Promoting electronic health record adoption. Is it the correct focus?
Author(s): Simborg, Donald W
DOI: 10.1197/jamia.M2573
Author(s): Simborg, Donald W
DOI: 10.1197/jamia.M2573
We examine the feasibility of a machine learning approach to identification of foot examination (FE) findings from the unstructured text of clinical reports. A Support Vector Machine (SVM) based system was constructed to process the text of physical examination sections of in- and out-patient clinical notes to identify if the findings of structural, neurological, and vascular components of a FE revealed normal or abnormal findings or were not assessed. The [...]
Author(s): Pakhomov, Serguei V S, Hanson, Penny L, Bjornsen, Susan S, Smith, Steven A
DOI: 10.1197/jamia.M2585
To develop an electronic health record that facilitates rapid capture of detailed narrative observations from clinicians, with partial structuring of narrative information for integration and reuse.
Author(s): Johnson, Stephen B, Bakken, Suzanne, Dine, Daniel, Hyun, Sookyung, Mendonça, Eneida, Morrison, Frances, Bright, Tiffani, Van Vleck, Tielman, Wrenn, Jesse, Stetson, Peter
DOI: 10.1197/jamia.M2131
This study sought to explore the relationship of workarounds related to the implementation of an electronic medication administration record and medication safety practices in five Midwestern nursing homes.
Author(s): Vogelsmeier, Amy A, Halbesleben, Jonathon R B, Scott-Cawiezell, Jill R
DOI: 10.1197/jamia.M2378
The authors organized a Natural Language Processing (NLP) challenge on automatically determining the smoking status of patients from information found in their discharge records. This challenge was issued as a part of the i2b2 (Informatics for Integrating Biology to the Bedside) project, to survey, facilitate, and examine studies in medical language understanding for clinical narratives. This article describes the smoking challenge, details the data and the annotation process, explains the [...]
Author(s): Uzuner, Ozlem, Goldstein, Ira, Luo, Yuan, Kohane, Isaac
DOI: 10.1197/jamia.M2408
We describe the architecture of LifeCode (A-Life Medical, Inc.), a natural language processing system for free-text clinical information extraction, our methodology in applying LifeCode to the i2b2 smoking challenge, and statistical measures for performance evaluation. Due to the limited test size and the coefficient of variation in the test standard, it is difficult to draw conclusions regarding the relative efficacy of approaches that were applied to this challenge.
Author(s): Heinze, Daniel T, Morsch, Mark L, Potter, Brian C, Sheffer, Ronald E
DOI: 10.1197/jamia.M2438
TimeText is a temporal reasoning system designed to represent, extract, and reason about temporal information in clinical text.
Author(s): Zhou, Li, Parsons, Simon, Hripcsak, George
DOI: 10.1197/jamia.M2467
Over the past year, several payers, employers, and commercial vendors have announced personal health record projects. Few of these are widely deployed and few are fully integrated into ambulatory or hospital-based electronic record systems. The earliest adopters of personal health records have many lessons learned that can inform these new initiatives. We present three case studies--MyChart at Palo Alto Medical Foundation, PatientSite at Beth Israel Deaconess Medical Center, and Indivo [...]
Author(s): Halamka, John D, Mandl, Kenneth D, Tang, Paul C
DOI: 10.1197/jamia.M2562
Author(s): Simborg, Donald W
DOI: 10.1197/jamia.M2672
The Tailored Interventions for management of DEpressive Symptoms (TIDES) program was designed based on social cognitive theory to provide tailored, computer-based education on key elements and self-care strategies for depressive symptoms in persons living with HIV/AIDS (PLWHAs).
Author(s): Lai, Tsai-Ya, Larson, Elaine L, Rockoff, Maxine L, Bakken, Suzanne
DOI: 10.1197/jamia.M2481