Continuing the journey toward semantic interoperability in clinical care and biomedical and health research.
Author(s): Bakken, Suzanne
DOI: 10.1093/jamia/ocac128
Author(s): Bakken, Suzanne
DOI: 10.1093/jamia/ocac128
To determine the variability of ingredient, strength, and dose form information from drug product descriptions in real-world electronic prescription (e-prescription) data.
Author(s): Lester, Corey A, Flynn, Allen J, Marshall, Vincent D, Rochowiak, Scott, Rowell, Brigid, Bagian, James P
DOI: 10.1093/jamia/ocac096
Electronic consultation (eConsult) content reflects important information about referring clinician needs across an organization, but is challenging to extract. The objective of this work was to develop machine learning models for classifying eConsult questions for question type and question content. Another objective of this work was to investigate the ability to solve this task with constrained expert time resources.
Author(s): Ding, Xiyu, Barnett, Michael, Mehrotra, Ateev, Tuot, Delphine S, Bitterman, Danielle S, Miller, Timothy A
DOI: 10.1093/jamia/ocac092
Both academic medical centers and biomedical research sponsors need to understand impact of scientific funding to determine value. For the National Institutes of Health (NIH) Clinical and Translational Science Award (CTSA) hubs, tracking research activities can be complex, often involving multiple institutions and continually changing federal reporting requirements. Existing research administrative systems are institution-specific and tend to focus only on parts of a greater whole. The goal of this case [...]
Author(s): Wood, Elizabeth A, Campion, Thomas R
DOI: 10.1093/jamia/ocac100
Hospitals have multiple methods available to engage in health information exchange (HIE); however, it is not well understood whether these methods are complements or substitutes. We sought to characterize patterns of adoption of HIE methods and examine the association between these methods and increased availability and use of patient information.
Author(s): Everson, Jordan, Patel, Vaishali
DOI: 10.1093/jamia/ocac079
This case study assesses the uptake, user characteristics, and outcomes of automated self-scheduling in a community-based physician group affiliated with an academic health system. We analyzed 1 995 909 appointments booked between January 1, 2019, and June 30, 2021 at more than 30 practice sites. Over the study period, uptake of self-scheduling increased from 4% to 15% of kept appointments. Younger, commercially insured patients were more likely to be users. Missed appointments [...]
Author(s): Woodcock, Elizabeth, Sen, Aditi, Weiner, Jonathan
DOI: 10.1093/jamia/ocac087
The Rapid Acceleration of Diagnostics-Underserved Populations (RADx-UP) program is a consortium of community-engaged research projects with the goal of increasing access to Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) tests in underserved populations. To accelerate clinical research, common data elements (CDEs) were selected and refined to standardize data collection and enhance cross-consortium analysis.
Author(s): Carrillo, Gabriel A, Cohen-Wolkowiez, Michael, D'Agostino, Emily M, Marsolo, Keith, Wruck, Lisa M, Johnson, Laura, Topping, James, Richmond, Al, Corbie, Giselle, Kibbe, Warren A
DOI: 10.1093/jamia/ocac097
HL7 SMART on FHIR apps have the potential to improve healthcare delivery and EHR usability, but providers must be aware of the apps and use them for these potential benefits to be realized. The HL7 CDS Hooks standard was developed in part for this purpose. The objective of this study was to determine if contextually relevant CDS Hooks prompts can increase utilization of a SMART on FHIR medical reference app [...]
Author(s): Morgan, Keaton L, Kukhareva, Polina V, Warner, Phillip B, Wilkof, Jonah, Snyder, Meir, Horton, Devin, Madsen, Troy, Habboushe, Joseph, Kawamoto, Kensaku
DOI: 10.1093/jamia/ocac085
Deep learning models for clinical event forecasting (CEF) based on a patient's medical history have improved significantly over the past decade. However, their transition into practice has been limited, particularly for diseases with very low prevalence. In this paper, we introduce CEF-CL, a novel method based on contrastive learning to forecast in the face of a limited number of positive training instances.
Author(s): Zhang, Ziqi, Yan, Chao, Zhang, Xinmeng, Nyemba, Steve L, Malin, Bradley A
DOI: 10.1093/jamia/ocac086
Artificial intelligence/machine learning models are being rapidly developed and used in clinical practice. However, many models are deployed without a clear understanding of clinical or operational impact and frequently lack monitoring plans that can detect potential safety signals. There is a lack of consensus in establishing governance to deploy, pilot, and monitor algorithms within operational healthcare delivery workflows. Here, we describe a governance framework that combines current regulatory best practices [...]
Author(s): Bedoya, Armando D, Economou-Zavlanos, Nicoleta J, Goldstein, Benjamin A, Young, Allison, Jelovsek, J Eric, O'Brien, Cara, Parrish, Amanda B, Elengold, Scott, Lytle, Kay, Balu, Suresh, Huang, Erich, Poon, Eric G, Pencina, Michael J
DOI: 10.1093/jamia/ocac078