Evidence map›Paper›PMID 25604811›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2015

Development, implementation, and initial evaluation of a foundational open interoperability standard for oncology treatment planning and summarization.

Jeremy L Warner, Suzanne E Maddux, Kevin S Hughes, John C Krauss, Peter Paul Yu, Lawrence N Shulman, Deborah K Mayer, Mike Hogarth, Mark Shafarman, Allison Stover Fiscalini and 5 more

Abstract readEvaluation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

  1. Health information technology to support cancer survivorship care planning: A systematic review.Journal of the American Medical Informatics Association : JAMIA · 2021
    Pooled it
  2. Article
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  4. Review
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  14. AMIA--Setting the Standard.Journal of the American Medical Informatics Association : JAMIA · 2015
    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

15 authors.

Jeremy L WarnerDepartment of Medicine, Division of Hematology & Oncology, Vanderbilt University, Nashville, TN, USA Department of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA jeremy.warner@vanderbilt.edu.
Suzanne E MadduxQuality and Guidelines Division, American Society of Clinical Oncology, Alexandria, VA, USA.
Kevin S HughesMassachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
John C KraussDepartment of Internal Medicine, Division of Hematology/Oncology, University of Michigan, Ann Arbor, MI, USA.
Peter Paul YuPalo Alto Medical Foundation, Sunnyvale, CA, USA.
Lawrence N ShulmanDana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Deborah K MayerUNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA.
Mike HogarthDepartment of Pathology and Laboratory Medicine, University of California, Davis, Sacramento, CA, USA.
Mark ShafarmanShafarman Consulting, Oakland, CA, USA.
Allison Stover FiscaliniDepartment of Surgery, University of California, San Francisco, CA, USA.
Laura EssermanDepartment of Surgery, University of California, San Francisco, CA, USA Department of Radiology, University of California, San Francisco, CA, USA.
Liora AlschulerLantana Consulting Group, East Thetford, VT, USA.
George Augustine KoromiaLantana Consulting Group, East Thetford, VT, USA.
Zabrina GonzagaLantana Consulting Group, East Thetford, VT, USA.
Edward P AmbinderTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDevelop and evaluate a foundational oncology-specific standard for the communication and coordination of care throughout the cancer journey, with early-stage breast cancer as the use case. MATERIALS AND

methodsOwing to broad uptake of the Health Level Seven (HL7) Consolidated Clinical Document Architecture (C-CDA) by health information exchanges and large provider organizations, we developed an implementation guide in congruence with C-CDA. The resultant product was balloted through the HL7 process and subsequently implemented by two groups: the Health Story Project (Health Story) and the Athena Breast Health Network (Athena).

resultsThe HL7 Implementation Guide for CDA, Release 2: Clinical Oncology Treatment Plan and Summary, DSTU Release 1 (eCOTPS) was successfully balloted and published as a Draft Standard for Trial Use (DSTU) in October 2013. Health Story successfully implemented the eCOTPS the 2014 meeting of the Healthcare Information and Management Systems Society (HIMSS) in a clinical vignette. During the evaluation and implementation of eCOPS, Athena identified two practical concerns: (1) the need for additional CDA templates specific to their use case; (2) the many-to-many mapping of Athena-defined data elements to eCOTPS. DISCUSSION: Early implementation of eCOTPS has demonstrated successful vendor-agnostic transmission of oncology-specific data. The modularity enabled by the C-CDA framework ensures the relatively straightforward expansion of the eCOTPS to include other cancer subtypes. Lessons learned during the process will strengthen future versions of the standard.

conclusioneCOTPS is the first oncology-specific CDA standard to achieve HL7 DSTU status. Oncology standards will improve care throughout the cancer journey by allowing the efficient transmission of reliable, meaningful, and current clinical data between the many involved stakeholders.

Indexed as

Health Level SevenBreast NeoplasmsElectronic Health RecordsFemaleHumansMedical OncologyMedical Record LinkageMedical Records Systems, ComputerizedSystems IntegrationUser-Computer InterfaceBreast NeoplasmsContinuity of Patient CareElectronic Health RecordsHealth Information ManagementInformation ScienceMedical Oncology

Identifiers

PMID25604811
PMCPMC11737382

What OpenQuestion holds

Textmetadata
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.