Evidence map›Paper›PMID 18998983›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2008

Electronic medical record (EMR) utilization for public health surveillance.

Zaruhi R Mnatsakanyan, Daniel J Mollura, John R Ticehurst, Mohammad R Hashemian, Lang M Hung

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Data-driven approach for creating synthetic electronic medical records.BMC medical informatics and decision making · 2010
    Article
  5. Construction and validation of synthetic electronic medical records.Online journal of public health informatics · 2009
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Zaruhi R MnatsakanyanJohns Hopkins University Applied Physics Laboratory, Laurel, MD, USA.
Daniel J Mollura
John R Ticehurst
Mohammad R Hashemian
Lang M Hung

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPublic health surveillance systems need to be refined. We intend to use a generic approach for early identification of patients with severe influenza-like illness (ILI) by calculating a score that estimates a patients disease-severity. Accordingly, we built the Intelligent Severity Score Estimation Model (ISSEM), structured so that the inference process would reflect experts decision-making logic. Each patients disease-severity score is calculated from numbers of respiratory ICD9 encounters, and laboratory, radiologic, and prescription-therapeutic orders in the EMR. Other ISSEM components include chronic disease evidence, probability of immunodeficiency, and the providers general practice-behavior patterns.

resultsSensitivity was determined from 200 randomly selected patients with upper- and lower-respiratory tract ILI; specificity, from 300 randomly selected patients with URI only. For different age groups, ISSEM sensitivity ranged between 90% and 95%; specificity was 72% to 84%.

conclusionOur preliminary assessment of ISSEM performance demonstrated 93.5% sensitivity and 77.3% specificity across all age groups.

Indexed as

Medical Records Systems, ComputerizedNatural Language ProcessingSeverity of Illness IndexAlgorithmsArtificial IntelligenceDecision Support Systems, ClinicalHumansInfluenza, HumanMarylandPattern Recognition, AutomatedPopulation SurveillanceReproducibility of ResultsSensitivity and Specificity

Identifiers

PMID18998983
PMCPMC2656004

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.