Evidence map›Paper›PMID 42891488›Full record

ArticleJAMIA open2026

Registry Forge: an open-source end-to-end pipeline for patient-directed SMART on FHIR registries.

Danielle Boyce, Alan Premasiri, Shawn Sullivan, Beth Levine, Fernando G Vieira

Abstract read
In one paragraph

Article in JAMIA open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Danielle BoyceALS Therapy Development Institute, Watertown, MA 02472, United States.ORCID https://orcid.org/0000-0002-5206-7552
Alan PremasiriALS Therapy Development Institute, Watertown, MA 02472, United States.
Shawn SullivanALS Therapy Development Institute, Watertown, MA 02472, United States.
Beth LevineALS Therapy Development Institute, Watertown, MA 02472, United States.
Fernando G VieiraALS Therapy Development Institute, Watertown, MA 02472, United States.

Funding

ACL HHS R01TS000341
6 · The paper itself

Abstract

Objectives: Patient-directed SMART on FHIR lets registries acquire longitudinal electronic health record data, but the payload requires substantial engineering before use. We present Registry Forge, an open-source pipeline that converts it into curation-ready outputs. Materials and methods: Registry Forge parses C-CDA, HTML, RTF, PDF, and FHIR inputs, joins records to a canonical identifier, and emits a browser dashboard, an OMOP CDM v5.4 data set, GA4GH Phenopackets v2, a code inventory, and disease-specific narrative extractions. Results: Applied to the ALS Research Collaborative Study (94 participants, 56 US health systems), it processed 22 686 files and 1791 FHIR Bundles (109 599 resources); only 15.0% of files were full C-CDA XML; HTML (48.4%) and RTF (34.3%) predominated. Discussion: Payloads are far more heterogeneous than often assumed; the architecture is designed for extension, though generalizability remains to be demonstrated. Conclusion: Registry Forge closes the gap between acquisition and curation-ready data with no server infrastructure and is openly available.

Indexed as

amyotrophic lateral sclerosiselectronic health recordsHl7patient registriesSMART on FHIR

Identifiers

PMID42891488
PMCPMC13675109

What OpenQuestion holds

Textmetadata
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.