Evidence map›Paper›PMID 32303098›Full record

GuidelineYearbook of medical informatics2020

Ethical Use of Electronic Health Record Data and Artificial Intelligence: Recommendations of the Primary Care Informatics Working Group of the International Medical Informatics Association.

Siaw-Teng Liaw, Harshana Liyanage, Craig Kuziemsky, Amanda L Terry, Richard Schreiber, Jitendra Jonnagaddala, Simon de Lusignan

Abstract readGuideline
In one paragraph

Guideline in Yearbook of medical informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 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

26 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. [Medical education and artificial intelligence: perspectives and ethical challenges].Revista medica del Instituto Mexicano del Seguro Social · 2025
    Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Primary Care Informatics: Vitalizing the Bedrock of Health Care.Journal of medical Internet research · 2024
    Article
  13. Article
  14. Review
  15. Integrated Approach to Patient Engagement in Obtaining Dental Services.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2024
    Article
  16. Ten Topics to Get Started in Medical Informatics Research.Journal of medical Internet research · 2023
    Article
  17. Article
  18. Review
  19. Study of Text Patterns Found on Social Networks of Mental Health Reactions to COVID-19.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2023
    Article
  20. Review
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

7 authors.

Siaw-Teng LiawWHO Collaborating Centre on eHealth, School of Public Health & Community Medicine, UNSW Sydney, Botany Road, Kensington, NSW 2033, Australia.
Harshana LiyanageClnical Informatics and Health Outcomes Research Group, Nuffield Department of Primary Care Health Sciences, University of Oxford, Eagle House, 7 Walton Well Road, Oxford, OX2 6ED, UK.
Craig KuziemskyOffice of Research Services, MacEwan University, Edmonton, Alberta, Canada.
Amanda L TerryCentre for Studies in Family Medicine, Department of Family Medicine, Department of Epidemiology & Biostatistics, Schulich Interfaculty Program in Public Health, Schulich School of Medicine & Dentistry, Western University, Canada.
Richard SchreiberInternal Medicine and Informatics, Geisinger Health System and Geisinger Commonwealth School of Medicine, Camp Hill, PA, United States.
Jitendra JonnagaddalaWHO Collaborating Centre on eHealth, School of Public Health & Community Medicine, UNSW Sydney, Botany Road, Kensington, NSW 2033, Australia.
Simon de LusignanClnical Informatics and Health Outcomes Research Group, Nuffield Department of Primary Care Health Sciences, University of Oxford, Eagle House, 7 Walton Well Road, Oxford, OX2 6ED, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo create practical recommendations for the curation of routinely collected health data and artificial intelligence (AI) in primary care with a focus on ensuring their ethical use.

methodsWe defined data curation as the process of management of data throughout its lifecycle to ensure it can be used into the future. We used a literature review and Delphi exercises to capture insights from the Primary Care Informatics Working Group (PCIWG) of the International Medical Informatics Association (IMIA).

resultsWe created six recommendations: (1) Ensure consent and formal process to govern access and sharing throughout the data life cycle; (2) Sustainable data creation/collection requires trust and permission; (3) Pay attention to Extract-Transform-Load (ETL) processes as they may have unrecognised risks; (4) Integrate data governance and data quality management to support clinical practice in integrated care systems; (5) Recognise the need for new processes to address the ethical issues arising from AI in primary care; (6) Apply an ethical framework mapped to the data life cycle, including an assessment of data quality to achieve effective data curation.

conclusionsThe ethical use of data needs to be integrated within the curation process, hence running throughout the data lifecycle. Current information systems may not fully detect the risks associated with ETL and AI; they need careful scrutiny. With distributed integrated care systems where data are often used remote from documentation, harmonised data quality assessment, management, and governance is important. These recommendations should help maintain trust and connectedness in contemporary information systems and planned developments.

Indexed as

Artificial IntelligenceData AccuracyElectronic Health RecordsEthics, MedicalHumansInformation DisseminationMedical InformaticsMedical Records Systems, ComputerizedPrimary Health Care

Identifiers

PMID32303098
PMCPMC7442527

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.