Evidence map›Paper›PMID 38660616›Full record

ArticleJAMIA open2024

Analysis of laboratory data transmission between two healthcare institutions using a widely used point-to-point health information exchange platform: a case report.

Hung S Luu, Walter S Campbell, Raja A Cholan, Mary E Edgerton, Andrea Englund, Alana Keller, Elizabeth D Korte, Sandra H Mitchell, Greg T Watkins, Lindsay Westervelt and 2 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in JAMIA open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. 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

12 authors at 3 institutions in 1 country.

Hung S LuuDepartment of Pathology, University of Texas Southwestern Medical Center, Dallas, TX 75390, United States.
Walter S CampbellDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE 68198, United States.
Raja A CholanDeloitte Consulting LLP, Washington, DC 20004, United States.
Mary E EdgertonDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE 68198, United States.
Andrea EnglundDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE 68198, United States.
Alana KellerSynensys, LLC, Peachtree, GA 30269, United States.
Elizabeth D KorteDeloitte Consulting LLP, Washington, DC 20004, United States.
Sandra H MitchellJP Systems, Inc., Clifton, VA 20124, United States.
Greg T WatkinsDeloitte Consulting LLP, Washington, DC 20004, United States.
Lindsay WesterveltJP Systems, Inc., Clifton, VA 20124, United States.
Daniel WymanSynensys, LLC, Peachtree, GA 30269, United States.
Stephen PowellSynensys, LLC, Peachtree, GA 30269, United States.
Deloitte (United States) · USUniversity of Nebraska Medical Center · USThe University of Texas Southwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The objective was to identify information loss that could affect clinical care in laboratory data transmission between 2 health care institutions via a Health Information Exchange platform. Materials and Methods: Data transmission results of 9 laboratory tests, including LOINC codes, were compared in the following: between sending and receiving electronic health record (EHR) systems, the individual Health Level Seven International (HL7) Version 2 messages across the instrument, laboratory information system, and sending EHR. Results: Loss of information for similar tests indicated the following potential patient safety issues: (1) consistently missing specimen source; (2) lack of reporting of analytical technique or instrument platform; (3) inconsistent units and reference ranges; (4) discordant LOINC code use; and (5) increased complexity with multiple HL7 versions. Discussion and Conclusions: Using an HIE with standard messaging, SHIELD (Systemic Harmonization and Interoperability Enhancement for Laboratory Data) recommendations, and enhanced EHR functionality to support necessary data elements would yield consistent test identification and result value transmission.

Indexed as

clinical laboratory information systemsdata qualityhealth information exchangehealth information interoperabilitypatient safety

Identifiers

PMID38660616
PMCPMC11042873
OpenAlexW4395067527

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.