Evidence map›Paper›PMID 39735787›Full record

ArticleJAMIA open2025

SmartChart Suite: a Fast Healthcare Interoperability Resources-based framework for longitudinal syphilis surveillance using structured and unstructured data.

Andrew Stevens, Saugat Karki, Elizabeth Shivers, Alejandro Pérez, Myung Choi, Andre Berro, Michael Riley, Jane Yang, Plamen Tassev, David Alexander Jackson and 2 more

Abstract read
In one paragraph

Article in JAMIA open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Andrew StevensGeorgia Tech Research Institute, Atlanta, GA 30308, United States.ORCID https://orcid.org/0000-0001-9277-3585
Saugat KarkiDivision of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, United States.ORCID https://orcid.org/0000-0003-2161-678X
Elizabeth ShiversGeorgia Tech Research Institute, Atlanta, GA 30308, United States.
Alejandro PérezDivision of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, United States.
Myung ChoiGeorgia Tech Research Institute, Atlanta, GA 30308, United States.ORCID https://orcid.org/0000-0002-3098-523X
Andre BerroDivision of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, United States.ORCID https://orcid.org/0000-0003-2467-6593
Michael RileyGeorgia Tech Research Institute, Atlanta, GA 30308, United States.
Jane YangDivision of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, United States.
Plamen TassevGeorgia Tech Research Institute, Atlanta, GA 30308, United States.
David Alexander JacksonDivision of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, United States.
Inho KimSchool of Medicine, Emory University, Atlanta, GA 30307, United States.
Jon D DukeGeorgia Tech Research Institute, Atlanta, GA 30308, United States.ORCID https://orcid.org/0000-0001-5523-2368

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The resurgence of syphilis in the United States presents a significant public health challenge. Much of the information needed for syphilis surveillance resides in electronic health records (EHRs). In this manuscript, we describe a surveillance platform for automating the extraction of EHR data, known as SmartChart Suite, and the results from a pilot. Materials and Methods: The SmartChart Suite framework has been developed in compliance with the HHS Health IT Alignment Policy. The platform's major functionalities are (1) data retrieval; (2) logical evaluation; (3) standardized data storage; and (4) results display. The SmartChart Suite was deployed in September 2023 at the Grady Health System in Atlanta, Georgia. We established a cohort of likely syphilis patients, randomly selected 50 medical records for manual and automated chart review, and analyzed the results. Results: The SmartChart Suite was successfully deployed and integrated with the Epic EHR system at Grady. The overall performance results were precision of 97.6%, recall of 100.0%, and F-Score of 98.8. Discussion: Automated abstraction of EHR data has significant potential to improve public health surveillance and case investigation processes while reducing the resource burden on health departments and reporters. The SmartChart Suite comprises a flexible open-source solution for registry development and maintenance across a wide spectrum of conditions and use cases. Conclusion: SmartChart Suite demonstrates the potential of automated chart abstraction to support disease surveillance. HHS-compliant open-source tools such as SmartChart Suite can support more efficient human review by providing accurate and relevant data for critical public health activities.

Indexed as

Fast Healthcare Interoperability Resourcesnatural language processingpublic healthsurveillance

Identifiers

PMID39735787
PMCPMC11681421

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.