Evidence map›Paper›PMID 39538369›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2025

Learning health system linchpins: information exchange and a common data model.

Aaron S Eisman, Elizabeth S Chen, Wen-Chih Wu, Karen M Crowley, Dilum P Aluthge, Katherine Brown, Indra Neil Sarkar

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Observational
  2. Review
  3. Advancing a learning health system through biomedical and health informatics.Journal of the American Medical Informatics Association : JAMIA · 2025
    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.

Aaron S EismanCenter for Biomedical Informatics, Brown University, Providence, RI 02912, United States.ORCID 0000-0001-7609-1488
Elizabeth S ChenCenter for Biomedical Informatics, Brown University, Providence, RI 02912, United States.
Wen-Chih WuThe Warren Alpert Medical School, Brown University, Providence, RI 02912, United States.ORCID 0000-0002-2834-2024
Karen M CrowleyCenter for Biomedical Informatics, Brown University, Providence, RI 02912, United States.
Dilum P AluthgeCenter for Biomedical Informatics, Brown University, Providence, RI 02912, United States.
Katherine BrownCenter for Biomedical Informatics, Brown University, Providence, RI 02912, United States.
Indra Neil SarkarCenter for Biomedical Informatics, Brown University, Providence, RI 02912, United States.

Funding

Tracking and Evaluation CoreU54GM115677 · NIGMS · BROWN UNIVERSITY · PI ROUNDS, SHARON IRENE SMITH · 2016 to 2025
$45.0M
Improving the Accuracy of ASCVD Risk Estimation Using Population-Level EHR and Genetic DataF30LM013320 · NLM · BROWN UNIVERSITY · PI EISMAN, AARON S · 2020 to 2023
$157k
NIGMS NIH HHS U54 GM115677NIH HHS F30LM013320NLM NIH HHS F30 LM013320
6 · The paper itself

Abstract

objectiveTo demonstrate the potential for a centrally managed health information exchange standardized to a common data model (HIE-CDM) to facilitate semantic data flow needed to support a learning health system (LHS). MATERIALS AND

methodsThe Rhode Island Quality Institute operates the Rhode Island (RI) statewide HIE, which aggregates RI health data for more than half of the state's population from 47 data partners. We standardized HIE data to the Observational Medical Outcomes Partnership (OMOP) CDM. Atherosclerotic cardiovascular disease (ASCVD) risk and primary prevention practices were selected to demonstrate LHS semantic data flow from 2013 to 2023.

resultsWe calculated longitudinal 10-year ASCVD risk on 62,999 individuals. Nearly two-thirds had ASCVD risk factors from more than one data partner. This enabled granular tracking of individual ASCVD risk, primary prevention (ie, statin therapy), and incident disease. The population was on statins for fewer than half of the guideline-recommended days. We also found that individuals receiving care at Federally Qualified Health Centers were more likely to have unfavorable ASCVD risk profiles and more likely to be on statins. CDM transformation reduced data heterogeneity through a unified health record that adheres to defined terminologies per OMOP domain. DISCUSSION: We demonstrated the potential for an HIE-CDM to enable observational population health research. We also showed how to leverage existing health information technology infrastructure and health data best practices to break down LHS barriers.

conclusionHIE-CDM facilitates knowledge curation and health system intervention development at the individual, health system, and population levels.

Indexed as

Health Information ExchangeLearning Health SystemAtherosclerosisCardiovascular DiseasesCommon Data ElementsElectronic Health RecordsFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedPrimary PreventionRhode IslandHydroxymethylglutaryl-CoA Reductase Inhibitorsatherosclerotic cardiovascular diseasecommon data modelhealth information exchangelearning health system

Identifiers

PMID39538369
PMCPMC11648737

What OpenQuestion holds

Texttitle and abstract
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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.