerships, and councils provides a starting point that should be further explored and validated. Not only can ...
Source: Journal of the American Medical Informatics Association - February 10, 2015 Category: Information Technology Authors: Collins, S. A., Alexander, D., Moss, J. Tags: Research and Applications Source Type: research

Identifying homelessness using health information exchange data
Conclusions The use of health information exchange data enabled us to identify a large number of patients likely to be homeless and to observe the wide variation in registration practices for homeless patients within and across sites. Consideration of these results may suggest a way to improve the quality of record matching for homeless patients. Validation of these results is necessary to confirm the homeless status of identified individuals. Ultimately, creating a standardized and structured field to record a patient’s housing status may be a preferable approach. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 10, 2015 Category: Information Technology Authors: Zech, J., Husk, G., Moore, T., Kuperman, G. J., Shapiro, J. S. Tags: Research and Applications Source Type: research

Evaluating the impact of an integrated computer-based decision support with person-centered analytics for the management of asthma in primary care: a randomized controlled trial
Conclusions A primary care-personalized asthma management system reduced the rate of out-of-control asthma episodes among patients whose asthma was poorly controlled at the study’s onset.Trial Registration Clinicaltrials.gov Identifier: NCT00170248 http://clinicaltrials.gov/ct2/show/NCT00170248?term=Asthma&spons=McGill+University&state1=NA%3ACA%3AQC&rank=2 (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 10, 2015 Category: Information Technology Authors: Tamblyn, R., Ernst, P., Winslade, N., Huang, A., Grad, R., Platt, R. W., Ahmed, S., Moraga, T., Eguale, T. Tags: Research and Applications Source Type: research

Drug-drug interaction checking assisted by clinical decision support: a return on investment analysis
Conclusion CDSS-assisted DDI checking resulted in a 55% reduction of the number of alerts and a 45% reduction in time spent on DDI checking, yielding a return on investment of almost 10 years. Our approach can be used to refine other drug safety checking modules, increasing the efficiency of checking for drug safety without the need to add more staff pharmacists. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 10, 2015 Category: Information Technology Authors: Helmons, P. J., Suijkerbuijk, B. O., Nannan Panday, P. V., Kosterink, J. G. Tags: Research and Applications Source Type: research

A national action plan for sharable and comparable nursing data to support practice and translational research for transforming health care
Conclusion Foundational to integrating nursing data into clinical data repositories for big data and science, is the implementation of standardized nursing terminologies, common data models, and information structures within EHRs. The 2014 National Action Plan for Sharable and Comparable Nursing Data for Transforming Health and Healthcare builds on and leverages existing, but separate long standing efforts of many individuals and organizations. The plan is action focused, with accountability for coordinating and tracking progress designated. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 10, 2015 Category: Information Technology Authors: Westra, B. L., Latimer, G. E., Matney, S. A., Park, J. I., Sensmeier, J., Simpson, R. L., Swanson, M. J., Warren, J. J., Delaney, C. W. Tags: Case Report Source Type: research

Semantic enrichment of clinical models towards semantic interoperability. The heart failure summary use case
Conclusion We show how an ontology-based representation of a clinical summary, guided by semantic patterns, allows homogeneous querying of heterogeneous information structures. Whether there are a finite number of top-level patterns is an open question. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 10, 2015 Category: Information Technology Authors: Martinez-Costa, C., Cornet, R., Karlsson, D., Schulz, S., Kalra, D. Tags: Research and Applications Source Type: research

Cost-effectiveness analysis of a hospital electronic medication management system
Conclusion The eMMS within this setting was more effective and less expensive than paper-based prescribing. Comparison with the few previous full economic evaluations available suggests a marked improvement in the cost–effectiveness of eMMS, largely driven by increased effectiveness of contemporary eMMs in reducing medication errors. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 10, 2015 Category: Information Technology Authors: Westbrook, J. I., Gospodarevskaya, E., Li, L., Richardson, K. L., Roffe, D., Heywood, M., Day, R. O., Graves, N. Tags: Research and Applications Source Type: research

