Evidence map›Paper›PMID 32308850›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2019

Balancing Functionality versus Portability for SMART on FHIR Applications: Case Study for a Neonatal Bilirubin Management Application.

Polina Kukhareva, Phillip Warner, Salvador Rodriguez, Heidi Kramer, Charlene Weir, Claude Nanjo, David Shields, Kensaku Kawamoto

Abstract 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
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  5. Article
  6. The technical landscape for patient-centered CDS: progress, gaps, and challenges.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
  7. Review
  8. Review
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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.

Polina KukharevaDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA.
Phillip WarnerDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA.
Salvador RodriguezDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA.
Heidi KramerDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA.
Charlene WeirDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA.
Claude NanjoDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA.
David ShieldsDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA.
Kensaku KawamotoDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

SMART on FHIR applications are standards-based tools integrated with electronic health record (EHR) systems and intended for dissemination across EHR platforms. A key challenge for disseminating many apps is that EHR vendors provide different levels of support for FHIR. Thus, app developers must balance functionality versus portability. In this case study, a feature-rich app for neonatal bilirubin management was developed prioritizing physician-requested functionality, with custom FHIR interfaces implemented within the EHR as needed. Following wide intra-institutional use, several approaches are being pursued for adapting the app for cross-institutional dissemination: user surveys and interviews to identify least-valued app features which could potentially be omitted; enabling the application to provide differential features depending on available EHR FHIR capabilities; replacing custom FHIR interfaces with native EHR FHIR interfaces as they became available; and using a canonical logical data model known as QUICK that can be mapped to different FHIR versions and profiles.

Indexed as

SoftwareAcademic Medical CentersBilirubinElectronic Health RecordsHealth Information InteroperabilityHealth Level SevenHumansInfant, NewbornMedical Records Systems, ComputerizedOrganizational Case StudiesUtahBilirubin

Identifiers

PMID32308850
PMCPMC7153075

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.