Evidence map›Paper›PMID 34670293›Full record

ArticleApplied clinical informatics2021

Implementing an Application Programming Interface for PROMIS Measures at Three Medical Centers.

Michael Bass, Christian Oncken, Allison W McIntyre, Chris Dasilva, Joshua Spuhl, Nan E Rothrock

Abstract read
In one paragraph

Article in Applied clinical informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. From framework to practice: applying the proteus-practice framework to learn lessons for integrating PROs in clinical care.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  2. Using confirmatory factor analysis to identify symptom clusters in individuals with acquired disabilities.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
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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

6 authors.

Michael BassDepartment of Medical Social Science, Northwestern University, Chicago, Illinois, United States.
Christian OnckenDepartment of Orthopaedic Surgery, Washington University School of Medicine, St Louis, Missouri, United States.
Allison W McIntyreDepartment of Orthopaedics and Rehabilitation, University of Rochester Medical Center, Rochester, New York, United States.
Chris DasilvaDepartment of Orthopaedics and Rehabilitation, University of Rochester Medical Center, Rochester, New York, United States.
Joshua SpuhlEnterprise Data Warehouse, University of Utah Health System, Salt Lake City, Utah, United States.
Nan E RothrockDepartment of Medical Social Science, Northwestern University, Chicago, Illinois, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is an increasing body of literature advocating for the collection of patient-reported outcomes (PROs) in clinical care. Unfortunately, there are many barriers to integrating PRO measures, particularly computer adaptive tests (CATs), within electronic health records (EHRs), thereby limiting access to advances in PRO measures in clinical care settings.

objectiveTo address this obstacle, we created and evaluated a software integration of an Application Programming Interface (API) service for administering and scoring Patient-Reported Outcomes Measurement Information System (PROMIS) measures with the EHR system.

methodsWe created a RESTful API and evaluated the technical feasibility and impact on clinical workflow at three academic medical centers.

resultsCollaborative teams (i.e., clinical, information technology [IT] and administrative staff) performed these integration efforts addressing issues such as software integration as well as impact on clinical workflow. All centers considered their implementation successful based on the high rate of completed PROMIS assessments (between January 2016 and January 2021) and minimal workflow disruptions.

conclusionThese case studies demonstrate not only the feasibility but also the pathway for the integration of PROMIS CATs into the EHR and routine clinical care. All sites utilized diverse teams with support and commitment from institutional leadership, initial implementation in a single clinic, a process for monitoring and optimization, and use of custom software to minimize staff burden and error.

Indexed as

Electronic Health RecordsPatient Reported Outcome MeasuresHospitalsSoftwareWorkflow

Identifiers

PMID34670293
PMCPMC8528565

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Registered trials

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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.