Harmonizing and extending standards from a domain-specific and bottom-up approach: an example from development through use in clinical applications
Conclusion We demonstrated the feasibility of using documentation artifacts in a bottom-up approach to develop common models and sets of terms that are complete from the perspective of clinical implementation. Importantly, we demonstrated a process by which a community of practice can contribute to closing gaps in existing standards using SDO processes. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 10, 2015 Category: Information Technology Authors: Harris, M. R., Langford, L. H., Miller, H., Hook, M., Dykes, P. C., Matney, S. A. Tags: Research and Applications Source Type: research

Feasibility and utility of applications of the common data model to multiple, disparate observational health databases
Conclusion Standardizing data structure (through a CDM), content (through a standard vocabulary with source code mappings), and analytics can enable an institution to apply a network-based approach to observational research across multiple, disparate observational health databases. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 10, 2015 Category: Information Technology Authors: Voss, E. A., Makadia, R., Matcho, A., Ma, Q., Knoll, C., Schuemie, M., DeFalco, F. J., Londhe, A., Zhu, V., Ryan, P. B. Tags: Research and Applications Source Type: research

Transformation of standardized clinical models based on OWL technologies: from CEM to OpenEHR archetypes
Conclusions We have been able to transform CEM into archetypes in an automatic, flexible, reusable transformation approach that could be extended to other clinical model specifications. We exploit the potential of OWL technologies for supporting the transformation process. We believe that our approach could be useful for international efforts in the area of semantic interoperability of EHR systems. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 10, 2015 Category: Information Technology Authors: Legaz-Garcia, M. d. C., Menarguez-Tortosa, M., Fernandez-Breis, J. T., Chute, C. G., Tao, C. Tags: Research and Applications Source Type: research

Novel user interface design for medication reconciliation: an evaluation of Twinlist
Conclusions Cognitive support of medication reconciliation through interface design can significantly improve performance and safety. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 8, 2015 Category: Information Technology Authors: Plaisant, C., Wu, J., Hettinger, A. Z., Powsner, S., Shneiderman, B. Tags: Research and Applications Source Type: research

ICD-10-CM Crosswalks in the primary care setting: assessing reliability of the GEMs and reimbursement mappings
Conclusion These results support the need for organizations to assess the GEMs and RMs in their own environment to avoid changes in reimbursement and longitudinal statistics. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 8, 2015 Category: Information Technology Authors: Turer, R. W., Zuckowsky, T. D., Causey, H. J., Rosenbloom, S. T. Tags: Research and Applications Source Type: research

Transforming consumer health informatics: connecting CHI applications to the health-IT ecosystem
(Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 8, 2015 Category: Information Technology Authors: Marceglia, S., Fontelo, P., Ackerman, M. J. Tags: Correspondence Source Type: research

Technical infrastructure implications of the patient work framework
(Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 8, 2015 Category: Information Technology Authors: Valdez, R. S., Holden, R. J., Novak, L. L., Veinot, T. C. Tags: Correspondence Source Type: research

Comparative outcome studies of clinical decision support software: limitations to the practice of evidence-based system acquisition
Clinical decision support systems (CDSSs) assist clinicians with patient diagnosis and treatment. However, inadequate attention has been paid to the process of selecting and buying systems. The diversity of CDSSs, coupled with research obstacles, marketplace limitations, and legal impediments, has thwarted comparative outcome studies and reduced the availability of reliable information and advice for purchasers. We review these limitations and recommend several comparative studies, which were conducted in phases; studies conducted in phases and focused on limited outcomes of safety, efficacy, and implementation in varied c...
Source: Journal of the American Medical Informatics Association - February 8, 2015 Category: Information Technology Authors: Dhiman, G. J., Amber, K. T., Goodman, K. W. Tags: Perspective Source Type: research

Evaluation of an electronic health record-supported obesity management protocol implemented in a community health center: a cautionary note
Conclusion Results suggest that an obesity intake protocol and EHR-based weight management form may facilitate clinician weight-loss counseling among those exposed to the form. Significant implementation barriers can limit exposure, however, and need to be addressed. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 8, 2015 Category: Information Technology Authors: Steglitz, J., Sommers, M., Talen, M. R., Thornton, L. K., Spring, B. Tags: Research and Applications Source Type: research

