Evidence map›Paper›PMID 25051403›Full record

ArticleJournal of biomedical informatics2014

Modular design, application architecture, and usage of a self-service model for enterprise data delivery: the Duke Enterprise Data Unified Content Explorer (DEDUCE).

Monica M Horvath, Shelley A Rusincovitch, Stephanie Brinson, Howard C Shang, Steve Evans, Jeffrey M Ferranti

Abstract read
In one paragraph

Article in Journal of biomedical informatics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing 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

54 citing papers in PubMed.

  1. Trial
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  8. Observational
  9. Tobacco Exposures are Associated With Healthcare Utilization and Healthcare Costs in Pregnant Persons and Their Newborn Babies.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
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  13. Clinical Data Warehousing: A Scoping Review.Journal of the Society for Clinical Data Management · 2024
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  14. Outcomes Following Repair of Radial, Mid-Body Tears of the Lateral Meniscus in Adolescents.Journal of the Pediatric Orthopaedic Society of North America · 2023
    Article
  15. Article
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  18. Methicillin-resistantInfection control and hospital epidemiology · 2023
    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

6 authors.

Monica M HorvathDuke Health Technology Solutions, Duke University Health System, Durham, NC, United States. Electronic address: monica.horvath@duke.edu.
Shelley A RusincovitchDuke Translational Medicine Institute, Duke University School of Medicine, Durham, NC, United States.
Stephanie BrinsonDuke Health Technology Solutions, Duke University Health System, Durham, NC, United States.
Howard C ShangDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, United States.
Steve EvansDuke Health Technology Solutions, Duke University Health System, Durham, NC, United States.
Jeffrey M FerrantiDuke Health Technology Solutions, Duke University Health System, Durham, NC, United States; Department of Pediatrics, Duke University School of Medicine, Durham, NC, United States.

Funding

Pilot Project for the DTMI CRA ProgramUL1RR024128 · NCRR · DUKE UNIVERSITY · PI CALIFF, ROBERT M · 2006 to 2010
$48.1M
A Three-Month RCT to Sustain Weight Loss Among Obese Persons through Tailored SMSF31NR012599 · NINR · DUKE UNIVERSITY · PI SHAW, RYAN JEFFREY · 2010 to 2012
$78k
NCRR NIH HHS UL1 RR024128NCRR NIH HHS UL1RR024128NINR NIH HHS 1F31NR012599NINR NIH HHS F31 NR012599
6 · The paper itself

Abstract

purposeData generated in the care of patients are widely used to support clinical research and quality improvement, which has hastened the development of self-service query tools. User interface design for such tools, execution of query activity, and underlying application architecture have not been widely reported, and existing tools reflect a wide heterogeneity of methods and technical frameworks. We describe the design, application architecture, and use of a self-service model for enterprise data delivery within Duke Medicine.

methodsOur query platform, the Duke Enterprise Data Unified Content Explorer (DEDUCE), supports enhanced data exploration, cohort identification, and data extraction from our enterprise data warehouse (EDW) using a series of modular environments that interact with a central keystone module, Cohort Manager (CM). A data-driven application architecture is implemented through three components: an application data dictionary, the concept of "smart dimensions", and dynamically-generated user interfaces.

resultsDEDUCE CM allows flexible hierarchies of EDW queries within a grid-like workspace. A cohort "join" functionality allows switching between filters based on criteria occurring within or across patient encounters. To date, 674 users have been trained and activated in DEDUCE, and logon activity shows a steady increase, with variability between months. A comparison of filter conditions and export criteria shows that these activities have different patterns of usage across subject areas.

conclusionsOrganizations with sophisticated EDWs may find that users benefit from development of advanced query functionality, complimentary to the user interfaces and infrastructure used in other well-published models. Driven by its EDW context, the DEDUCE application architecture was also designed to be responsive to source data and to allow modification through alterations in metadata rather than programming, allowing an agile response to source system changes.

Indexed as

Database Management SystemsMedical Informatics ApplicationsUser-Computer InterfaceHumansInternetApplication developmentCohort definitionInformation systemsMedical informatics applicationsResearch query toolSystem design and architecture

Identifiers

PMID25051403
PMCPMC4335712

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.