ISBN: 978-1-61567-435-0

American Medical Informatics Association Annual Symposium 2008 Biomedical and Health Informatics: From Foundations to Applications to Policy

Washington, DC, USA 8-12 November 2008

Volume 1 of 2

Editors: Jaap Suermondt Lucila Ohno-Machado

R. Scott Evans

Printed from e-media with permission by:

Curran Associates, Inc. 57 Morehouse Lane

Red Hook, NY 12571 www.proceedings.com

Some format issues inherent in the e-media version may also appear in this print version. Copyright© (2008) by the American Medical Informatics Association All rights reserved. Printed by Curran Associates, Inc. (2009) For permission requests, please contact the American Medical Informatics Association at the address below. American Medical Informatics Association 4915 St. Elmo Avenue, Suite 401 Bethesda, Maryland 20814 Phone: (301) 657-1291 Fax: (301) 657-1296 mail@amia.org

TABLE OF CONTENTS

VOLUME 1

PAPERS A State Profile of IT Sophistication in Nursing Homes ...................................................................................................... 1

Gregory Alexander

Probabilistic Asthma Case Finding: A Noisy OR Reformulation...................................................................................... 6Vibha Anand

SNOMED CT Coding Variation and Grouping for "other findings" in a Longitudinal Study on Urea Cycle Disorders .................................................................................................................................................................... 11

James Andrews

An Integrated Computerized Triage System in the Emergency Department................................................................. 16Dominik Aronsky

Methodology for Creating UMLS Content Views Appropriate for Biomedical Natural Language Processing ............................................................................................................................................................................. 21

Alan Aronson

A Rapid Assessment Process for Clinical Informatics Interventions .............................................................................. 26Joan Ash

Discovering Synergistic Qualities of Published Authors to Enhance Translational Research. ..................................... 31Nathan Bahr

Negative CPOE Attitudes Correlate with Diminished Power in the Workplace............................................................ 36Christa Bartos

A Scientific Collaboration Tool Built on the Facebook Platform .................................................................................... 41Steven Bedrick

Evaluating the Technical Adequacy of Electronic Prescribing Standards: Results of an Expert Panel Process .................................................................................................................................................................................. 46

Douglas Bell

Issues in Mapping LOINC Laboratory Tests to SNOMED CT ....................................................................................... 51Olivier Bodenreider

Development of a Reference Information Model and Knowledgebase for Electronic Bloodstream Infection Detection............................................................................................................................................................... 56

Tara Borlawsky

Semantic Categories and Relations for Modelling Adverse Drug Reactions Towards a Categorial Structure for Pharmacovigilance ....................................................................................................................................... 61

Cédric Bousquet

Identification of Inactive Medications in Narrative Medical Text................................................................................... 66Eugene Breydo

eQuality for All: Extending Automated Quality Measurement of Free Text Clinical Narratives ................................ 71Steven Brown

Predicting Outbreak Detection in Public Health Surveillance: Quantitative Analysis to Enable Evidence-Based Method Selection ...................................................................................................................................... 76

David Buckeridge

Using Regular Expressions to Extract Information on Pacemaker Implantation Procedures from Clinical Reports ................................................................................................................................................................... 81

Anita Burgun

Medication and Indication Linkage: A Practical Therapy for the Problem List? ......................................................... 86Matthew Burton

Variable-length Positional Modeling for Biological Sequence Classification ................................................................. 91Andigoni Malousi

Automatically Extracting Information Needs from Ad Hoc Clinical Questions ............................................................ 96Yong-gang Cao

Selecting Data Elements to Build a Patient-centric Electronic Health Record That Will Support Adherence to Therapeutic Lifestyle Change ................................................................................................................... 101

Connie Chan

Early Experiences in Evolving an Enterprise-Wide Information Model for Laboratory and Clinical Observations ...................................................................................................................................................................... 106

Elizabeth Chen

Alert Override Reasons: A Failure to Communicate...................................................................................................... 111Amy Chused

Leading a Horse to Water: Using Automated Reminders to Increase Use of Online Decision Support .................... 116James Cimino

Optimizing Feature Representation for Automated Systematic Review Work Prioritization .................................... 121Aaron Cohen

Exploring MEDLINE Space with Random Indexing and Pathfinder Networks.......................................................... 126Trevor Cohen

Identifying Logical Clinical Context Clusters in Nursing Orders for the Purpose of Information Retrieval ............................................................................................................................................................................. 131

Sarah Collins

Bridging Biological Ontologies and Biosimulation: The Ontology of Physics for Biology........................................... 136Daniel Cook

Automated Information Extraction of Key Trial Design Elements from Clinical Trial Publications ........................ 141Berry de Bruijn

Paraphrase Acquisition from Comparable Medical Corpora of Specialized and Lay Texts ...................................... 146Louise Deléger

A Prototype System to Support Evidence-based Practice .............................................................................................. 151Dina Demner-Fushman

Development and Evaluation of a Clinical Note Section Header Terminology ............................................................ 156Joshua Denny

Regular Paths in SparQL: Querying the NCI Thesaurus .............................................................................................. 161Landon Detwiler

The CHICA Smoking Cessation System .......................................................................................................................... 166Stephen Downs

Learning Detectors of Events in Multivariate Time Series (Abstract Only)................................................................. 171Artur Dubrawski

NLP-based Identification of Pneumonia Cases from Free-Text Radiological Reports ................................................ 172Peter Elkin

Word Sense Disambiguation via Semantic Type Classification ..................................................................................... 177Jung-Wei Fan

Evaluating the AMIA-OHSU 10x10 Program to Train Healthcare Professionals in Medical Informatics ......................................................................................................................................................................... 182

Sue Feldman

Semantic Processing to Support Clinical Guideline Development................................................................................. 187Marcelo Fiszman

The One Laptop per Child (OLPC) Computer for Health Clinics in Developing Countries ...................................... 192Paul Fontelo

caBIG™ Compatibility Review System: Software to Support the Evaluation of Applications Using Defined Interoperability Criteria ..................................................................................................................................... 197

Robert Freimuth

Somatic Mutation Signatures of Cancer .......................................................................................................................... 202Lewis Frey

Using Natural Language Processing to Improve Accuracy of Automated Notifiable Disease Reporting .................. 207Jeff Friedlin

A Regional Health Information Exchange: Architecture and Implementation............................................................ 212Mark Frisse

How the Social Web Supports Patient Experimentation with a New Therapy: The demand for patient-centered medical informatics............................................................................................................................... 217

Jeana Frost

Models for Predicting and Explaining Citation Count of Biomedical Articles............................................................. 222Lawrence Fu

RxTerms — An Interface Drug Terminology Derived from Rxnorm........................................................................... 227Kin Wah Fung

Clinician Use and Acceptance of Population-Based Data about Respiratory Pathogens: Implications for Enhancing Population-Based Clinical Practice ......................................................................................................... 232

Per Gesteland

Extracting Structured Medication Event Information from Narrative Clinical Notes................................................ 237Sigfried Gold

Analysis of Data Errors in Clinical Research Databases................................................................................................ 242Saveli Goldberg

Identification and Extraction of Family History Information from Clinical Reports.................................................. 247Sergey Goryachev

Combination of Endogenous Clues for Profiling Inferred Semantic Relations: Experiments with Gene Ontology ............................................................................................................................................................................. 252

Natalia Grabar

How Usability of a Web-Based Clinical Decision Support System has the Potential to Contribute to Adverse Medical Events .................................................................................................................................................... 257

Timothy Graham

Multi-Factor De-Identification of Facial Images (Abstract Only) ................................................................................. 262Ralph Gross

Field Evaluation of Commercial Computerized Provider Order Entry Systems in Community Hospitals ............................................................................................................................................................................. 263

Kenneth Guappone

Generating Nurse Profiles from Computerized Labor and Delivery Documentation ................................................. 268Eric Hall

Auditing Complex Concepts in Overlapping Subsets of SNOMED .............................................................................. 273Michael Halper

Assessing the Performance Characteristics of Signals Used by a Clinical Event Monitor to Detect Adverse Drug Reactions in the Nursing Home................................................................................................................ 278

Steven Handler

The Impact Of Web-Based Diabetes Risk Calculators On Information Processing and Risk Perceptions ......................................................................................................................................................................... 283

Christopher Harle

Towards a Collaborative Filtering Approach to Medication Reconciliation ................................................................ 288Sharique Hasan

Biological Entity Recognition with Conditional Random Fields.................................................................................... 293Ying He

An Interactive Tool for Visualizing Design Heterogeneity in Clinical Trials ............................................................... 298Maria-Elena Hernandez

What Workforce is Needed to Implement the Health Information Technology Agenda? An Analysis from the HIMSS Analytics™ Database ........................................................................................................................... 303

William Hersh

Characterization of Patients who Suffer Asthma Exacerbations using Data Extracted from Electronic Medical Records ................................................................................................................................................................ 308

