Evidence map›Paper›PMID 22326800›Full record

ArticleJournal of biomedical informatics2012

Building a robust, scalable and standards-driven infrastructure for secondary use of EHR data: the SHARPn project.

Susan Rea, Jyotishman Pathak, Guergana Savova, Thomas A Oniki, Les Westberg, Calvin E Beebe, Cui Tao, Craig G Parker, Peter J Haug, Stanley M Huff and 1 more

Abstract 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 89 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 1 pooled it
–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

89 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. A general framework for developing computable clinical phenotype algorithms.Journal of the American Medical Informatics Association : JAMIA · 2024
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  5. Clinical Research Informatics: a Decade-in-Review.Yearbook of medical informatics · 2024
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  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Knowledge Graph-Enabled Cancer Data Analytics.IEEE journal of biomedical and health informatics · 2020
    Article
  13. Article
  14. Article
  15. Article
  16. Merging heterogeneous clinical data to enable knowledge discovery.Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing · 2019
    Article
  17. Classification, Ontology, and Precision Medicine.The New England journal of medicine · 2018
    Review
  18. Observational
  19. Modeling asynchronous event sequences with RNNs.Journal of biomedical informatics · 2018
    Article
  20. High-fidelity phenotyping: richness and freedom from bias.Journal of the American Medical Informatics Association : JAMIA · 2018
    Article

29 more citing papers are in PubMed but not listed here.

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

11 authors.

Susan ReaHomer Warner Center for Informatics Research, Intermountain Healthcare, Murray, UT 84107, USA. Susan.Rea@imail.org
Jyotishman Pathak
Guergana Savova
Thomas A Oniki
Les Westberg
Calvin E Beebe
Cui Tao
Craig G Parker
Peter J Haug
Stanley M Huff
Christopher G Chute

Funding

National Infrastructure for Standardized and Portable EHR Phenotyping AlgorithmsR01GM105688 · NIGMS · WEILL MEDICAL COLL OF CORNELL UNIV · PI LUO, YUAN, PATHAK, JYOTISHMAN · 2013 to 2020
$5.7M
NIGMS NIH HHS R01 GM105688
6 · The paper itself

Abstract

The Strategic Health IT Advanced Research Projects (SHARP) Program, established by the Office of the National Coordinator for Health Information Technology in 2010 supports research findings that remove barriers for increased adoption of health IT. The improvements envisioned by the SHARP Area 4 Consortium (SHARPn) will enable the use of the electronic health record (EHR) for secondary purposes, such as care process and outcomes improvement, biomedical research and epidemiologic monitoring of the nation's health. One of the primary informatics problem areas in this endeavor is the standardization of disparate health data from the nation's many health care organizations and providers. The SHARPn team is developing open source services and components to support the ubiquitous exchange, sharing and reuse or 'liquidity' of operational clinical data stored in electronic health records. One year into the design and development of the SHARPn framework, we demonstrated end to end data flow and a prototype SHARPn platform, using thousands of patient electronic records sourced from two large healthcare organizations: Mayo Clinic and Intermountain Healthcare. The platform was deployed to (1) receive source EHR data in several formats, (2) generate structured data from EHR narrative text, and (3) normalize the EHR data using common detailed clinical models and Consolidated Health Informatics standard terminologies, which were (4) accessed by a phenotyping service using normalized data specifications. The architecture of this prototype SHARPn platform is presented. The EHR data throughput demonstration showed success in normalizing native EHR data, both structured and narrative, from two independent organizations and EHR systems. Based on the demonstration, observed challenges for standardization of EHR data for interoperable secondary use are discussed.

Indexed as

Electronic Health RecordsMeaningful UseMedical Informatics ApplicationsAlgorithmsClinical CodingDatabase Management SystemsDiabetes MellitusGenomicsHumansModels, TheoreticalNatural Language ProcessingPhenotype

Identifiers

PMID22326800
PMCPMC4905766

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.