SynthesisJournal of the American Medical Informatics Association : JAMIA2020
Using clinical reasoning ontologies to make smarter clinical decision support systems: a systematic review and data synthesis.
Synthesis in Journal of the American Medical Informatics Association : JAMIA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
What it found
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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
29 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Profiling of human lung and gut microbiomes in different conditions of chronic obstructive pulmonary disease using ontology-based evidence synthesis and reasoning.Frontiers in cellular and infection microbiology · 2026Pooled it
- Identifying the data elements and functionalities of clinical decision support systems to administer medication for neonates and pediatrics: a systematic literature review.BMC medical informatics and decision making · 2023Pooled it
- An unsupervised XAI framework for dementia detection with context enrichment.Scientific reports · 2025Article
- Sustainable Personalized Home Care for Pandemic Management: A Service-Oriented Approach.Digital government (New York, N.Y.) · 2025Article
- Clinical Reach into the Cognitive Space (CRITiCS): outline conceptual framework for safe use of generative artificial intelligence in mental health decision-making.BJPsych bulletin · 2025Article
- Semantic web-based ontology: a comprehensive framework for cardiovascular knowledge representation.BMC cardiovascular disorders · 2025Article
- An Ontology-Based Approach for Understanding Appendicectomy Processes and Associated Resources.Healthcare (Basel, Switzerland) · 2024Article
- Towards a knowledge-based decision support system to foster the return to work of wheelchair users.Computational and structural biotechnology journal · 2024Article
- 21st century (clinical) decision support in nursing and allied healthcare. Developing a learning health system: a reasoned design of a theoretical framework.BMC medical informatics and decision making · 2023Review
- Construction and effectiveness evaluation of a knowledge-based infectious disease monitoring and decision support system.Scientific reports · 2023Article
- Identifying barriers and facilitators to successful implementation of computerized clinical decision support systems in hospitals: a NASSS framework-informed scoping review.Implementation science : IS · 2023Article
- Semantically enabling clinical decision support recommendations.Journal of biomedical semantics · 2023Article
- An Ontology-Based Approach to Improving Medication Appropriateness in Older Patients: Algorithm Development and Validation Study.JMIR medical informatics · 2023Article
- Ontologies Applied in Clinical Decision Support System Rules: Systematic Review.JMIR medical informatics · 2023Review
- [Ontologies Applied in Clinical Decision Support Systems for Diabetes].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2023Review
- Ontology for Symptomatic Treatment of Multiple Sclerosis.Healthcare informatics research · 2022Article
- OntoPharma: ontology based clinical decision support system to reduce medication prescribing errors.BMC medical informatics and decision making · 2022Article
- How are ontologies implemented to represent clinical practice guidelines in clinical decision support systems: protocol for a systematic review.Systematic reviews · 2022Article
- Documentation of hospitalization risk factors in electronic health records (EHRs): a qualitative study with home healthcare clinicians.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- When BERT meets Bilbo: a learning curve analysis of pretrained language model on disease classification.BMC medical informatics and decision making · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
objectiveThe study sought to describe the literature describing clinical reasoning ontology (CRO)-based clinical decision support systems (CDSSs) and identify and classify the medical knowledge and reasoning concepts and their properties within these ontologies to guide future research.
methodsMEDLINE, Scopus, and Google Scholar were searched through January 30, 2019, for studies describing CRO-based CDSSs. Articles that explored the development or application of CROs or terminology were selected. Eligible articles were assessed for quality features of both CDSSs and CROs to determine the current practices. We then compiled concepts and properties used within the articles.
resultsWe included 38 CRO-based CDSSs for the analysis. Diversity of the purpose and scope of their ontologies was seen, with a variety of knowledge sources were used for ontology development. We found 126 unique medical knowledge concepts, 38 unique reasoning concepts, and 240 unique properties (137 relationships and 103 attributes). Although there is a great diversity among the terms used across CROs, there is a significant overlap based on their descriptions. Only 5 studies described high quality assessment.
conclusionWe identified current practices used in CRO development and provided lists of medical knowledge concepts, reasoning concepts, and properties (relationships and attributes) used by CRO-based CDSSs. CRO developers reason that the inclusion of concepts used by clinicians' during medical decision making has the potential to improve CDSS performance. However, at present, few CROs have been used for CDSSs, and high-quality studies describing CROs are sparse. Further research is required in developing high-quality CDSSs based on CROs.
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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.