NIH's Big Data to Knowledge initiative and the advancement of biomedical informatics.
Author(s): Ohno-Machado, Lucila
DOI: 10.1136/amiajnl-2014-002666
Author(s): Ohno-Machado, Lucila
DOI: 10.1136/amiajnl-2014-002666
To compare the agreement of electronic health record (EHR) data versus Medicaid claims data in documenting adult preventive care. Insurance claims are commonly used to measure care quality. EHR data could serve this purpose, but little information exists about how this source compares in service documentation. For 13 101 Medicaid-insured adult patients attending 43 Oregon community health centers, we compared documentation of 11 preventive services, based on EHR versus Medicaid claims [...]
Author(s): Heintzman, John, Bailey, Steffani R, Hoopes, Megan J, Le, Thuy, Gold, Rachel, O'Malley, Jean P, Cowburn, Stuart, Marino, Miguel, Krist, Alex, DeVoe, Jennifer E
DOI: 10.1136/amiajnl-2013-002333
To examine how patient portals contribute to health service delivery and patient outcomes. The specific aims were to examine how outcomes are produced, and how variations in outcomes can be explained.
Author(s): Otte-Trojel, Terese, de Bont, Antoinette, Rundall, Thomas G, van de Klundert, Joris
DOI: 10.1136/amiajnl-2013-002501
To design, build, and evaluate a storage model able to manage heterogeneous digital imaging and communications in medicine (DICOM) images. The model must be simple, but flexible enough to accommodate variable content without structural modifications; must be effective on answering query/retrieval operations according to the DICOM standard; and must provide performance gains on querying/retrieving content to justify its adoption by image-related projects.
Author(s): Savaris, Alexandre, Härder, Theo, von Wangenheim, Aldo
DOI: 10.1136/amiajnl-2013-002337
Data-driven risk stratification models built using data from a single hospital often have a paucity of training data. However, leveraging data from other hospitals can be challenging owing to institutional differences with patients and with data coding and capture.
Author(s): Wiens, Jenna, Guttag, John, Horvitz, Eric
DOI: 10.1136/amiajnl-2013-002162
As large genomics and phenotypic datasets are becoming more common, it is increasingly difficult for most researchers to access, manage, and analyze them. One possible approach is to provide the research community with several petabyte-scale cloud-based computing platforms containing these data, along with tools and resources to analyze it.
Author(s): Heath, Allison P, Greenway, Matthew, Powell, Raymond, Spring, Jonathan, Suarez, Rafael, Hanley, David, Bandlamudi, Chai, McNerney, Megan E, White, Kevin P, Grossman, Robert L
DOI: 10.1136/amiajnl-2013-002155
To evaluate state-of-the-art unsupervised methods on the word sense disambiguation (WSD) task in the clinical domain. In particular, to compare graph-based approaches relying on a clinical knowledge base with bottom-up topic-modeling-based approaches. We investigate several enhancements to the topic-modeling techniques that use domain-specific knowledge sources.
Author(s): Chasin, Rachel, Rumshisky, Anna, Uzuner, Ozlem, Szolovits, Peter
DOI: 10.1136/amiajnl-2013-002133
To determine whether assisted annotation using interactive training can reduce the time required to annotate a clinical document corpus without introducing bias.
Author(s): Gobbel, Glenn T, Garvin, Jennifer, Reeves, Ruth, Cronin, Robert M, Heavirland, Julia, Williams, Jenifer, Weaver, Allison, Jayaramaraja, Shrimalini, Giuse, Dario, Speroff, Theodore, Brown, Steven H, Xu, Hua, Matheny, Michael E
DOI: 10.1136/amiajnl-2013-002255
Electronic health records (EHRs) must support primary care clinicians and patients, yet many clinicians remain dissatisfied with their system. This article presents a consensus statement about gaps in current EHR functionality and needed enhancements to support primary care. The Institute of Medicine primary care attributes were used to define needs and meaningful use (MU) objectives to define EHR functionality. Current objectives remain focused on disease rather than the whole person [...]
Author(s): Krist, Alex H, Beasley, John W, Crosson, Jesse C, Kibbe, David C, Klinkman, Michael S, Lehmann, Christoph U, Fox, Chester H, Mitchell, Jason M, Mold, James W, Pace, Wilson D, Peterson, Kevin A, Phillips, Robert L, Post, Robert, Puro, Jon, Raddock, Michael, Simkus, Ray, Waldren, Steven E
DOI: 10.1136/amiajnl-2013-002229
Pathology reports are rich in narrative statements that encode a complex web of relations among medical concepts. These relations are routinely used by doctors to reason on diagnoses, but often require hand-crafted rules or supervised learning to extract into prespecified forms for computational disease modeling. We aim to automatically capture relations from narrative text without supervision.
Author(s): Luo, Yuan, Sohani, Aliyah R, Hochberg, Ephraim P, Szolovits, Peter
DOI: 10.1136/amiajnl-2013-002443