ArticleJournal of the American Medical Informatics Association : JAMIA2019
Putting the "why" in "EHR": capturing and coding clinical cognition.
Article in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Using clinical reasoning ontologies to make smarter clinical decision support systems: a systematic review and data synthesis.Journal of the American Medical Informatics Association : JAMIA · 2020Pooled it
- Predicting Electronic Health Record Usability: Scoping Review of Adoption Models, Metrics, and Future Directions.JMIR human factors · 2026Article
- A Dataset for Addressing Patient's Information Needs related to Clinical Course of Hospitalization.Scientific data · 2026Article
- Reframing EHR Policy in China: Towards Balanced Implementation and Ethical Foundations.Journal of evaluation in clinical practice · 2025Article
- Current Limitations of Electronic Health Record Systems in Supporting Pragmatic Clinical Trials: Insights from the eMERGE Consortium.medRxiv : the preprint server for health sciences · 2025Article
- Flesch-Kincaid Grade Level Readability Scores to Evaluate Readability of Clinical Documentation During an Electronic Health Record Transition.Advances in health information science and practice · 2025Article
- Achieving a rapid and continuous learning health system requires socio-technical harmonization of research and operational IT.npj health systems · 2025Review
- Trends and Patterns in Electronic Health Record Research (1991-2022): A Bibliometric Analysis of Australian Literature.International journal of environmental research and public health · 2024Article
- Seamless Integration of Computer-Adaptive Patient Reported Outcomes into an Electronic Health Record.Applied clinical informatics · 2024Article
- A voice-based digital assistant for intelligent prompting of evidence-based practices during ICU rounds.Journal of biomedical informatics · 2023Article
- Extractive Clinical Question-Answering With Multianswer and Multifocus Questions: Data Set Development and Evaluation Study.JMIR AI · 2023Article
- Documentation dynamics: Note composition, burden, and physician efficiency.Health services research · 2023Article
- I had not time to make it shorter: an exploratory analysis of how physicians reduce note length and time in notes.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Semantically oriented EHR navigation with a patient specific knowledge base and a clinical context ontology.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023Article
- Opportunities to use electronic health record audit logs to improve cancer care.Cancer medicine · 2022Review
- Through the Narrative Looking Glass: Commentary on "Impact of Electronic Health Records on Information Practices in Mental Health Contexts: Scoping Review".Journal of medical Internet research · 2022Article
- Cardiovascular informatics: building a bridge to data harmony.Cardiovascular research · 2022Review
- Feeling and thinking: can theories of human motivation explain how EHR design impacts clinician burnout?Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Formal representation of patients' care context data: the path to improving the electronic health record.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Clinical Decision Support and Implications for the Clinician Burnout Crisis.Yearbook of medical informatics · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
Abstract
Complaints about electronic health records, including information overload, note bloat, and alert fatigue, are frequent topics of discussion. Despite substantial effort by researchers and industry, complaints continue noting serious adverse effects on patient safety and clinician quality of life. I believe solutions are possible if we can add information to the record that explains the "why" of a patient's care, such as relationships between symptoms, physical findings, diagnostic results, differential diagnoses, therapeutic plans, and goals. While this information may be present in clinical notes, I propose that we modify electronic health records to support explicit representation of this information using formal structure and controlled vocabularies. Such information could foster development of more situation-aware tools for data retrieval and synthesis. Informatics research is needed to understand what should be represented, how to capture it, and how to benefit those providing the information so that their workload is reduced.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.