Blanca Himes

Gene-L'EXPO: a Tool for Knowledge Discovery from Transcriptome That Assists Finding 'Literature-sparse' Relationships Between the Genes and the Tissues.......................................................................... 313

Teruyoshi Hishiki

Automatic Pre-Hospital Vital Signs Waveform and Trend Data Capture Fills Quality Management, Triage and Outcome Prediction Gaps.............................................................................................................................. 318

Peter Hu

Summarising Complex ICU Data in Natural Language................................................................................................. 323Jim Hunter

TN-TIES: A System for Extracting Temporal Information from Emergency Department Triage Notes ................. 328Ann Irvine

The MidSouth eHealth Alliance: Use and Impact In the First Year ............................................................................ 333Kevin Johnson

An Agent Based Simulation Tool for Scheduling Emergency Department Physicians................................................ 338Spencer Jones

The Value of Personal Health Record (PHR) Systems ................................................................................................... 343David Kaelber

Survival Prediction Models for Estimating the Benefit of Post-Operative Radiation Therapy for Gallbladder Cancer and Lung Cancer............................................................................................................................. 348

Jayashree Kalpathy-Cramer

Creating a Gold Standard for the Readability Measurement of Health Texts ............................................................. 353Sasikiran Kandula

A Fast Document Classification Algorithm for Gene Symbol Disambiguation in the BITOLA Literature-Based Discovery Support System .................................................................................................................. 358

Andrej Kastrin

Re-engineering Opportunities in Clinical Research using Workflow Analysis in Community Practice Settings ............................................................................................................................................................................... 363

Sharib Khan

Toward Automatic Recognition of High Quality Clinical Evidence (Abstract Only) .................................................. 368Halil Kilicoglu

Predicting Hemodialysis Mortality Utilizing Blood Pressure Trends ........................................................................... 369Ronilda Lacson

Fuzzy Temporal Constraint Networks for Clinical Information ................................................................................... 374Albert Lai

Development and Evaluation of Predictive Alerts for Hemodynamic Instability in ICU Patients ............................. 379K. P. Lee

Comparison of Ontology-based Semantic-Similarity Measures .................................................................................... 384Wei-Nchih Lee

Experiences of Technology Integration in Home Care Nursing .................................................................................... 389KA Johnson

Evaluating Online Health Information: Beyond Readability Formulas ....................................................................... 394Gondy Leroy

Tool Support to Enable Evaluation of the Clinical Response to Treatment ................................................................. 399Mia Levy

Comparing ICD9-Encoded Diagnoses and NLP-Processed Discharge Summaries for Clinical Trials Pre-Screening: A Case Study ............................................................................................................................................ 404

Li Li

Supporting Ontology-based Keyword Search over Medical Databases ........................................................................ 409Lipyeow Lim

Annotating Breast Cancer Microarray Samples Using Ontologies ............................................................................... 414Hongfang Liu

A Bayesian Classifier for Differentiating Benign versus Malignant Thyroid Nodules using Sonographic Features ........................................................................................................................................................ 419

Yueyi Liu

Block-Suffix Shifting: Fast, Simultaneous Medical Concept Set Identification in Large Medical Record Corpora ................................................................................................................................................................. 424

Ying Liu

Coupling Direct Collection of Health Risk Information from Patients through Kiosks with Decision Support for Proactive Care Management........................................................................................................................ 429

David Lobach

Three Years Experience with the Implementation of a Networked Electronic Medical Record in Haiti................... 434William Lober

Evaluating Relevance Ranking Strategies for MEDLINE Retrieval (Abstract Only) ................................................. 439Zhiyong Lu

FRIL: A Tool for Comparative Record Linkage ............................................................................................................ 440James Lu

Improving Classification Performance with Discretization on Biomedical Datasets ................................................... 445Jonathan Lustgarten

Evaluation of MedLEE Semantic Features to Classify Patient Smoking Status .......................................................... 450Patrick McCormick

Comparison of Methods to Quantify Agreement in Qualitative Data........................................................................... 455Delano McFarlane

Ontology-Based Annotation of Brain MRI Images......................................................................................................... 460Ammar Mechouche

FMA-RadLex: An Application Ontology of Radiological Anatomy derived from the Foundational Model of Anatomy Reference Ontology ........................................................................................................................... 465

Jose L.V. Mejino

The MedDRA Paradox...................................................................................................................................................... 470Gary Merrill

The Transition from Paper to Digital: Lessons for Medical Specialty Societies........................................................... 475Donald Miller Jr.

Electronic Medical Record (EMR) Utilization for Public Health Surveillance ............................................................ 480Zaruhi R. Mnatsakanyan

Emerging Trend Prediction in Biomedical Literature.................................................................................................... 485Fabian Moerchen

Integrating Electronic Patient Questionnaires into the Electronic Medical Record to Support Patient-Centered Care — Architectural Choices and Challenges .............................................................................................. 490

Barbara Moore

Intravenous Medication Administration in Intensive Care: Opportunities for Technological Solutions .................. 495Jacqueline Moss

Auditing the NCI Thesaurus with Semantic Web Technologies .................................................................................... 500Fleur Mougin

Informatics Tools for the Development of Action-Oriented Triggers for Outpatient Adverse Drug Events ................................................................................................................................................................................. 505

Hillary Mull

Validation of an Electronic System for Recording Medical Student Patient Encounters............................................ 510Flory Nkoy

Barcode Medication Administration: Supporting Transitions in Articulation Work ................................................. 515Laurie Novak

Developing Biomedical Ontologies Collaboratively ........................................................................................................ 520Natalya Noy

Comparison of RFID Systems for Tracking Clinical Interventions at the Bedside...................................................... 525Kumiko Ohashi

Visualizing Multivariate Time Series Data to Detect Specific Medical Conditions...................................................... 530Patricia Ordóñez

Improving Calibration of Logistic Regression Models by Local Estimates .................................................................. 535Melanie Osl

A Constraint Satisfaction Approach to Data-Driven Implementation of Clinical Practice Guidelines...................... 540Dympna O'Sullivan

Automatic Quality of Life Prediction Using Electronic Medical Records .................................................................... 545Sergeui Pakhomov

Analysis of Maryland Poisoning Deaths Using CART.................................................................................................... 550Carol Pamer

Using Semantic and Structural Properties of the UMLS to Discover Potential Terminological Relationships (Abstract Only) .......................................................................................................................................... 555

Chintan Patel

LexValueSets: An Approach for Context-Driven Value Sets Extraction...................................................................... 556Jyotishman Pathak

The Usefulness of Information and Communication Technologies in Crisis Response ............................................... 561Sharoda Paul

Supporting the Design of Translational Clinical Studies Through the Generation and Verification of Conceptual Knowledge-anchored Hypotheses ................................................................................................................ 566

Philip Payne

Assessing the Use of Cognitive Heuristic Representativeness in Clinical Reasoning ................................................... 571Velma Payne

Web Screening of US Nursing Homes by Location and Quality.................................................................................... 576Glenn Pearson

Application of Statistical Process Control Methods to Monitor Guideline Adherence: A Case Study....................... 581Niels Peek

Using Multi-terminology Indexing for the Assignment of MeSH Descriptors to Health Resources in a French Online Catalogue .................................................................................................................................................. 586

Suzanne Pereira

Using the RxNorm Web Services API for Quality Assurance Purposes ....................................................................... 591Lee Peters

Identifying Data Sharing in Biomedical Literature ........................................................................................................ 596Heather Piwowar

Searching Electronic Health Records for Temporal Patterns in Patient Histories: A Case Study with Microsoft Amalga .............................................................................................................................................................. 601

Catherine Plaisant

Concept Similarity in Publications Precedes Cross-disciplinary Collaboration........................................................... 606Andrew Post

A Multi-level Spatial Clustering Algorithm for Detection of Disease Outbreaks......................................................... 611Jialan Que

Implementing an Integrated Computerized Patient Record System: The Need for an Evidence-based System Implementation Practice in Healthcare .............................................................................................................. 616

Bahlol Rahimi

The Effects of Hands Free Communication Devices on Clinical Communication: Balancing Communication Access Needs with User Control ........................................................................................................... 621

Joshua Richardson

VOLUME 2 iPad: Semantic Annotation and Markup of Radiological Images.................................................................................. 626

Daniel Rubin

An Agent-Based Model for Evaluating Surveillance Methods for Catheter-Related Bloodstream Infection.............................................................................................................................................................................. 631

Michael Rubin

From Episodes of Care to ICD Codes: Automatic Text Categorization for Medico-Economic Encoding ............................................................................................................................................................................. 636

Patrick Ruch

"What's the Story?" Information Needs of Trauma Teams .......................................................................................... 641Aleksandra Sarcevic

Structured Product Labeling Improves Detection of Drug-Intolerance Issues (Abstract Only)................................. 646Gunther Schadow

