Evidence map›Paper›PMID 35224632›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2022

GARDE: a standards-based clinical decision support platform for identifying population health management cohorts.

Richard L Bradshaw, Kensaku Kawamoto, Kimberly A Kaphingst, Wendy K Kohlmann, Rachel Hess, Michael C Flynn, Claude J Nanjo, Phillip B Warner, Jianlin Shi, Keaton Morgan and 16 more

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
6.2field-weighted citation impact, top 4% 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.

NCT07073898 nacompletednot on this mapstarted 2025, after this paper: background citation

Population Health Management Approaches to Increase Lung Cancer Screening in Community Health Centers - UG3 Pilot Clinical Trial

TypeinterventionalSponsorUniversity of UtahRan2025 to 2026Enrolled65ConditionsLung CancerArmsRepeated Text Messages (TM+), Conversational Agent (CA), Educational Video, Proactive Patient Navigation (PPN), Reactive Patient Navigation (RPN)
NCT07410689 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

SAFE.AI: Developing and Testing an AI-based Hybrid Chatbot for Financial Empowerment in Rural Cancer Care

TypeinterventionalSponsorUniversity of UtahRan2026 to 2027Enrolled60ConditionsCancer, Financial ToxicityArmsRule-Based Chatbot, Hybrid Chatbot
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 26 citations in OpenAlex.

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  8. GARDE-Chat: a scalable, open-source platform for building and deploying health chatbots.Journal of the American Medical Informatics Association : JAMIA · 2026
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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

26 authors at 4 institutions in 1 country.

Richard L BradshawDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0001-7363-0327
Kensaku KawamotoDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0003-4282-9338
Kimberly A KaphingstHuntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.
Wendy K KohlmannUniversity of Utah Health, Salt Lake City, Utah, USA.
Rachel HessUniversity of Utah Health, Salt Lake City, Utah, USA.
Michael C FlynnUniversity of Utah Health, Salt Lake City, Utah, USA.
Claude J NanjoDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Phillip B WarnerDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Jianlin ShiDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Keaton MorganDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0001-9140-4454
Kadyn KimballHuntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.
Pallavi Ranade-KharkarDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Ophira GinsburgNew York University Langone Health, New York City, New York, USA.
Melody GoodmanSchool of Global and Public Health, New York University, New York City, New York, USA.
Rachelle ChambersNew York University Langone Health, New York City, New York, USA.
Devin MannNew York University Langone Health, New York City, New York, USA.
Scott P NarusDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Javier GonzalezNew York University Langone Health, New York City, New York, USA.
Shane LoomisNew York University Langone Health, New York City, New York, USA.
Priscilla ChanNew York University Langone Health, New York City, New York, USA.
Rachel MonahanNew York University Langone Health, New York City, New York, USA.
Emerson P BorsatoDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
David E ShieldsDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Douglas K MartinDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Cecilia M KesslerUniversity of Utah Health, Salt Lake City, Utah, USA.
Guilherme Del FiolDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0001-9954-6799
University of Utah · USNYU Langone Health · USIntermountain Healthcare · USNew York University · US

Funding

Leveraging an electronic medical record infrastructure to identify primary care patients eligible for genetic testing for hereditary cancer and evaluate novel cancer genetics service delivery modelsU01CA232826 · NCI · UNIVERSITY OF UTAH · PI KAPHINGST, KIMBERLY A, SIGIREDDI, MEENAKSHI · 2018 to 2022
$5.5M
Scalable Clinical Decision Support for Individualized Cancer Risk ManagementU24CA204800 · NCI · UNIVERSITY OF UTAH · PI DEL FIOL, GUILHERME, KAWAMOTO, KENSAKU · 2017 to 2021
$3.7M
Promoting Real World Implementation of an Evidence-Based Weight Management Intervention in Primary CareR18DK123372 · NIDDK · UNIVERSITY OF UTAH · PI CONROY, MARGARET B, KAWAMOTO, KENSAKU · 2020 to 2024
$3.1M
NCI NIH HHS U01 CA232826NCI NIH HHS U24 CA204800NIDDK NIH HHS R18 DK123372
6 · The paper itself

Abstract

Population health management (PHM) is an important approach to promote wellness and deliver health care to targeted individuals who meet criteria for preventive measures or treatment. A critical component for any PHM program is a data analytics platform that can target those eligible individuals.

objectiveThe aim of this study was to design and implement a scalable standards-based clinical decision support (CDS) approach to identify patient cohorts for PHM and maximize opportunities for multi-site dissemination. MATERIALS AND

methodsAn architecture was established to support bidirectional data exchanges between heterogeneous electronic health record (EHR) data sources, PHM systems, and CDS components. HL7 Fast Healthcare Interoperability Resources and CDS Hooks were used to facilitate interoperability and dissemination. The approach was validated by deploying the platform at multiple sites to identify patients who meet the criteria for genetic evaluation of familial cancer.

resultsThe Genetic Cancer Risk Detector (GARDE) platform was created and is comprised of four components: (1) an open-source CDS Hooks server for computing patient eligibility for PHM cohorts, (2) an open-source Population Coordinator that processes GARDE requests and communicates results to a PHM system, (3) an EHR Patient Data Repository, and (4) EHR PHM Tools to manage patients and perform outreach functions. Site-specific deployments were performed on onsite virtual machines and cloud-based Amazon Web Services. DISCUSSION: GARDE's component architecture establishes generalizable standards-based methods for computing PHM cohorts. Replicating deployments using one of the established deployment methods requires minimal local customization. Most of the deployment effort was related to obtaining site-specific information technology governance approvals.

Indexed as

Decision Support Systems, ClinicalPopulation Health ManagementDelivery of Health CareElectronic Health RecordsHumansInformation Storage and RetrievalCDS Hooksclinical decision support system (D020000)FHIRHealth Level Seven (D057208)population health management (D000076602)

Identifiers

PMID35224632
PMCPMC9006693
OpenAlexW4213303680

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.