Evidence map›Paper›PMID 22226933›Full record

ArticleJournal of biomedical informatics2012

Implementations of the HL7 Context-Aware Knowledge Retrieval ("Infobutton") Standard: challenges, strengths, limitations, and uptake.

Guilherme Del Fiol, Vojtech Huser, Howard R Strasberg, Saverio M Maviglia, Clayton Curtis, James J Cimino

Open access · greenAbstract read
In one paragraph

Article in Journal of biomedical informatics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
25.9field-weighted citation impact, top 1% of its field
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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Context-sensitive decision support (infobuttons) in electronic health records: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2017
    Pooled it
  3. Architectural design of national evidence based medicine information system based on electronic health record.Technology and health care : official journal of the European Society for Engineering and Medicine · 2024
    Article
  4. Article
  5. Feeling and thinking: can theories of human motivation explain how EHR design impacts clinician burnout?Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  6. Article
  7. Primary care perspectives on implementation of clinical trial recruitment.Journal of clinical and translational science · 2020
    Article
  8. Article
  9. Article
  10. Article
  11. An Ontology-Based Knowledge Methodology in the Medical Domain in the Latin America: the Study Case of Republic of Panama.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2018
    Article
  12. Prototype of a Standards-Based EHR and Genetic Test Reporting Tool Coupled with HL7-Compliant Infobuttons.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2018
    Article
  13. Article
  14. Modeling Contextual Knowledge for Clinical Decision Support.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2017
    Article
  15. Article
  16. Article
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  18. Review
  19. Article
  20. 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

6 authors at 4 institutions in 1 country.

Guilherme Del FiolDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT 84112-5750, USA. guilherme.delfiol@utah.edu
Vojtech Huser
Howard R Strasberg
Saverio M Maviglia
Clayton Curtis
James J Cimino
National Institutes of Health · USMass General Brigham · USUniversity of Utah · USWolters Kluwer Health · US

Funding

Context-Aware Knowledge Delivery into Electronic Health RecordsK01HS018352 · AHRQ · UNIVERSITY OF UTAH · PI DEL FIOL, GUILHERME · 2009 to 2012
$568k
Biomedical Translational Research Information System (BTRIS) Data Reuse ProtocolZIACL000904 · CLC · CLINICAL CENTER · PI CIMINO, JAMES · 2009 to 2014
$0k
AHRQ HHS K01 HS018352AHRQ HHS K01HS018352Intramural NIH HHS Z01 CL000904Intramural NIH HHS ZIA CL000904
6 · The paper itself

Abstract

unlabelledTo support clinical decision-making, computerized information retrieval tools known as "infobuttons" deliver contextually-relevant knowledge resources into clinical information systems. The Health Level Seven International (HL7) Context-Aware Knowledge Retrieval (Infobutton) Standard specifies a standard mechanism to enable infobuttons on a large scale.

objectiveTo examine the experience of organizations in the course of implementing the HL7 Infobutton Standard.

methodCross-sectional online survey and in-depth phone interviews.

resultsA total of 17 organizations participated in the study. Analysis of the in-depth interviews revealed 20 recurrent themes. Implementers underscored the benefits, simplicity, and flexibility of the HL7 Infobutton Standard. Yet, participants voiced the need for easier access to standard specifications and improved guidance to beginners. Implementers predicted that the Infobutton Standard will be widely or at least fairly well adopted in the next 5 years, but uptake will depend largely on adoption among electronic health record (EHR) vendors. To accelerate EHR adoption of the Infobutton Standard, implementers recommended HL7-compliant infobutton capabilities to be included in the United States Meaningful Use Certification Criteria for EHR systems. LIMITATIONS: Opinions and predictions should be interpreted with caution, since all the participant organizations have successfully implemented the standard and over half of the organizations were actively engaged in the development of the standard.

conclusionOverall, implementers reported a very positive experience with the HL7 Infobutton Standard. Despite indications of increasing uptake, measures should be taken to stimulate adoption of the Infobutton Standard among EHR vendors. Widespread adoption of the Infobutton Standard has the potential to bring contextually relevant clinical decision support content into the healthcare provider workflow.

Indexed as

Electronic Health RecordsHealth Level SevenInformation DisseminationInformation Storage and RetrievalCross-Sectional StudiesData CollectionDecision Support Systems, ClinicalHealth Facility AdministrationHumansInternetMeaningful UseMedical Informatics

Identifiers

PMID22226933
PMCPMC3334468
OpenAlexW2093025570

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.