Evaluation of a Document Search Engine in a Clinical Department System................................................................ 647Stefan Schulz

UMLS-Query: A Perl Module for Querying the UMLS................................................................................................. 652Nigam Shah

A Cost Model for Personal Health Records (PHRs) ....................................................................................................... 657Sapna Shah

A Framework for Characterizing Drug Information Sources ....................................................................................... 662Mark Sharp

Ranking Single Nucleotide Polymorphisms by Potential Deleterious Effects ............................................................... 667Hagit Shatkay

Generating Application Ontologies from Reference Ontologies .................................................................................... 672Marianne Shaw

Enhancing an ePrescribing System By Adding Medication Histories and Formularies: the Regenstrief Medication Hub ................................................................................................................................................................. 677

Linas Simonaitis

PatientsLikeMe: Consumer Health Vocabulary as a Folksonomy ................................................................................ 682Catherine Smith

Building an Automated Problem List Based on Natural Language Processing: Lessons Learned in the Early Phase of Development ............................................................................................................................................. 687

Imre Solti

Optimizing Syndromic Surveillance Text Classifiers for Influenza-like Illness: Does Document Source Matter? .................................................................................................................................................................. 692

Brett South

Modeling and Using a Web-based and Tutored Portfolio to Support a Certification Process of Professional Competences in Transfusion Medicine....................................................................................................... 697

Pascal Staccini

A Real-time Ventilator Management Dashboard: Toward Hardwiring Compliance with Evidence-based Guidelines ................................................................................................................................................................ 702

John Starmer

An Electronic Encounter Log's Failure to Scale ............................................................................................................. 707Walton Sumner

A Tool for Improving the Longitudinal Imaging Characterization for Neuro-Oncology Cases ................................. 712Ricky Taira

Understanding Intention to Use Electronic Information Resources: A Theoretical Extension of Technology Acceptance Model (TAM) ............................................................................................................................ 717

Donghua Tao

Coping Efficiently with Now-relative Medical Data ....................................................................................................... 722Paolo Terenziani

Using an Integrated Ontology and Information Model for Querying and Reasoning about Phenotypes: The Case of Autism ...................................................................................................................................... 727

Samson Tu

Identification of Documented Medication Non-Adherence in Physician Notes ............................................................ 732Alexander Turchin

Connecting Public Health IT Systems with Enacted Work: Report of an Ethnographic Study ................................. 737Anne Turner

Barriers to Organizing Information during Cancer Care: "I don't know how people do it" ..................................... 742Kenton Unruh

Integrating an Automatic Classification Method Into the Medical Image Retrieval Process ..................................... 747Epaphrodite Uwimana

Two Approaches to Assertion Classification (Abstract Only)........................................................................................ 752Özlem Uzuner

Content and Structure of Clinical Problem Lists: A Corpus Analysis.......................................................................... 753Tielman Van Vleck

Assessing Usage Patterns of Electronic Clinical Documentation Templates ................................................................ 758David Vawdrey

A Patient-Centric Taxonomy for Personal Health Records (PHRs).............................................................................. 763Adam Vincent

Embracing Change in a Health Information Exchange ................................................................................................. 768Daniel Vreeman

Analysis of a Failed Clinical Decision Support System for Management of Congestive Heart Failure...................... 773Rajiv Wadhwa

Complexity Measures to Track the Evolution of a SNOMED Hierarchy ..................................................................... 778Yue Wang

Automated Knowledge Acquisition from Clinical Narrative Reports........................................................................... 783Xiaoyan Wang

Evaluation of a Dynamic Bayesian Belief Network to Predict Osteoarthritic Knee Pain using data from the Osteoarthitis Initiative ....................................................................................................................................... 788

Emily Watt

Synthesizing Community Wisdom: A Model for Sharing Cancer-Related Resources through Social Networking and Collaborative Partnerships ................................................................................................................... 793

Jacob Weiss

Understanding Interdisciplinary Health Sciences Collaborations: A Campus-Wide Survey of Obesity Experts................................................................................................................................................................................ 798

Chunhua Weng

Using Computerized Provider Order Entry and Clinical Decision Support to Improve Primary-Care Physicians' Implementation of Consultants' Medical Recommendations (Abstract Only) ......................................... 803

Martin Were

Informatics Competencies for Nursing and Healthcare Leaders .................................................................................. 804Bonnie Westra

Physician Use of Outpatient Electronic Health Records to Improve Care ................................................................... 809Adam Wilcox

Engineering of a Clinical Decision Support Framework for the Point of Care Use ..................................................... 814Szymon Wilk

Methods for Building Sense Inventories of Abbreviations in Clinical Notes (Abstract Only)..................................... 819Hua Xu

Unsupervised Method for Automatic Construction of a Disease Dictionary from a Large Free Text Collection............................................................................................................................................................................ 820

Rong Xu

SYRIAC: The SYstematic Review Information Automated Collection System A Data Warehouse for Facilitating Biomedical Text Mining................................................................................................................................ 825

Jianji Yang

Finding the Meaning of Medical Concept Correlations ................................................................................................. 830Meliha Yetisgen-Yildiz

Adherence to Home-monitoring and Its Impact on Survival in Post-lung Transplantation Patients......................... 835Hojung Yoon

An Adverse Drug Event and Medication Error Reporting System for Ambulatory Care .......................................... 839Atif Zafar

Design and Implementation of a Personal Medication Record-MyMedicationList ..................................................... 844Kelly Zeng

Improving Patient Comprehension and Recall of Discharge Instructions by Supplementing Free Texts with Pictographs ................................................................................................................................................................ 849

Qing Zeng-Treitler

Template-Driven Spatial-Temporal Outbreak Simulation for Outbreak Detection Evaluation ................................ 854Min Zhang

CHMP: A Collaborative Medical History Portal............................................................................................................ 859Noah Zimmerman

POSTERS Health Information Technology and Hospital Quality of Care ..................................................................................... 864

Terrence Adam

Automated Interpretation of Medical Prescription Text................................................................................................ 865William Arensman

Prevalence and Impact of Information Gaps in the Emergency Department .............................................................. 866Dominik Aronsky

Implementing a Computerized Pneumococcal Vaccination Reminder System in an Emergency Department: A Prospective Study .................................................................................................................................... 867

Dominik Aronsky

Improving Adherence to Dyslipidemia Medication Guidelines in Hospitalized Diabetic Patients Using a Technology-Assisted Pharmacist Intervention ............................................................................................................. 868

Thomas Bailey

Informatics Tools for Meeting Information and Communication Needs Related to Interdisciplinary Research Competency Development ................................................................................................................................ 869

Suzanne Bakken

Social Network Analysis of Interdisciplinarity in Obesity Research ............................................................................. 870Michael Bales

Supporting Multi-State Collaboration on Privacy and Security to Foster Health IT and Health Information Exchange....................................................................................................................................................... 871

Alison Banger

Terminological Reaction ................................................................................................................................................... 872David Baorto

Evaluation of an Automated Inferencing Engine Generating ICD-9CM codes for Physician and Hospital Billing .................................................................................................................................................................. 873

Maryam Behta

Comparing the Context and the SitBAC models for Privacy Preservation in terms of model understanding and synthesis ............................................................................................................................................. 874

Dizza Beimel

Multi-Professional Communication During a Patient Handoff ..................................................................................... 875Marge Benham-Hutchins

Nursing Informatics: Challenges to Philippine Nursing Curriculum ........................................................................... 876Alexandra Belle Bernal

Promoting Adherence to Ventilator Management and Ventilator Weaning Protocols ............................................... 877Tyler Berutti

A Novel System for Rapidly Identifying Toxic Chemicals ............................................................................................. 878Suresh Bhavnani

"Doing the Yellows" — An Analysis of Drug Review Processes Across Clinician Classes ......................................... 879Ravi Teja Bhupatiraju

Just-in-Time Automated Counseling for Physical Activity Promotion ......................................................................... 880Timothy Bickmore

Using the e-Chasqui, Web-based Information System, to Determine Laboratory Guidelines and Data Available to Clinical Staff ................................................................................................................................................. 881

Joaquin Blaya

The Ontology of Biological Taxa ...................................................................................................................................... 882Martin Boeker

A Database for a Computerized Tracking System of Surgical Devices......................................................................... 883Stefano Bonacina

Chronic Heart Failure Consumer Information: An Exploratory Study ....................................................................... 884Suzanne Boren

Leveraging an Existing Data Warehouse to Annotate Workflow Models for Operations Research and Optimization ...................................................................................................................................................................... 885

Tara Borlawsky

Human-Centered Design for Neonatal Apnea Monitoring: Application of the UFuRT Process to Analyze a Monitor Display Layout................................................................................................................................... 886

Timothy Brannon

Using Semantic Predications to Characterize the Clinical Cardiovascular Literature ............................................... 887Bruce Bray

