Evidence map›Paper›PMID 27385912›Full record

ArticleBiomedical informatics insights2016

Toward a Learning Health-care System - Knowledge Delivery at the Point of Care Empowered by Big Data and NLP.

Vinod C Kaggal, Ravikumar Komandur Elayavilli, Saeed Mehrabi, Joshua J Pankratz, Sunghwan Sohn, Yanshan Wang, Dingcheng Li, Majid Mojarad Rastegar, Sean P Murphy, Jason L Ross and 3 more

Abstract read
In one paragraph

Article in Biomedical informatics insights, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing 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

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

  1. Pooled it
  2. Trial
  3. Syncope and All-Cause Mortality in Heart Failure: A Propensity Score-Matched Analysis.Mayo Clinic proceedings. Innovations, quality & outcomes · 2025
    Article
  4. Article
  5. Article
  6. Identification of pancreatic cancer risk factors from clinical notes using natural language processing.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2024
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

13 authors.

Vinod C KaggalDivision of Information Management and Analytics, Mayo Clinic, Rochester, MN, USA.; Biomedical Informatics and Computational Biology, University of Minnesota, Rochester, MN, USA.
Ravikumar Komandur ElayavilliDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Saeed MehrabiDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Joshua J PankratzDivision of Information Management and Analytics, Mayo Clinic, Rochester, MN, USA.
Sunghwan SohnDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Yanshan WangDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Dingcheng LiDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Majid Mojarad RastegarDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Sean P MurphyDivision of Information Management and Analytics, Mayo Clinic, Rochester, MN, USA.
Jason L RossDivision of Information Management and Analytics, Mayo Clinic, Rochester, MN, USA.
Rajeev ChaudhryDepartment of Medicine, Mayo Clinic, Rochester, MN, USA.
James D BuntrockDivision of Information Management and Analytics, Mayo Clinic, Rochester, MN, USA.
Hongfang LiuDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.

Funding

Semi-structured Information Retrieval in Clinical Text for Cohort IdentificationR01LM011934 · NLM · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI HERSH, WILLIAM R, LIU, HONGFANG · 2014 to 2025
$5.1M
Natural language processing for clinical and translational researchR01GM102282 · NIGMS · MAYO CLINIC ROCHESTER · PI LIU, HONGFANG, PAKHOMOV, SERGUEI VS · 2013 to 2016
$2.5M
NIGMS NIH HHS R01 GM102282NLM NIH HHS R01 LM011934
6 · The paper itself

Abstract

The concept of optimizing health care by understanding and generating knowledge from previous evidence, ie, the Learning Health-care System (LHS), has gained momentum and now has national prominence. Meanwhile, the rapid adoption of electronic health records (EHRs) enables the data collection required to form the basis for facilitating LHS. A prerequisite for using EHR data within the LHS is an infrastructure that enables access to EHR data longitudinally for health-care analytics and real time for knowledge delivery. Additionally, significant clinical information is embedded in the free text, making natural language processing (NLP) an essential component in implementing an LHS. Herein, we share our institutional implementation of a big data-empowered clinical NLP infrastructure, which not only enables health-care analytics but also has real-time NLP processing capability. The infrastructure has been utilized for multiple institutional projects including the MayoExpertAdvisor, an individualized care recommendation solution for clinical care. We compared the advantages of big data over two other environments. Big data infrastructure significantly outperformed other infrastructure in terms of computing speed, demonstrating its value in making the LHS a possibility in the near future.

Indexed as

big datahealth-care analyticslearning health-care systemnatural language processing

Identifiers

PMID27385912
PMCPMC4920204

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.