Evidence map›Paper›PMID 22395637›Full record

ArticleIEEE transactions on information technology in biomedicine : a publication of the IEEE Engineering in Medicine and Biology Society2012

Context-based electronic health record: toward patient specific healthcare.

William Hsu, Ricky K Taira, Suzie El-Saden, Hooshang Kangarloo, Alex A T Bui

Abstract read
In one paragraph

Article in IEEE transactions on information technology in biomedicine : a publication of the IEEE Engineering in Medicine and Biology Society, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  9. Formal representation of patients' care context data: the path to improving the electronic health record.Journal of the American Medical Informatics Association : JAMIA · 2020
    Article
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  11. Review
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  15. Electronic Health Records: Then, Now, and in the Future.Yearbook of medical informatics · 2016
    Review
  16. Article
  17. Automated methods for the summarization of electronic health records.Journal of the American Medical Informatics Association : JAMIA · 2015
    Review
  18. Article
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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.

William HsuDepartment of Radiological Sciences, University of California, Los Angeles, CA 90024, USA. willhsu@mii.ucla.edu
Ricky K Taira
Suzie El-Saden
Hooshang Kangarloo
Alex A T Bui

Funding

Toward Individually-tailored Medicine: Probabilistic Models of Cerebral AneurysmsR01EB000362 · NIBIB · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BUI, ALEX · 2003 to 2012
$5.1M
Training Program for Imaging Based Medical InformaticsT15LM007356 · NLM · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BUI, ALEX · 2002 to 2011
$5.0M
An Imaging-based Disease Model for Understanding Bone HealthR01EB009306 · NIBIB · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BUI, ALEX · 2008 to 2011
$2.3M
Data Structuring and Visualization System for Neuro-oncologyR01LM009961 · NLM · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI TAIRA, RICKY K. · 2009 to 2010
$1.7M
NIBIB NIH HHS R01 EB000362NIBIB NIH HHS R01-EB009306NLM NIH HHS R01 LM009961NLM NIH HHS R01-LM009961NLM NIH HHS T15 LM007356
6 · The paper itself

Abstract

Due to the increasingly data-intensive clinical environment, physicians now have unprecedented access to detailed clinical information from a multitude of sources. However, applying this information to guide medical decisions for a specific patient case remains challenging. One issue is related to presenting information to the practitioner: displaying a large (irrelevant) amount of information often leads to information overload. Next-generation interfaces for the electronic health record (EHR) should not only make patient data easily searchable and accessible, but also synthesize fragments of evidence documented in the entire record to understand the etiology of a disease and its clinical manifestation in individual patients. In this paper, we describe our efforts toward creating a context-based EHR, which employs biomedical ontologies and (graphical) disease models as sources of domain knowledge to identify relevant parts of the record to display. We hypothesize that knowledge (e.g., variables, relationships) from these sources can be used to standardize, annotate, and contextualize information from the patient record, improving access to relevant parts of the record and informing medical decision making. To achieve this goal, we describe a framework that aggregates and extracts findings and attributes from free-text clinical reports, maps findings to concepts in available knowledge sources, and generates a tailored presentation of the record based on the information needs of the user. We have implemented this framework in a system called Adaptive EHR, demonstrating its capabilities to present and synthesize information from neurooncology patients. This paper highlights the challenges and potential applications of leveraging disease models to improve the access, integration, and interpretation of clinical patient data.

Indexed as

Electronic Health RecordsModels, TheoreticalUser-Computer InterfaceDatabase Management SystemsHumansNatural Language ProcessingPrecision Medicine

Identifiers

PMID22395637
PMCPMC4414061

What OpenQuestion holds

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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.