Creating an Ontology for an Antibiotic Prescribing Decision Support System............................................................ 888Tiffani Bright

Learning Pathogenic Proteins across Fractured and Heterogeneous Data................................................................... 889Eithon Cadag

Use of Decision Support to Prevent Errors when Documenting Height and Weight in the Hospital Electronic Medical Record................................................................................................................................................ 890

Pedro Caraballo

A Comparison of the Diffusion of Two Innovations - A Pilot Study: Telemicroscopy versus Teleradiology...................................................................................................................................................................... 891

Naima Carter-Monroe

An Engineering Work Analysis Applied to Patient Falls in the Nursing Domain........................................................ 892Michael Cary

The Massachusetts Health and Homeland Alert Network: A Scalable and Secure Public Health Knowledge Management and Notification System.......................................................................................................... 893

Christopher Cassa

Correlating Phenotype and Genotype in Autism Spectrum Disorder Research .......................................................... 894Maria Cervone

Building a Collaborative Global Health Informatics Website ....................................................................................... 895Connie Chan

A Simple and Useful Solution for Visualizing the Care Flow for Patients and Healthcare Professionals.................. 896Polun Chang

Capturing Clinical Questions During Medical Residents' Workflow ........................................................................... 897Herbert Chase

A Balanced Approach to IT Reforms in the System of Healthcare in the Russian Federation ................................... 898Konstantin Chebotaev

Effectiveness Evaluation of Bar Code Implementation in Hospital - An Illustration of Out-Patient Pharmacy Information System ......................................................................................................................................... 899

Wen-Chih Chen

Detecting Linkages Between Human Illness and Salmonella Isolates in Food Using a New Tool for Spatio-temporal Analysis of Multi-stream Data ............................................................................................................. 900

Lujie Chen

Enhancing Clinical Problem Lists Through Data Mining and Natural Language Processing.................................... 901Elizabeth Chen

The Optimal Diagnostic Decision Sequence .................................................................................................................... 902Chih-Lin Chi

An Emergency Department Discharge Framework for Identifying Potential Adverse Events at the Time of Discharge .............................................................................................................................................................. 903

Kou-Wei Chiu

An Informatics and Epidemiological Evaluation of Infectious Disease Surveillance and Reporting Practices in Thailand: A Case Study of Suphanburi Province ..................................................................................... 904

Dorothy Chiu

Availability of Nursing Data in an Electronic Medical Record System for Assessing the Risk of Pressure Ulcers .................................................................................................................................................................. 905

InSook Cho

A Framework for Effective Implementation and Local Adaptation of Decision Support Systems ............................ 907Jeeyae Choi

Predictive Modeling for Improving Incontinence and Pressure Ulcers in Homecare Patients ................................... 908Lynn Choromanski

Bridge Building: Linking Nursing Practice to the ICNP Catalogue Developing an ICNP Catalogue for Children with HIV/AIDS in Developing Countries......................................................................................................... 909

Lynn Choromanski

The Use of Electronic Health Recording in the Training Room Setting ....................................................................... 910Derrick Christopher

EMR Guided Educational Gaming for Parents of Premature Infants.......................................................................... 911John Chuo

Accuracy and Completeness of Drug Information in Wikipedia ................................................................................... 912Kevin Clauson

Reducing HIE Costs through Real-Time Data Feed Visualizations .............................................................................. 913Timothy Coffman

Attaching Context Sensitive Infobuttons to an EHR Options and Issues ..................................................................... 914Beverly Collins

Developing a Novel Internet-Based Psychoeducational Intervention for Dementia Caregivers ................................. 915Meghan Coulehan

Community-Based Telehealth Kiosks: First Impressions ............................................................................................. 916Karen Courtney

A Health Information Technology Glossary for Novices................................................................................................ 917Gary Cravens

Usability Evaluation of Personal Digital Assistants (PDAs) to support HIV Treatment Adherence and Safer Sex Behavior in Peru ............................................................................................................................................... 918

Walter Curioso

Leveraging IT to Deliver Primary Care — The Case of the Democratic Republic of the Congo (Age-Old Problem, New Paradigm)........................................................................................................................................... 919

Nkossi Dambita

French Infobutton: An Academic And... Business Perspective...................................................................................... 920SJ. Darmoni

SemanticDx: A Prototype to Facilitate Use of Biostatistics at the Point-of-care .......................................................... 921Guido Davidzon

An Automatic Method for Retrieving and Indexing Catalogues of Biomedical Courses............................................. 922Guillermo de la Calle

Reporting Adverse Experiences Related to Drugs: an Ontology-based Tool to Help the Citizens ............................. 923Claudio De Lazzari

An Online Community for Teachers of Children with Autism to Support, Observe, and Evaluate Communication Enabled with Smartphones ................................................................................................................... 924

Gianluca De Leo

End-User Perspectives on E-Commerce and Health Care Web Site Quality ............................................................... 925Gianluca De Leo

Automated Capture and Assessment of Medical Student Clinical Experience ............................................................ 926Joshua Denny

Data Driven Semantic Integration of Translational Lung Cancer Research at MDAnderson Cancer Center ................................................................................................................................................................................. 927

Helena Deus

The Impact of an Ambulatory CPOE System on Medication Errors............................................................................ 928EB Devine

Implementation of a Metadata Architecture and Knowledge Collection to Support Semantic Interoperability in an Enterprise Data Warehouse ........................................................................................................ 929

Rakesh Dhaval

Defining Medication Complexity and Its Effect on Outcomes in Community Dwelling Elders Receiving Home Care ........................................................................................................................................................ 930

Mary Dierich

The Design of a Pre-Encounter Clinical Trial Screening Tool: ASAP .......................................................................... 931Jing Ding

Facilitating Informatics Knowledge Dissemination: Targeted Implementation Resources for Health Care Providers ................................................................................................................................................................... 932

Brian Dixon

Improving Healthcare-Associated Infection Surveillance at a Multi-Hospital Institution Using an Existing Data Repository .................................................................................................................................................. 933

Joshua Doherty

A Comparison of Data Captured at Point of Care Versus Data Captured Retrospectively........................................ 934Gerald Douglas

Simulated Yields of Prospective Specimen Collection from Specific Patient Cohorts Using Retrospective Data from a Research Patient Data Repository ...................................................................................... 935

Anil Dubey

The Cost of Being Wireless: A Usage Analysis of the 'PubMed for Handhelds' Portal at the Point-of-Care..................................................................................................................................................................................... 936

Erick Ducut

Emerging Approaches to PHR Design, Development and Use ...................................................................................... 937Prashila Dullabh

Advancing the ePrescribing Research.............................................................................................................................. 938Prashila Dullabh

Improving Physician Note Entry Rates through an Incentive Program ....................................................................... 939Jonathan Einbinder

Trends in Clinician Perceptions of a New Electronic Health Record............................................................................ 940Robert El-Kareh

Identification of Potential Surgical Site Infections Leveraging an Enterprise Clinical Information Warehouse.......................................................................................................................................................................... 941

Selnur Erdal

Data Delivery Workflow in an Academic Information Warehouse............................................................................... 942Selnur Erdal

BCMA Evaluation: Finding Significance in "Near Misses" .......................................................................................... 943Fern FitzHenry

BabelMeSH and PICO Linguist in Arabic ...................................................................................................................... 944Paul Fontelo

QR Code for Medical Information Uses .......................................................................................................................... 945Paul Fontelo

Web Service Access to Semantic Web Ontologies for Data Annotation........................................................................ 946Joshua Franklin

Using ICD Codes and Birth Records to Prevent Mis-matches of Multiple Births in Linked Hospital Readmission Data .............................................................................................................................................................. 947

Alison Fraser

Tracking HIV Patients in Rural Haiti to Ensure Compliance with Art Treatment..................................................... 948Hamish Fraser

The Impact of Uncertain Diagnostic Results on Responses to a Decision Support System for TB Drug Prescribing ......................................................................................................................................................................... 949

Hamish Fraser

A Case Definition for Human Influenza for Biosurveillance ......................................................................................... 950David Froehling

Improving Infrastructure for Pathway Prediction ......................................................................................................... 951Junfeng Gao

Telemedicine via Short Messaging System (SMS) in Rural Philippines........................................................................ 952Alex Gavino

Knowledge Management and Content Integration: A Collaborative Approach .......................................................... 953Debora Goldman

Representing Nursing Assessment Documentation With ICNP..................................................................................... 954Denise Goldsmith

Analyzing Voluntary Medical Incident Reports ............................................................................................................. 955Yang Gong

Making Primarily Professional Terms More Comprehensible to the Lay Audience ................................................... 956Sergey Goryachev

Development of a Flexible Healthcare Form Builder Using Ruby on Rails.................................................................. 957Timothy Graham

Clinical Trials Subject Registration and Randomization System (SRAR) ................................................................... 958Timothy Grose