Rural EMR adoption rates overtake those in urban areas
Objective To assess rural-urban differences in electronic medical record (EMR) adoption among office-based physician practices in the United States.Methods Survey data on over 270 000 office-based physician sites (representing over 1 280 000 physicians) in the United States from 2012 was used to assess differences in EMR adoption rates among practices in rural and urban areas. Logistic regression tests for differences in the determinants of EMR adoption by geography, and a nonlinear decomposition is used to quantify how much of the rural-urban gap is due to differences in measureable characteristics (such as type of practi...
Source: Journal of the American Medical Informatics Association - February 8, 2015 Category: Information Technology Authors: Whitacre, B. E. Tags: Research and Applications Source Type: research

Supporting interoperability of genetic data with LOINC
Electronic reporting of genetic testing results is increasing, but they are often represented in diverse formats and naming conventions. Logical Observation Identifiers Names and Codes (LOINC) is a vocabulary standard that provides universal identifiers for laboratory tests and clinical observations. In genetics, LOINC provides codes to improve interoperability in the midst of reporting style transition, including codes for cytogenetic or mutation analysis tests, specific chromosomal alteration or mutation testing, and fully structured discrete genetic test reporting. LOINC terms follow the recommendations and nomenclature...
Source: Journal of the American Medical Informatics Association - February 5, 2015 Category: Information Technology Authors: Deckard, J., McDonald, C. J., Vreeman, D. J. Tags: Perspective Source Type: research

Understanding variations in pediatric asthma care processes in the emergency department using visual analytics
Health care delivery processes consist of complex activity sequences spanning organizational, spatial, and temporal boundaries. Care is human-directed so these processes can have wide variations in cost, quality, and outcome making systemic care process analysis, conformance testing, and improvement challenging. We designed and developed an interactive visual analytic process exploration and discovery tool and used it to explore clinical data from 5784 pediatric asthma emergency department patients. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 5, 2015 Category: Information Technology Authors: Basole, R. C., Braunstein, M. L., Kumar, V., Park, H., Kahng, M., Chau, D. H., Tamersoy, A., Hirsh, D. A., Serban, N., Bost, J., Lesnick, B., Schissel, B. L., Thompson, M. Tags: Brief communication Source Type: research

Personal health record use for children and health care utilization: propensity score-matched cohort analysis
Objectives To examine the association between caregiver personal health record (PHR) use and health care utilization by pediatric patients.Design, Setting, and Participants We conducted a retrospective observational cohort study of 2286 pediatric members aged six months to 2.5 years of Kaiser Permanente Hawaii and Northwest Regions in 2007-2011, using propensity score matching methods and t and chi-square tests to examine associations between PHR use and health care utilization. We used ANOVA to examine utilization across quartiles of PHR use.Main Outcome Measures Outpatient clinic visits, telephone encounters, and emergen...
Source: Journal of the American Medical Informatics Association - February 5, 2015 Category: Information Technology Authors: Zhou, Y. Y., Leith, W. M., Li, H., Tom, J. O. Tags: Research and Applications Source Type: research

Profiling phenome-wide associations: a population-based observational study
Conclusions The correlation analysis of pairwise disease association patterns across different age and gender groups led to outcomes that were broadly predicted before the analysis, thus confirming the validity of the information contained in the presented database. More diverse individual disease-specific analyses would lead to a better understanding of phenome-wide associations and empower physicians to provide personalized care in terms of predicting, preventing, or initiating an early management of concomitant diseases. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 5, 2015 Category: Information Technology Authors: Syed-Abdul, S., Moldovan, M., Nguyen, P.-A., Enikeev, R., Jian, W.-S., Iqbal, U., Hsu, M.-H., Li, Y.-C. Tags: Brief Communication Source Type: research

Automated confidence ranked classification of randomized controlled trial articles: an aid to evidence-based medicine
Conclusion: Retagging human-related studies with a continuously valued RCT confidence is potentially more useful for article ranking and review than a simple yes/no prediction. The automated RCT tagging tool should offer significant savings of time and effort during the process of writing SRs, and is a key component of a multistep text mining pipeline that we are building to streamline SR workflow. In addition, the model may be useful for identifying errors in MEDLINE publication types. The RCT confidence predictions described here have been made available to users as a web service with a user query form front end at: http...
Source: Journal of the American Medical Informatics Association - February 5, 2015 Category: Information Technology Authors: Cohen, A. M., Smalheiser, N. R., McDonagh, M. S., Yu, C., Adams, C. E., Davis, J. M., Yu, P. S. Tags: Research and Applications Source Type: research

