Evidence map›Paper›PMID 32308818›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2019

One-Way and Round-Trip Analysis Demonstrates Surprising Limitations of Standards-Based Terminology Maps.

Steven H Brown, Loren Stevenson, Daniel J Territo, John Kilbourne, Jonathan R Nebeker, Holly Miller, Michael J Lincoln

Open access · greenAbstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 85% of its field
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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. 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

7 authors at 2 institutions in 1 country.

Steven H BrownDepartment of Veterans Affairs.
Loren StevensonDepartment of Veterans Affairs.
Daniel J TerritoDepartment of Veterans Affairs.
John KilbourneDepartment of Veterans Affairs.
Jonathan R NebekerDepartment of Veterans Affairs.
Holly MillerDepartment of Veterans Affairs.
Michael J LincolnDepartment of Veterans Affairs.
University of Utah · USVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The informatics community has a long-standing vision of freely flowing and highly re-usable patient-specific clinical data that improves care quality and safety. We sought to evaluate the extent to which a standards-based mapping approach is sufficient to support semantic interoperability. We simulated large-scale clinical data transmission and measured semantic success between VA and DoD systems via one-way testing (OWT) and round-trip testing (RTT). Simulations were accomplished via SQL queries and production standards-based maps for medications, allergens, document titles, vitals and payers. Success rates for mapping local codes to national standards varied from 62.5% for DoD document titles and medications, to 100% for VA and DoD vital signs. Successful, one-way testing was considerably lower, ranging from 8.52% to 62.7%. Round-trip success rates were lower still, ranging from 1.7% to 76.3%. We present an error framework, lessons learned, and proposed mitigating steps to enhance standards-based semantic interoperability.

Indexed as

SemanticsTerminology as TopicElectronic Health RecordsHealth Information InteroperabilityHumansUnited StatesUnited States Department of DefenseUnited States Department of Veterans Affairs

Identifiers

PMID32308818
PMCPMC7153154
OpenAlexW3027545343

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.