RATE: An Ethnographic Data Collection and Review System ..................................................................................... 959Stephanie Guerlain

Concept Mapping to Develop a Framework for Characterizing Electronic Data Capture (EDC) Systems ............................................................................................................................................................................... 960

Alicia Guidry

Natural Language Processing to Identify Adverse Drug Events ................................................................................... 961Michael Gysbers

Eye Tracking Users of a Visual Diagnostic Clinical Decision Support System to Discover Decision-Making Strategies and to Inform User Interface Design................................................................................................ 962

Anne Haake

Detecting Workflow Changes after a CPOE Implementation: A Sequential Pattern Analysis Approach ............................................................................................................................................................................ 963

David Hanauer

Standardized Documentation in Physical Therapy: Testing of Validity and Reliability of the PT-ITC and Mapping it to the Metathesaurus .............................................................................................................................. 964

Arna Hardardottir

Physician Attitudes Toward SMS/Text Messaging in Medicine .................................................................................... 965Brian Hensel

Designing and Testing Computer Based Screening Engine for Severe Sepsis/septic Shock ........................................ 966V. Herasevich

How Well Does a Biomedical Informatics Curriculum Map to Health Information Management Knowledge Clusters? Analysis of a Program .................................................................................................................. 967

William Hersh

The Impact of Clinical Information Systems in Dental Schools .................................................................................... 968Heather Hill

Extending Functionality of and Demonstrating Integrated Surveillance for Public Health within a Prototype Regional Health Information Exchange ......................................................................................................... 969

Rebecca Hills

Informatics and Communication in a State Public Health Department: A Case Study .............................................. 970Rebecca Hills

Development of an Observational Tool on Computer Use During Rounds .................................................................. 971Danny Ho

Health Information System based on EHR for Workplace Health Promotion ............................................................ 972Seung Ho

Developing a Distributed Research Network to Conduct Population-Based Studies and Safety Surveillance ........................................................................................................................................................................ 973

John Holmes

Use of Consumer Health Vocabularies in Online Physician Directory to Improve Physician Search........................ 974Yi Hong

MD Webstation: Visual Integration and Desktop-Web Collaboration ......................................................................... 975Robert Horowitz

Modeling Pediatric Vaccination Guidelines in a Data Warehouse ................................................................................ 976Dan Housman

Overcoming Limits to Tobacco Control: Using the Internet to Bridge Clinical and Public Health Interventions ...................................................................................................................................................................... 977

Thomas Houston

The Development of Integration Mobile-Based Home Care Support Systems: MDS-HC as an Example .............................................................................................................................................................................. 978

Fang-Ying Hsiao

Information Disparities of Taiwan?s Health Web Sites by Spatial Variation .............................................................. 979Fang-Ying Hsiao

Statewide Real-Time In-Flight Trauma Patient Vital Signs Collection System ........................................................... 980Peter Hu

Usability Test of a Family Health History Web Tool...................................................................................................... 981Yan Huang

Analysis of Family Health History Data Collection Patterns in Consumer-Oriented Web-based Tools.................... 982Nathan Hulse

The Evolving State of Online Search for Consumer Health Information ..................................................................... 983Dale Hunscher

How Often is Stength of Recommendation Indicated in Guidelines? Analysis of the Yale Guideline Recommendation Corpus.................................................................................................................................................. 984

Tamseela Hussain

Nurses' Use and Perceptions of Usefulness of National Cancer Institute's Tobacco-related Cancer Information Service (CIS) Resources............................................................................................................................... 985

Sookyung Hyun

Large Scale Intervention Study to Hypertension with Information Technology: Hypertension Objective treatment based on Measurement by Electrical Devices of Blood Pressure (HOMED-BP) Study ................................................................................................................................................................................... 986

Ryusuke Inoue

A Statewide Assessment of e-HIT Use by All Healthcare Providers ............................................................................. 987Carol Ireson

A Preliminary Comparison of Speech Recognition Functionality in Dental Practice Management Systems ............................................................................................................................................................................... 988

Jeannie Irwin

Automating the Maintenance of Problem List Documentation Using a Clinical Decision Support System................................................................................................................................................................................. 989

Chiang Jao

Assessing Physician Comprehension of and Attitudes toward Problem List Documentation..................................... 990Chiang Jao

Suitability of the Arden Syntax for Representation of Quality Indicators ................................................................... 991Robert Jenders

Representing the ClaML-based ICD10 in LexGrid Terminology Model...................................................................... 992Guoqian Jiang

A Best-Fit Model for Concept Vectors in Biomedical Research Grants ....................................................................... 993Calvin Johnson

Leveraging User Search Behavior to Design Personalized Browsing Interfaces for Healthcare Web Sites ..................................................................................................................................................................................... 994

Josette Jones

A Multilingual Image Search Engine ............................................................................................................................... 995Charles Kahn Jr.

Toward an Objective Indexing System for ADHD-screening Using Children's Activity Monitoring ........................ 996Hye Jin Kam

A Case Study of Evaluating Informatics Impact on Diffusion of Scientific Knowledge .............................................. 997Susan Katz

Interface for Electronic Data Capture Systems for Clinical Trials by Optimal Utilization of Available Hospital Resources. ........................................................................................................................................................... 998

Sashank Kaushik

A Re-Examination of Performance Dimensions Using Data from the National Public Health Performance Standards Program V.1 Instrument.......................................................................................................... 999

Jonathan Keeling

The Neuroimaging Informatics Tools and Resources Clearinghouse (NITRC) ......................................................... 1000David Kennedy

Quality Measures for Capturing the Effects of Health Information Exchange.......................................................... 1001Lisa Kern

A Tag based Recommendation Engine to Suggest Information Resources in an Online Community for Health Promotion ............................................................................................................................................................ 1002

Sharib Khan

Improving Access to Clinical Information in an Emergency Department: a Qualitative Study............................... 1003Boonchai Kijsanayotin

Computerized Surveillance for Adverse Drug Events in a Pediatric Hospital ........................................................... 1004Peter Kilbridge

Cross-mapping Between the Concepts of Knowledge Representation for a Hypertension Guideline and SNOMED CT............................................................................................................................................................ 1005

Hyun Young Kim

Auto-Interpreter for CYP2D6 SNaPshot Genotyping .................................................................................................. 1006Eun-Young Kim

Clinical Decision Support Service Architecture for EHR Perspectives in KOREA................................................... 1007Jeong Ah Kim

Knowledge Translation of SAGE-based Guidelines for Executing with Knowledge Engine .................................... 1008Jeong Ah Kim

Challenges in Reusing Transactional Data for Daily Documentation in Neonatal Intensive Care ........................... 1009GR Kim

Development and Verification of a Hypertension Guideline Encoding Model ........................................................... 1010JiHyun Kim

Wrapper Consistency Analysis: A Measure of Consistency in a Wrapper Setting .................................................... 1011Chad Kimmel

Patient Record 2.0: Using Structured Clinical Documents to Provide Ranked, Relevant Display of Patient Records ................................................................................................................................................................ 1012

Jeff Klann

A New Proposal Of An Active Object-Oriented Project Management System For Electronic Health Records ............................................................................................................................................................................. 1013

Yoshiaki Kondo

Enabling GeneHunter as a Grid Service: A Case Study for Implementing Analytical Services for Biomedical Grids ............................................................................................................................................................. 1014

Sergey Krikov

A Development of Conceptual Framework for Structured Data Entry in Procedure ............................................... 1015Misook Kwak

Health Status and Prospective PHR Use........................................................................................................................ 1016Deborah Lafky

The Design of the Multilayered Electronic Health Record for the Telecare Pilot Project in Taiwan....................... 1017Tsai-Ya Lai

Effectiveness of Automatic Acute Stroke Alert System Based on UMLS Mapped Local Terminology Codes at Emergency Department ................................................................................................................................... 1018

JaeHo Lee

Knowledge representation of Critical Laboratory Results in Using the SAGE Framework and Challenges to its Implementation ................................................................................................................................... 1019

Jae Hyun Lee

Utility of a PDA-based Advanced Practice Nurse Student Clinical Log to Detect Possible Diagnostic Errors Related to Hypertension Management .............................................................................................................. 1020

Nam-Ju Lee

A Clinical Research Information System: An Example of Prospective Observational Study in Oncology ........................................................................................................................................................................... 1021

Brane Leskosek

Modeling the Data Transformations Underlying Touch Sensation to Further Tactile Feedback in Neural Prosthesis ............................................................................................................................................................. 1022

Daine Lesniak

Visualizing Research Themes in Radiological Applications for Breast Cancer Detection, Diagnosis and Treatment.................................................................................................................................................................. 1023

Guisu Li

Qualitative Methods Used in Medical Informatics Research: A 12-Year Review ...................................................... 1024Jingyi Li

