2017
Utilizing patient data from the veterans administration electronic health record to support web-based clinical decision support: informatics challenges and issues from three clinical domains
Rajeevan N, Niehoff KM, Charpentier P, Levin FL, Justice A, Brandt CA, Fried TR, Miller PL. Utilizing patient data from the veterans administration electronic health record to support web-based clinical decision support: informatics challenges and issues from three clinical domains. BMC Medical Informatics And Decision Making 2017, 17: 111. PMID: 28724368, PMCID: PMC5517800, DOI: 10.1186/s12911-017-0501-x.Peer-Reviewed Original ResearchMeSH KeywordsDecision Support Systems, ClinicalElectronic Health RecordsHumansUnited StatesUnited States Department of Veterans AffairsConceptsClinical decision supportElectronic health recordsCDS systemsDecision supportPatient-specific clinical decision supportEHR environmentInformatics challengesWeb-based clinical decision supportHealth recordsPatient dataWeb technologiesData accessComputational infrastructureParticular architectureIssues/challengesDesign issuesSuch systemsInformatics methodsPowerful setData availabilityVeterans AdministrationInfrastructureVA electronic health recordClinical domainsUS Veterans Administration
2016
Fracture Prediction With Modified-FRAX in Older HIV-Infected and Uninfected Men
Yin MT, Shiau S, Rimland D, Gibert CL, Bedimo RJ, Rodriguez-Barradas MC, Harwood K, Aschheim J, Justice AC, Womack JA. Fracture Prediction With Modified-FRAX in Older HIV-Infected and Uninfected Men. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2016, 72: 513-520. PMID: 27003493, PMCID: PMC4942335, DOI: 10.1097/qai.0000000000000998.Peer-Reviewed Original ResearchMeSH KeywordsAgedAlgorithmsBone DensityDecision Support Systems, ClinicalFractures, SpontaneousHIV InfectionsHumansMaleMiddle AgedOsteoporotic FracturesProspective StudiesReproducibility of ResultsRisk AssessmentVeteransConceptsUninfected menOlder HIVSecondary osteoporosisFRAX calculationVeterans Aging Cohort Study Virtual CohortFracture Risk CalculatorIncident fragility fracturesMajor osteoporotic fractureIncident fracturesPharmacologic therapyFragility fracturesHip fractureHIV statusFracture preventionOsteoporotic fracturesRisk calculatorFracture ratesBone densityCase findingFRAXHIVVirtual cohortOsteoporosisComplete dataMen
2013
The Next Therapeutic Challenge in HIV: Polypharmacy
Edelman EJ, Gordon KS, Glover J, McNicholl IR, Fiellin DA, Justice AC. The Next Therapeutic Challenge in HIV: Polypharmacy. Drugs & Aging 2013, 30: 613-628. PMID: 23740523, PMCID: PMC3715685, DOI: 10.1007/s40266-013-0093-9.BooksMeSH KeywordsAgingAntiretroviral Therapy, Highly ActiveComorbidityDecision Support Systems, ClinicalHIV InfectionsHumansMedication ReconciliationPolypharmacyPrecision MedicineConceptsAntiretroviral therapyHIV infectionSerious adverse drug eventsChronic antiretroviral therapyHarms of polypharmacyLifelong antiretroviral therapyRisk of polypharmacyCombination antiretroviral therapyNumber of medicationsAdverse drug eventsOrgan system injuryDecades of lifePhysiologic frailtyHIV patientsMore medicationsComorbid diseasesGeriatric syndromesImmune dysfunctionMedication adherenceMost HIVTherapeutic challengeChronic inflammationSystem injuryDrug eventsPolypharmacy
2011
The Yale cTAKES extensions for document classification: architecture and application
Garla V, Re V, Dorey-Stein Z, Kidwai F, Scotch M, Womack J, Justice A, Brandt C. The Yale cTAKES extensions for document classification: architecture and application. Journal Of The American Medical Informatics Association 2011, 18: 614-620. PMID: 21622934, PMCID: PMC3168305, DOI: 10.1136/amiajnl-2011-000093.Peer-Reviewed Original ResearchMeSH KeywordsConnecticutData MiningDecision Support Systems, ClinicalElectronic Health RecordsHumansLiver FailureNatural Language ProcessingPattern Recognition, AutomatedRadiographyRadiology Information SystemsConceptsDocument classificationFeature extractionProcessing systemKnowledge Extraction SystemDocument classification systemClinical Text AnalysisDocument classifierFeature representationRadiology reportsOpen sourceClinical textText analysisTechnical challengesClassificationExtraction systemClassification systemRepresentationClassifierSemanticsSystemArchitectureRetrievalExtractionSyntaxExtension
2009
Development of an Electronic Medical Record-Based Clinical Decision Support Tool to Improve HIV Symptom Management
Nader CM, Tsevat J, Justice AC, Mrus JM, Levin F, Kozal MJ, Mattocks K, Farber S, Rogers M, Erdos J, Brandt C, Kudel I, Braithwaite R. Development of an Electronic Medical Record-Based Clinical Decision Support Tool to Improve HIV Symptom Management. AIDS Patient Care And STDs 2009, 23: 521-529. PMID: 19538046, PMCID: PMC3048777, DOI: 10.1089/apc.2008.0209.Peer-Reviewed Original ResearchMeSH KeywordsAdultDecision Making, Computer-AssistedDecision Support Systems, ClinicalFemaleHIV InfectionsHumansMaleMedical Records Systems, ComputerizedMiddle AgedPatient SatisfactionPilot ProjectsPractice Guidelines as TopicPractice Patterns, Physicians'Severity of Illness IndexSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsConceptsClinical decision support toolVeterans Health Administration electronic medical recordsElectronic medical recordsSymptom managementMedical recordsProvider awarenessProgress notesClinical HIV careHIV symptom managementEMR notesHIV careHIV clinicClinical responseControl patientsHIV diseaseCommon symptomsPoint of careHIV symptomsProvider notesPatients' perceptionsIntervention groupIntervention periodCare plansPatientsSymptoms