A nursing information model process for interoperability
This article describes a framework with repeatable steps and processes to enable the semantic interoperability of relevant and contextual nursing data. Hospital-acquired pressure ulcer prevention was selected as the prototype nurse-sensitive quality measure to develop and test the model. In a Health 2.0 Developer Challenge program from the Office of the National Coordinator for Health, mobile applications implemented the model to help nurses assess the risk of hospital-acquired pressure ulcers and reduce their severity. The common information model can be applied to other nurse-sensitive measures to enable data standardiza...
Source: Journal of the American Medical Informatics Association - February 5, 2015 Category: Information Technology Authors: Chow, M., Beene, M., O'Brien, A., Greim, P., Cromwell, T., DuLong, D., Bedecarre, D. Tags: Case Report Source Type: research

Supporting interoperability of genetic data with LOINC.
Abstract Electronic reporting of genetic testing results is increasing, but they are often represented in diverse formats and naming conventions. Logical Observation Identifiers Names and Codes (LOINC) is a vocabulary standard that provides universal identifiers for laboratory tests and clinical observations. In genetics, LOINC provides codes to improve interoperability in the midst of reporting style transition, including codes for cytogenetic or mutation analysis tests, specific chromosomal alteration or mutation testing, and fully structured discrete genetic test reporting. LOINC terms follow the recommendation...
Source: Journal of the American Medical Informatics Association - February 5, 2015 Category: Information Technology Authors: Deckard J, McDonald CJ, Vreeman DJ Tags: J Am Med Inform Assoc Source Type: research

Understanding variations in pediatric asthma care processes in the emergency department using visual analytics.
Abstract Health care delivery processes consist of complex activity sequences spanning organizational, spatial, and temporal boundaries. Care is human-directed so these processes can have wide variations in cost, quality, and outcome making systemic care process analysis, conformance testing, and improvement challenging. We designed and developed an interactive visual analytic process exploration and discovery tool and used it to explore clinical data from 5784 pediatric asthma emergency department patients. PMID: 25656514 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - February 5, 2015 Category: Information Technology Authors: Basole RC, Braunstein ML, Kumar V, Park H, Kahng M, Chau DH, Tamersoy A, Hirsh DA, Serban N, Bost J, Lesnick B, Schissel BL, Thompson M Tags: J Am Med Inform Assoc Source Type: research

A nursing information model process for interoperability.
This article describes a framework with repeatable steps and processes to enable the semantic interoperability of relevant and contextual nursing data. Hospital-acquired pressure ulcer prevention was selected as the prototype nurse-sensitive quality measure to develop and test the model. In a Health 2.0 Developer Challenge program from the Office of the National Coordinator for Health, mobile applications implemented the model to help nurses assess the risk of hospital-acquired pressure ulcers and reduce their severity. The common information model can be applied to other nurse-sensitive measures to enable data standardiza...
Source: Journal of the American Medical Informatics Association - February 5, 2015 Category: Information Technology Authors: Chow M, Beene M, O'Brien A, Greim P, Cromwell T, DuLong D, Bedecarré D Tags: J Am Med Inform Assoc Source Type: research

Automated confidence ranked classification of randomized controlled trial articles: an aid to evidence-based medicine.
Conclusion: Retagging human-related studies with a continuously valued RCT confidence is potentially more useful for article ranking and review than a simple yes/no prediction. The automated RCT tagging tool should offer significant savings of time and effort during the process of writing SRs, and is a key component of a multistep text mining pipeline that we are building to streamline SR workflow. In addition, the model may be useful for identifying errors in MEDLINE publication types. The RCT confidence predictions described here have been made available to users as a web service with a user query form front end at: http...
Source: Journal of the American Medical Informatics Association - February 5, 2015 Category: Information Technology Authors: Cohen AM, Smalheiser NR, McDonagh MS, Yu C, Adams CE, Davis JM, Yu PS Tags: J Am Med Inform Assoc Source Type: research