Pharmacy Informatics in Controlled Substances Research ......................................................................................... 1025Jia-Ling Lin

Translating Medical Practice from the Real to the Virtual: Adapting an Existing Clinical Program to a Virtual World................................................................................................................................................................ 1026

Deborah Linton

Clinically-Weighted Terms in the Evaluation of MeSH Translations: BabelMeSH in Portuguese as a Model ................................................................................................................................................................................ 1027

Fang Liu

Predicting Patient Volume in Cardiac Catheterization Laboratory to Improve Resource Management ................ 1028Jianhua Liu

Use of Synthesized Data to Support Complex Ad-hoc Queries in an Enterprise Information Warehouse: A Diabetes Use Case ................................................................................................................................... 1029

Jianhua Liu

A Method for Verifying a Vector-Based Text Classification System........................................................................... 1030Chris Lu

Using Lexical Tools to Convert Unicode Characters to ASCII.................................................................................... 1031Chris Lu

A Comparative Analysis of the Dissemination of Best Practice Measures for Key Populations .............................. 1032Jennifer Lundy

Using a Novel Resource to Decrease Proteomic Biomarker Identification Time ....................................................... 1033Jonathan Lustgarten

Formulary Access Using a PDA-Based Drug Reference Tool: Does it Affect Prescribing Behavior? ...................... 1034Jason Lyman

Patient-Centered Design: Conceptually Modeling the Health Care Consumer ......................................................... 1035Jiao Ma

Identification of Pre-coordinated Term Candidates in a Cardiology Outpatient Service ......................................... 1036Sina Madani

Interruptions in Workflow Prior to the Implementation of a Critical Care Information System (CCIS) in Two Intensive Care Settings .......................................................................................................................... 1037

Rebecca Mador

Determining Business Models for Financial Sustainability in Regional Health Information Organizations (RHIOs): A Literature Review .............................................................................................................. 1038

Roxana Maffei

Comparing Drug Classification Systems ....................................................................................................................... 1039Anne Mahoney

Improving Throughput and User Experience for Information Intensive Websites by Applying HTTP Compression Technique .................................................................................................................................................. 1040

Ratnakar Malla

Structuring Data In Pathology Reports: Overcoming Challenges With New Tools .................................................. 1041Joy Mammen

An Experience of "Learning by Doing": The Hand Surface Images Archive ............................................................ 1042Sara Marceglia

Failure of a Wireless Voice Communication System to Facilitate Recording of Physician-Patient Assignment in the Emergency Department ................................................................................................................... 1043

Peter Mariani

Comparison of Pre-Processing Techniques for Fluorescence Microscopy Images of Cells Labeled for Actin.................................................................................................................................................................................. 1044

Mia Markey

Toward Decision Support for Breast Reconstruction: Automated Calculation of Symmetry Measure on Clinical Photographs .................................................................................................................................................. 1045

Mia Markey

Action GRID: Assessing the Impact of Nanotechnology on Biomedical Informatics................................................. 1046Fernando Martin-Sanchez

Learning is Different on the Web: A Theory-based Course Redesign Effort ............................................................. 1047David Masuda

Expanding DISCERN to Create a Tool for Assessing the Quality of Web-based Health Information Resources.......................................................................................................................................................................... 1048

Konstantina Matsoukas

Design of an eMonitor System to Transport Electronic Patient Care Report (EPCR) Information in Unstable Mobileip Wireless Environment ..................................................................................................................... 1049

Mazza Giovanni

Improving Management of Chronic Diseases with Documentation-Based Clinical Decision Support: Results of a Pilot Study.................................................................................................................................................... 1050

Kerry McColgan

A System to Improve Medication Safety in the Setting of Acute Kidney Injury: Initial Provider Response ........................................................................................................................................................................... 1051

Allison McCoy

Ability to Perform Registry Functions Among Practices With and Without Electronic Health Records................ 1052Elizabeth McGlinchey

Usefulness and Preference for Tablet Personal Computers by Medical Students: are the Features worth the Money? ............................................................................................................................................................ 1053

Neil Mehta

Integrating Outside Modules into the i2b2 Architecture.............................................................................................. 1054Michael Mendis

An "iGen" Approach to Teaching Medical Students ................................................................................................... 1055Mary Metcalf

Developing an Internet-Based Practice Tool to Assist Physicians Associated with Buprenorphine Treatment of Opioid Addiction ...................................................................................................................................... 1056

Mary Metcalf

Visualization of Health Information with Predications Extracted using Natural Language Processing and Filtered Using the UMLS......................................................................................................................................... 1057

Trudi Miller

Standardized Work Descriptions - Facilitator for Evidence-based Practice .............................................................. 1058Anne Moen

Changes in Patient Mortality Based on Increased Patient Load in the Emergency Department ............................. 1059Sheraz Noor Mohammad

Supporting the Work of Rounding: An Analysis of Paper-based Rounding Templates from Neonatal Intensive Care Units ........................................................................................................................................................ 1060

Valerie Monaco

Usability Testing of an Electronic Health Record Form to Support Physician-based Counseling and Self-management of Overweight Children .................................................................................................................... 1061

Barbara Moore

Vocabulary Metadata Service for Terminology Servers to Handle Variations in Design of Various Biomedical Terminologies ............................................................................................................................................... 1062

Senthil Nachimuthu

Actual Versus Projected Separation of Stroke-episodes in Public-hospitals .............................................................. 1063Shyamala Nadathur

Automated Measurement of Cardiothoracic Ratio Using an R Package. ................................................................... 1064Masaharu Nakayama

High-level Alerting for Rare but Critical Clinical Conditions ..................................................................................... 1065Jenica Nelan

Integrating Information from Disparate Sources: The Walter Reed National Surgical Quality Improvement Program Data Transfer Project ............................................................................................................. 1066

Victoria Nelson

Survey Results: Best Practices in Implementing Automated Nursing/Interdisciplinary Documentation Systems ............................................................................................................................................................................. 1067

Susan Newbold

Predicting the Growth Probability Function of Tumors in Medical Images .............................................................. 1068Kwangsik Nho

Parsing Error Correction of Medical Phrases Toward Semantic Annotation for Clinical Radiology Reports ............................................................................................................................................................................. 1069

Naoki Nishimoto

Development of a Food Sensation and Genotyping Informatics System for the University of Florida Center for Smell and Taste (UFCST)............................................................................................................................. 1071

June Nogle

Implementing Barcode Medication Administration: Nurses' Attitudes...................................................................... 1072Laurie Novak

Physicians' Attitudes towards Copy and Pasting in Electronic Note Writing ............................................................ 1073Heather O'Donnell

Advanced Communication Infrastructure for Pre-Hospital EMS Care ..................................................................... 1074Helmuth Orthner

Improving Daily Workflow to Improve Insurance Rejection Handling by Leveraging an Existing Data Warehouse........................................................................................................................................................................ 1075

Michael Ostrander

Managing Data Quality in an Existing Medical Data Warehouse Using Business Intelligence Technologies ..................................................................................................................................................................... 1076

Michael Ostrander

Analysis of Simulation Environments Utilized in Biomedical Research ..................................................................... 1077Casey Overby

A Concept Analysis of Phenomenon Workflow ............................................................................................................ 1078Mustafa Ozkaynak

Reducing Unintended Consequences of e-Prescribing on the Path to Nuanced Prescriptions.................................. 1079Matvey Palchuk

IT Use, Quality of Care, and Adoption of Electronic Health Records (EHR) in South Korean Hospitals ........................................................................................................................................................................... 1080

Young-Taek Park

Construct Comparisons of IT Adoption Theories Across Cultures and Innovativeness of Health Care Professionals..................................................................................................................................................................... 1081

Jae Sung Park

Modeling Korean Narrative Medical Records as a Simple Temporal Constraint Satisfaction................................. 1082Heekyong Park

Korean Nurses¡ø Experiences: Influence of NNN (NANDA-I, NIC, NOC) Terminologies on the Nurisng Workflow ........................................................................................................................................................... 1083

Hyejin Park

ECRL: An Eligibility Criteria Representation Language based on the UMLS Semantic Network ......................... 1084Chintan Patel

Casepedia: A Web 2.0 Case Repository Enabling Collaborative Learning ................................................................ 1085Rupa Patel

Challenges in Creating an Enterprise Clinical Rules Service ...................................................................................... 1086Marilyn Paterno

Integrating Web Portlet Technologies with caGrid to Enable Rapid Application Development: The CRC Patient Study Calendar.......................................................................................................................................... 1087

Philip Payne

Instance Testing of the Family History Ontology ......................................................................................................... 1088Jane Peace

Mapping Biomedical Literature with WNT Signaling Pathway.................................................................................. 1089Keila Pena-Hernandez

Medical Exceptions to Decision Support: A Tool to Identify Provider Misconceptions and Direct Academic Detailing .......................................................................................................................................................... 1090

