ArticleBMC medical informatics and decision making2015
Are family physicians comprehensively using electronic medical records such that the data can be used for secondary purposes? A Canadian perspective.
Article in BMC medical informatics and decision making, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Secondary use of health records for prediction, detection, and treatment planning in the clinical decision support system: a systematic review.BMC medical informatics and decision making · 2025Pooled it
- Improving stroke prevention therapy for patients with atrial fibrillation in primary care: protocol for a pragmatic, cluster-randomized trial.Implementation science : IS · 2016Trial
- Towards best practice recommendations: Perspectives from Australian GPs to inform the use of general practice data for research - A modified Delphi study.The European journal of general practice · 2026Article
- Leveraging natural language processing and machine learning to identify chronic conditions from primary care electronic medical records.Scientific reports · 2026Article
- Development and Validation of a Canadian Prediction Equation for Incident CKD Using Population-Based, Administrative Data.Canadian journal of kidney health and disease · 2026Article
- Implications of five different risk models in primary prevention guidelines.European heart journal. Quality of care & clinical outcomes · 2025Observational
- Prevalence and Incidence Trends of Attention Deficit/Hyperactivity Disorder in Children and Youth Aged 1-24 Years in Ontario, Canada: A Validation Study of Health Administrative Data Algorithms: Tendances de la prévalence et de l'incidence du trouble de déficit de l'attention/hyperactivité chez les enfants et les jeunes âgés de 1 à 24 ans, en Ontario, Canada: une étude de validation des algorithmes de données administratives de santé.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2024Article
- Validation of the European SCORE2 models in a Canadian primary care cohort.European journal of preventive cardiology · 2024Article
- Validating pertussis data measures using electronic medical record data in Ontario, Canada 1986-2016.Vaccine: X · 2023Article
- Article
- Observational
- Can Patients with Dementia Be Identified in Primary Care Electronic Medical Records Using Natural Language Processing?Journal of healthcare informatics research · 2023Article
- Development of algorithms to identify individuals with Neurofibromatosis type 1 within administrative data and electronic medical records in Ontario, Canada.Orphanet journal of rare diseases · 2022Article
- Predicting the target specialty of referral notes to estimate per-specialty wait times with machine learning.PloS one · 2022Article
- Identification of Early Onset Dementia in Population-Based Health Administrative Data: A Validation Study Using Primary Care Electronic Medical Records.Journal of Alzheimer's disease : JAD · 2022Article
- The receipt of information by family physicians about their patient's emergency department visits: a record linkage study of electronic medical records to health administrative data.BMC family practice · 2021Article
- Assessing the validity of administrative health data for the identification of children and youth with autism spectrum disorder in Ontario.Autism research : official journal of the International Society for Autism Research · 2021Article
- Article
- A data quality assessment to inform hypertension surveillance using primary care electronic medical record data from Alberta, Canada.BMC public health · 2021Article
- Identifying Children and Youth With Autism Spectrum Disorder in Electronic Medical Records: Examining Health System Utilization and Comorbidities.Autism research : official journal of the International Society for Autism Research · 2021Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith the introduction and implementation of a variety of government programs and policies to encourage adoption of electronic medical records (EMRs), EMRs are being increasingly adopted in North America. We sought to evaluate the completeness of a variety of EMR fields to determine if family physicians were comprehensively using their EMRs and the suitability of use of the data for secondary purposes in Ontario, Canada.
methodsWe examined EMR data from a convenience sample of family physicians distributed throughout Ontario within the Electronic Medical Record Administrative data Linked Database (EMRALD) as extracted in the summer of 2012. We identified all physicians with at least one year of EMR use. Measures were developed and rates of physician documentation of clinical encounters, electronic prescriptions, laboratory tests, blood pressure and weight, referrals, consultation letters, and all fields in the cumulative patient profile were calculated as a function of physician and patient time since starting on the EMR.
resultsOf the 167 physicians with at least one year of EMR use, we identified 186,237 patients. Overall, the fields with the highest level of completeness were for visit documentations and prescriptions (>70%). Improvements were observed with increasing trends of completeness overtime for almost all EMR fields according to increasing physician time on EMR. Assessment of the influence of patient time on EMR demonstrated an increasing likelihood of the population of EMR fields overtime, with the largest improvements occurring between the first and second years.
conclusionsAll of the data fields examined appear to be reasonably complete within the first year of adoption with the biggest increase occurring the first to second year. Using all of the basic functions of the EMR appears to be occurring in the current environment of EMR adoption in Ontario. Thus the data appears to be suitable for secondary use.
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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.