Cross-vendor evaluation of key user-defined clinical decision support capabilities: A scenario-based assessment of certified electronic health records with guidelines for future development

Objective Clinical decision support (CDS) is essential for delivery of high-quality, cost-effective, and safe healthcare. The authors sought to evaluate the CDS capabilities across electronic health record (EHR) systems. Methods We evaluated the CDS implementation capabilities of 8 Office of the National Coordinator for Health Information Technology Authorized Certification Body […]


As congressional action looms, eminent informaticists define EHR interoperability

Fortunately, it looks as though we may have the basis of a definition of “open records,” aka interoperability, from two noted medical informaticians, Dean Sittig, professor of biomedical informatics at the University of Texas Health Science Center in Houston; and Adam Wright, a senior scientist in the general medicine division […]


CER Hub: An informatics platform for conducting comparative effectiveness research using multi-institutional, heterogeneous, electronic clinical data

Objectives Comparative effectiveness research (CER) requires the capture and analysis of data from disparate sources, often from a variety of institutions with diverse electronic health record (EHR) implementations. In this paper we describe the CER Hub, a web-based informatics platform for developing and conducting research studies that combine comprehensive electronic […]


What makes an EHR “open” or interoperable?

We have identified 5 use cases that comprise a useful definition of an “open or interoperable electronic health record (EHR).” Each of these use cases represents important functionality that should be available to 1) clinicians, so they can provide safe and effective health care; 2) researchers, so they can advance […]


HISTalk: Defining Our Terms: Does Anyone Know What an “Open EHR” Really Is?

A JAMIA article by Dean Sittig and Adam Wright proposes use cases of exactly what determines whether a given EHR is “open” or “interoperable,” which hopefully will squelch the bleating of robotic vendor CEOs who insist on abusing the term to mean “whatever we’re selling at the moment.” The authors […]


At the Helm of the World’s Largest Medical Library: Interviews with Donald A.B. Lindberg

Dr. Donald A.B. Lindberg, an eminent pathologist, served as Director of the National Library of Medicine for more than 30 years and has made important contributions to information and computer activities in medical diagnosis, artificial intelligence, and educational programs. INTERVIEWED BY JOAN ASH AND DEAN SITTIG JUNE 1, 2005 WOODS HOLE, MA & JULY 13, 2005 BETHESDA, MD Donald […]


Engineering Computerized Multiphasic Screening: An Interview with Morris F. Collen

Dr. Morris Collen was an internationally respected leader in medical informatics and a pioneer in electronic medical record systems. INTERVIEWED BY DEAN F. SITTIG AUGUST 1, 2005 OAKLAND, CA From his time as a young doctor administering to Henry J. Kaiser’s shipyard workers in Richmond, Calif., in 1942, to many decades of work in research and medical informatics, […]