Personal health record use for children and health care utilization: propensity score-matched cohort analysis.
Abstract OBJECTIVES: To examine the association between caregiver personal health record (PHR) use and health care utilization by pediatric patients. DESIGN, SETTING, AND PARTICIPANTS: We conducted a retrospective observational cohort study of 2286 pediatric members aged six months to 2.5 years of Kaiser Permanente Hawaii and Northwest Regions in 2007-2011, using propensity score matching methods and t and chi-square tests to examine associations between PHR use and health care utilization. We used ANOVA to examine utilization across quartiles of PHR use. MAIN OUTCOME MEASURES: Outpatient clinic visits, ...
Source: Journal of the American Medical Informatics Association - February 5, 2015 Category: Information Technology Authors: Zhou YY, Leith WM, Li H, Tom JO Tags: J Am Med Inform Assoc Source Type: research

Profiling phenome-wide associations: a population-based observational study.
CONCLUSIONS: The correlation analysis of pairwise disease association patterns across different age and gender groups led to outcomes that were broadly predicted before the analysis, thus confirming the validity of the information contained in the presented database. More diverse individual disease-specific analyses would lead to a better understanding of phenome-wide associations and empower physicians to provide personalized care in terms of predicting, preventing, or initiating an early management of concomitant diseases. PMID: 25656518 [PubMed - as supplied by publisher] (Source: Journal of the American Medical In...
Source: Journal of the American Medical Informatics Association - February 5, 2015 Category: Information Technology Authors: Syed-Abdul S, Moldovan M, Nguyen PA, Enikeev R, Jian WS, Iqbal U, Hsu MH, Li YC Tags: J Am Med Inform Assoc Source Type: research

Electronic health records and support for primary care teamwork.
CONCLUSIONS: EHR vendors in the United States need to work alongside practicing primary care teams to create more clinically useful EHRs that support dynamic care plans, integrated care management software, more functional and interoperable practice registries, and greater ease of data tracking over time. PMID: 25627278 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 27, 2015 Category: Information Technology Authors: O'Malley AS, Draper K, Gourevitch R, Cross DA, Scholle SH Tags: J Am Med Inform Assoc Source Type: research

Incorporating the Patient's Voice into Electronic Health Records through Patient-Reported Outcomes as the "Review of Systems"
Incorporating the Patient's Voice into Electronic Health Records through Patient-Reported Outcomes as the "Review of Systems" J Am Med Inform Assoc. 2015 Jan 21; Authors: Chung AE, Basch EM Abstract Owing to lack of standardization for eliciting patient symptoms, the limited time available during clinical encounters, and the often-competing priorities of patients and providers, providers may not appreciate the full spectrum of the patient's symptom experience. Using electronically collected patient-reported outcomes to capture the review of system outside of the clinic visit may not only imp...
Source: Journal of the American Medical Informatics Association - January 21, 2015 Category: Information Technology Authors: Chung AE, Basch EM Tags: J Am Med Inform Assoc Source Type: research

Development, implementation, and initial evaluation of a foundational open interoperability standard for oncology treatment planning and summarization.
CONCLUSION: eCOTPS is the first oncology-specific CDA standard to achieve HL7 DSTU status. Oncology standards will improve care throughout the cancer journey by allowing the efficient transmission of reliable, meaningful, and current clinical data between the many involved stakeholders. PMID: 25604811 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 20, 2015 Category: Information Technology Authors: Warner JL, Maddux SE, Hughes KS, Krauss JC, Yu PP, Shulman LN, Mayer DK, Hogarth M, Shafarman M, Stover Fiscalini A, Esserman L, Alschuler L, Koromia GA, Gonzaga Z, Ambinder EP Tags: J Am Med Inform Assoc Source Type: research

Highlights.
PMID: 25614554 [PubMed - in process] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 1, 2015 Category: Information Technology Authors: Ohno-Machado L Tags: J Am Med Inform Assoc Source Type: research

A familiar home, a new beginning, a bright future.
PMID: 25614555 [PubMed - in process] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - January 1, 2015 Category: Information Technology Authors: Fridsma DB Tags: J Am Med Inform Assoc Source Type: research