Evidence map›Paper›PMID 31245598›Full record

ArticleLearning health systems2019

Use of EHRs data for clinical research: Historical progress and current applications.

Amy Harris Nordo, Hugh P Levaux, Lauren B Becnel, Jose Galvez, Prasanna Rao, Komathi Stem, Era Prakash, Rebecca Daniels Kush

Abstract read
In one paragraph

Article in Learning health systems, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing 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

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

  1. Pooled it
  2. Electronic health record data quality assessment and tools: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2023
    Pooled it
  3. Article
  4. Review
  5. Article
  6. Digital Transformation in Health Care: Are We on the Right Track?Journal of medical Internet research · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Generative AI models: the next anaesthetic agent?British journal of anaesthesia · 2025
    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

8 authors.

Amy Harris NordoDuke Center for Health Informatics Durham North Carolina.
Hugh P LevauxProtocol First, Inc., Headquarters Salt Lake City Utah.
Lauren B BecnelClinical Data Interchange Standards Consortium (CDISC) Austin Texas.
Jose GalvezNational Institutes of Health Bethesda Maryland.
Prasanna RaoIBM Watson Health Durham North Carolina.
Komathi StemmonARC Bionetworks San Francisco California.
Era PrakashAllscripts Inc Raleigh North Carolina.
Rebecca Daniels KushScientific Innovation Officer Elligo Health Research and President, Catalysis Austin TX USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The benefits of reusing EHR data for clinical research studies are numerous. They portend the opportunity to bring new therapies to patients sooner, potentially at a lower cost, and to accelerate learning health cycles-through faster data acquisition in clinical research studies. Metrics have proven that time can be saved, workflow and processes streamlined, and data quality increased significantly. Pilot projects and now actual investigational trials used for regulatory submissions have shown that these benefits support the transformation of clinical research by leveraging EHRs for research. Panelists at a recent collaborative focused on bridging clinical research and clinical care offered varying perspectives on how the latest standards and technologies could be leveraged to facilitate data transfer from EHR systems into clinical research databases, as well as the associated improvements in data quality. Panelists also discussed other avenues to leverage EHR in clinical research. Improvements and exciting possibilities notwithstanding, much work remains. Data ownership and access, attention to metadata and structured data for data sharing, and broader adoption of global standards are key areas for collaboration. With the steady increase in adoption of EHRs around the world, this is an excellent time for all stakeholders to work together and create an environment such that EHRs can be used more readily for research. The capacity for research can thus be increased to provide more high-quality information that will contribute to rapid continuous learning health systems from which all patients can benefit.

Indexed as

clinical researchelectronic health recordsinteroperabilitySMART on FHIR

Identifiers

PMID31245598
PMCPMC6508843

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.