Stephen Persell

Using Natural Language Processing to Classify Suicide Notes .................................................................................... 1091John Pestian

Morphine Equivalent Normalized Score (MENS) Process for Comparison of Narcotic Usage Across Colon Surgery Patients.................................................................................................................................................... 1092

Matthew Peters

Improving Aminoglycoside Dosing Through Computerized Clinical Decision Support and Pharmacy Therapeutic Monitoring Systems ................................................................................................................................... 1093

Ira Phillips

Polygenic Model for Predicting Breast Cancer Risk Via Genome-Wide Polymorphisms ......................................... 1094Stephen Piccolo

Improved Techniques for Quantitatively Comparing Data Visualizations ................................................................ 1095David Pieczkiewicz

An Ontological Approach to Support Clinical Governance: The Case of Breast Cancer Guidelines ...................... 1096Domenico Pisanelli

Envisioning a Biomedical Data Reuse Registry............................................................................................................. 1097Heather Piwowar

A Trend Map for e-Health Information ........................................................................................................................ 1098Joseph Plasek

Performance of Online Drug Information Databases As Clinical Decision Support Tools in Infectious Disease Medication Management ................................................................................................................................... 1099

Hyla Polen

Balancing Entrepreneurship and Business Practices for e-Collaboration: Responsible Information Sharing in Academic Research ....................................................................................................................................... 1100

Mark Porter

Minnesota Framework for Identification, Endorsement and Adoption of Standards for Interoperable Electronic Health Records Statewide ............................................................................................................................. 1101

Sripriya Rajamani

Use of Personal Computers, Electronic Medical Records and Availability of Internet Among Office Based GPS and Internists in Austrian Province of Styria ............................................................................................ 1102

Ivo Rakovac

Semiotic Web for Translational Medicine ..................................................................................................................... 1103Arkalgud Ramaprasad

Evaluation of the Google Search Appliance for Patient Cohort Discovery................................................................. 1104Luke Rasmussen

Mapping Nursing Concepts to Ontologies for Evidence-Based Nursing..................................................................... 1105Kourosh Ravvaz

T-Cube Web Interface: A Tool for Immediate Visualization, Interactive Manipulation and Analysis of Large Sets of Multivariate Time Series.......................................................................................................................... 1106

Saswati Ray

Comparison of Journal Updates Tracking using RSS and E-mail Technologies. ...................................................... 1107Melissa Rethlefsen

Alerting Strategies in Computerized Physician Order Entry: A Novel Use of a Dashboard-style Analytics Tool in a Children's Hospital ......................................................................................................................... 1108

George Reynolds

Aligning Tissue Banking Data Models for caBIG Interoperability ............................................................................. 1109Michael Riben

Real-time Process 'Defect' Collection within the Anatomic Pathology Laboratory to Facilitate Informatics Driven Workflow Optimization ................................................................................................................. 1110

Michael Riben

A Web-based Biosignal Data Management System for U-health Data Integration ................................................... 1111Dongwoo Ro

Nursing Documentation Usage Analysis ........................................................................................................................ 1112Cynthia Robertson

The State of the Nation.................................................................................................................................................... 1113John Robinson

Utah's Statewide Informatics Platform for Translational and Clinical Science......................................................... 1114Roberto Rocha

Understanding Communication Patterns of Trauma Teams ....................................................................................... 1115Michelle Rogers

Preliminary Evaluation of an e-learning Course for Healthcare Personnel ............................................................... 1116Carla Rognoni

Adding Conversational Interviews to a Patient Simulator........................................................................................... 1117Guy Roussel

Developing Multilevel Search Filters for Clinical Questions Represented As Conceptual Graphs .......................... 1118Evandro Ruiz

Physician Attitudes - Electronic Medical Records in Ambulatory Care..................................................................... 1119Patricia Ryan

Expert Verification of the Knowledge Base of FEED — A Feedback Expert System for EMS Documentation ................................................................................................................................................................. 1120

Devashish Saini

Effect of a Laboratory Result Pager on Provider Behavior in a Neonatal Intensive Care Unit................................ 1121Lipika Samal

Rapid Patient Cohort Selection Utilizing a Bit Array Database Field ........................................................................ 1122Welf Saupe

A Study of the Age Attribute in a Query Tool for a Clinical Data Warehouse .......................................................... 1123Elisabeth Scheufele

Agent-based Modeling for Real-time Decision-support for Point-of-distribution Managers During Influenza Mass Vaccination ............................................................................................................................................ 1124

Jay Schindler

Effect of Nurse Reminder on Depression Screening Rates in Racial/Ethnic Minorities............................................ 1125Rebecca Schnall

A Methodology for Evaluation of A Markup-Based Specification of Clinical Guidelines......................................... 1126Erez Shalom

A Quality Assessment Tool for Markup-Based Clinical Guidelines............................................................................ 1127Erez Shalom

Preparing for the Evaluation of Health Information Exchange .................................................................................. 1128Jason Shapiro

Sociotechnical Analysis of a Neonatal ICU in the Context of CPOE........................................................................... 1129Barbara Sheehan

The Medical Cells: For the spread of Clinical knowledge management ..................................................................... 1130Akiko Shibuya

Linking Test Ordering with Order Tracking: Closing the Loop in Ambulatory Care.............................................. 1131Lydia Siegel

Deployment of Health Information Kiosks in Diverse Community Settings: Experience and Lessons Learned............................................................................................................................................................................. 1132

Garry Silvey

Honest Broker Protocol Streamlines Research Access to Data While Safeguarding Patient Privacy ...................... 1133Scott Silvey

Innovative Applications of an Enterprise-Wide Information Warehouse .................................................................. 1134Scott Silvey

Aggregation of Pharmacy Dispensing Data Into a Unified Patient Medication History............................................ 1135Linas Simonaitis

Participatory Design with Health Consumers ............................................................................................................... 1136Meredith Skeels

Using Cell Phones for Chronic Disease Prevention and Management ........................................................................ 1137Craig Skinner

Comparison of Two Drug-burden Computational Procedures Applied to Anticholinergic Drugs .......................... 1138Patricia Slattum

Utilization and Outcomes of Missouri Medicaid's EHR: CyberAccessSM.................................................................. 1139Jeff Smith

eViP: Sharing Virtual Patients Across Europe ............................................................................................................. 1140Valerie Smothers

UMLS-based Automatic Image Indexing ...................................................................................................................... 1141Charles Sneiderman

Natural Language Processing of Clinical Trial Announcements: Exploratory-Study of Building an Automated Screening Application.................................................................................................................................. 1142

Imre Solti

Do Electronic Health Records Create More Errors Than They Prevent? .................................................................. 1143Christine Soran

STROBE-Based Methodology for Detection of Adverse Events across Multiple Communities ............................... 1144Margarita Sordo

Characterizing Primary Care Research: PCROM versus BRIDG ............................................................................. 1145Stuart Speedie

Use of Electronic Forms Within an Electronic Patient Record to Create an Institutional Clinical Data Repository ........................................................................................................................................................................ 1146

James Spence

A Competency-Based Curriculum to Acculturate Biomedical Informatics Students to the Practice of Medicine ........................................................................................................................................................................... 1147

Daniel Stein

Integrating the Nursing Management Minimum Data Set into the Logical Observation Identifier Names and Codes System................................................................................................................................................ 1148

Amarnath Subramanian

Value of Information in Virtual Patient Performance Evaluations............................................................................. 1149Walton Sumner

Value of Information in Virtual Patients Portraying Pharyngitis ............................................................................... 1150Walton Sumner

Pharmacist Perceptions of a Medication Error Reporting System in Thai Hospitals................................................ 1151Kanaporn Tansriprapasiri

Ideal Features for a Patient-entered Family History and Risk Assessment Tool ....................................................... 1152David Taylor

Creating a Large Database Test Bed with Typographical Errors for Record Linkage Evaluation ......................... 1153Nawanan Theera-Ampornpunt

Using Expert Rules to Automate Pressure Ulcer Alerts for the Clinical Nurse Specialist......................................... 1154Jane Timm

Role of Health Information Technology (HIT) in Disability Determinations: When Medical Records Become Medical Evidence............................................................................................................................................... 1155

Bengisu Tulu

Telemedicine: Creating the Value-Added Paradigm for Medical Video Conferencing............................................. 1156Bengisu Tulu

SPOT — Towards Temporal Data Mining in Medicine and Bioinformatics ............................................................. 1157Guenter Tusch

Impact of Ambulatory Computerized Physician Order Entry on Clinicians' Time .................................................. 1158Jonathan Ungar

Automatic Medical Image Classification for Content Based Image Retrieval Systems ............................................. 1159Epaphrodite Uwimana

Improving Informed Consent in Bioinformatics Research: A Design-for-Understanding Approach ...................... 1160Rupa Valdez

SmartConsent: A Computerized Informed Consent for Dental Patients.................................................................... 1161John Valenza

