Evidence map›Paper›PMID 42534572›Full record

ArticleLearning health systems2026

A Standards-Based, Cloud-Hosted CDS System for Gonorrhea Treatment and HIV Screening.

Edna Shenvi, Aziz Boxwala, Sarah Shaw, Andre Berro, Saugat Karki, Matthew Pooser, Jane E Yang, Gema Dumitru, Jeanne Ocampo, Amrita Tailor and 6 more

Abstract read
In one paragraph

Article in Learning health systems, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

16 authors.

Edna ShenviElimu Informatics El Cerrito California USA.ORCID https://orcid.org/0000-0002-2995-230X
Aziz BoxwalaElimu Informatics El Cerrito California USA.
Sarah ShawPublic Health Informatics Institute Atlanta Georgia USA.
Andre BerroCenters for Disease Control and Prevention Atlanta Georgia USA.
Saugat KarkiCenters for Disease Control and Prevention Atlanta Georgia USA.ORCID https://orcid.org/0000-0003-2161-678X
Matthew PooserCenters for Disease Control and Prevention Atlanta Georgia USA.
Jane E YangCenters for Disease Control and Prevention Atlanta Georgia USA.
Gema DumitruCenters for Disease Control and Prevention Atlanta Georgia USA.
Jeanne OcampoCenters for Disease Control and Prevention Atlanta Georgia USA.
Amrita TailorCenters for Disease Control and Prevention Atlanta Georgia USA.
Sanjat KanjilalHarvard Medical School Boston Massachusetts USA.
Carlos ParedesYale New Haven Health New Haven Connecticut USA.
Ritche HaoYale New Haven Health New Haven Connecticut USA.
Nitu KashyapEmory Healthcare Atlanta Georgia USA.
David LiebovitzNorthwestern University Feinberg School of Medicine Chicago Illinois USA.
Alejandro PérezCenters for Disease Control and Prevention Atlanta Georgia USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Methods: A project team including informaticians and clinical partners developed a cloud-hosted CDS system, with rule logic written in the Health Level Seven (HL7) Clinical Quality Language and using the HL7 CDS Hooks protocol. The system was designed to present alerts to clinicians who, based on available data, appeared to be treating uncomplicated GC with doses or agents that were not recommended based on the patient's weight, allergies, and other characteristics. Actionable suggestions were offered for the correct regimen, and HIV testing, if applicable. Results: After extensive testing, the system was successfully integrated with the EHR system at two academic medical institutions. Subsequently, a three-month pilot was conducted in emergency and urgent care settings. Conclusions: There were limitations related to functionality, workflow issues, and data quality. This successful implementation, however, demonstrates the feasibility of this approach for select use cases of CDS, and yields further understanding of the requirements for developing scalable solutions for disseminating public health guidance.

Indexed as

clinical decision supportexternal CDSHIVinteroperabilitypublic healthsexually transmitted infection

Identifiers

PMID42534572
PMCPMC13421373

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.