A Javascript Library that Uses Windows Script Host (WSH) to Analyze Prostate Motion Data Fragmented across Countless Excel Files by the Calypso® 4D Localization System................................................. 1162

Faisal Vali

OpenMDC: An Open-source Framework for Medical Device Communication......................................................... 1163David Vawdrey

Assessing Voids in SNOMED CT for Pediatric Concepts ............................................................................................ 1164Geraldine Wade

Using Natural Language Processing for Identification of Pneumonia Cases from Clinical Records of Patients with Serologically Proven Influenza ................................................................................................................ 1165

Dietlind Wahner-Roedler

Determining the Information Needs of General Dentists During Patient Care.......................................................... 1166Teena Wali

A Persuasive Toothbrush to Enhance Oral Hygiene Adherence ................................................................................. 1167Muhammad Walji

What is My Cancer Risk? Identifying how Internet-Based Cancer Risk Calculators Communicate Individualized Risk Estimates to the Public .................................................................................................................. 1168

Erika Waters

Consumer Health Information and Local Health Resources: MedlinePlus and My Health Minnesota ? Go Local Outreach Efforts........................................................................................................................................... 1169

Linda Watson

E-Facts: Business Process Management in Clinical Data Repositories ....................................................................... 1170Nich Wattanasin

Clinical Validity of Alerts Generated by the CareEngine Claims-Driven Decision Support Engine........................ 1171Henry Wei

Clinical Trials in silico:Rigorous Assessment of Treatment Effect Using Electronic Health Records ..................... 1172Mark Weiner

Whole Record Surveillance Is Superior to Chief Complaint Surveillance for Predicting Influenza ........................ 1173Gail Welsh

Enhanced Laboratory Reports: Using Health Information Exchange Data to Provide Contextual Information to Laboratory Results for Practices without Electronic Records........................................................... 1174

Martin Were

EHR Enabled Quality Improvement: A Two Year Follow-up Study of 6 Community Health Centers.................. 1175Christopher West

Demonstrating Improved Efficiency from Clinical Health Record ............................................................................. 1176Terry Whitlock

A Recommender System for Prostate Cancer Websites ............................................................................................... 1177Holly Witteman

Evaluation and Comparison of IV Insulin-Treatment Protocols Using Data from Critically Ill Patients in the ICU ......................................................................................................................................................................... 1178

Anthony Wong

A Systematic Review of Medication Safety and Clinical Outcomes Related to Drug Interaction Software............................................................................................................................................................................ 1179

Kevin Wong

Using a Diabetes Data Mart in Individualizing Diabetes Management ...................................................................... 1180Anthony Wong

Interactive Asthma Learning System Utilizing a Mobile Phone Platform.................................................................. 1181Jeffrey Wood

MyHealtheVet PHR: A Description of Users and Patient Portal Use ......................................................................... 1182Susan Woods

Effectiveness of Health Maintenance Reminders Provided Directly to Patients ........................................................ 1183Adam Wright

Web Services Modeling for Electronic Dental Records................................................................................................ 1184Min Wu

Mapping Nursing Program Activities to Nursing Informatics Competencies ............................................................ 1185Anastasia Wyckoff

Exploring the Use of Image Text for Biomedical Literature Retrieval (Abstract Only)............................................ 1186Songhua Xu

Heuristic Evaluation of a Communication Tool for Nurse Scheduling ....................................................................... 1187Po-Yin Yen

Development Tool for Generating Optimized HL7 Libraries for Embedded Medical Devices ................................ 1188Byoung-Kee Yi

Reflecting All Query Aspects on Query Expansion ...................................................................................................... 1189Sooyoung Yoo

Correlates of Expected Satisfaction with Electronic Health Records in Office Practices by Practitioners ..................................................................................................................................................................... 1190

Stephanie Zandieh

Providers' Expectations of Ambulatory Electronic Health Records (EHRs).............................................................. 1191Stephanie Zandieh

Factors Influencing Clinical Treatment for Severe Chronic Periodontitis ................................................................. 1192Hongmiao Zhang

A Study on Design and Development of Enterprise-wide Concepts for Clinical Documentation Templates ......................................................................................................................................................................... 1193

Li Zhou

Re-formation of Healthcare Information: An Opportunity from Health IT .............................................................. 1194Xiaomu Zhou

A Case Study of CPOE Adoption and Use: Work-arounds and Their Social-Technical Implications..................... 1195Xiaomu Zhou

Semantic Representation of CDC-PHIN Vocabulary using Simple Knowledge Organization System .................... 1196Min Zhu

Identifying Functional Discrepancies in Self Monitoring Intake Applications........................................................... 1197Min Zhu

A Vasopressor Advisability Index for Hemodynamic Monitoring .............................................................................. 1198Wei Zong

PDF for Healthcare and Child Health Data Forms ...................................................................................................... 1199Alan Zuckerman

Construction of a Dictionary of Laboratory Tests Mapped to LOINC at AP-HP ..................................................... 1200Pierre Zweigenbaum

ACMI SENIOR MEMBER PRESENTATIONS DXplain - 20 Years Later - What Have We Learned?.................................................................................................. 1201

Octo Barnett

Infobuttons: Anticipatory Passive Decision Support .................................................................................................... 1203James Cimino

Recent Trends in Biomedical and Health Informatics Education: Implications for Practice, Research, and Policy ......................................................................................................................................................................... 1205

William Hersh

Is the CTSA Initiative Mandating a Role for Knowledge Informatics? ...................................................................... 1207Julie McGowan

A Socio-technical Model of Health Information Technology-related e-Iatrogenesis ................................................. 1209Dean Sittig

Improving the Quality of the Evidence Base of Health Informatics............................................................................ 1211Jan Talmon

PARTNERSHIP IN INNOVATION 'Collaboration Technology': A Case Study of Innovation in Order Set and Clinical Care Standardization................................................................................................................................................................ 1213

Timothy McNamara

Delivering Informatics Capabilities to an AHC Research Community through Public / Private Partnerships (PPP) .......................................................................................................................................................... 1216

Kevin Smith

THEATER-STYLE DEMONSTRATION A Comprehensive Decision Support System for the Identification, Monitoring and Management of Patients with Multi-Drug Resistant Organisms (MDRO) ............................................................................................ 1218

Maryam Behta

Movie Magic in the Clinic: Computer-Generated Characters for Automated Health Counseling........................... 1219Timothy Bickmore

Data Federation in the Biomedical Informatics Research Network: Tools for Semantic Annotation and Query of Distributed Multiscale Brain Data .......................................................................................................... 1220

William Bug

Web-Based Tools from AHRQ's National Resource Center ........................................................................................ 1221Caitlin Cusack

An Operational Citywide Electronic Infection Control Network: Results from the First Year............................... 1222Abel Kho

BioPortal: Ontologies and Data Resources with the Click of a Mouse....................................................................... 1223Mark Musen

Summarising Complex ICU Data in Natural Language: demonstration of the BT-45 system ................................. 1224Francois Portet

TrialWiz: An Ontology-Driven Tool for Authoring Clinical Trial Protocols ............................................................. 1225Ravi Shankar

Stroke Navigator - A Clinical Decision Support System for Managing Acute Stroke ............................................... 1226Kees van Zon

MyMedicationList: Integrating Personal Medication Records with Resources ......................................................... 1227Kelly Zeng

WORKSHOPS Writing for Publication in Biomedical Informatics ...................................................................................................... 1228

Dominik Aronsky

Mapping the Sociotechnical Healthcare Ecosystem: Expanding the Horizons of Sociotechnical Inquiry ............... 1232Micaela Brown

Compressing ICD9 Codes for Predictive Modeling ...................................................................................................... 1235Patricia Cerrito

Extracting Coded Information From Large Databases................................................................................................ 1238Patricia Cerrito

Faculty Development for Informatics: Education Working Group Workshop on Objectives, Methods, and Assessment in Informatics Education ..................................................................................................................... 1240

Paul Gorman

Using Electronic Health Records to Collect Patient-Specific Performance Measures and Outcomes...................... 1241Anil Jain

Standards in Clinical Decision Support: Activities in Health Level Seven ................................................................ 1243Robert Jenders

Improving the Patient Experience By Improving Performance: The Six Sigma Way............................................... 1245Khalid Moidu

Intuitive Information Technology: Enhancing Clinician Efficiency............................................................................ 1246Molly Procuniar

Interdisciplinary Evidence-Based Practice and the Electronic Health Record: From Theory to Reality............................................................................................................................................................................... 1248

Michelle Troseth

Second i2b2 Workshop on Natural Language Processing Challenges for Clinical Records ..................................... 1251Özlem Uzuner

Implementing Intentionally Designed Automation to Support Evidence-Based Practice: Lessons from International Consortium ...................................................................................................................................... 1253

Bonnie Wesorick

Author Index