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SmartChart Suite: a Fast Healthcare Interoperability Resources-based framework for longitudinal syphilis surveillance

Andrew Stevens¹, Saugat Karki², Elizabeth Shivers¹

¹Georgia Tech Research Institute, Atlanta, GA 30308, United States.

|December 30, 2024

Summary

This summary is machine-generated.

SmartChart Suite automates electronic health record (EHR) data extraction for syphilis surveillance. This open-source platform achieved high precision (97.6%) and recall (100.0%) in a pilot study.

Keywords:

Fast Healthcare Interoperability Resources natural language processing public health surveillance

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Last Updated: May 7, 2025

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Published on: January 21, 2022

Area of Science:

Public Health Informatics
Epidemiology
Health IT

Background:

Syphilis resurgence in the US poses a public health challenge.
Electronic Health Records (EHRs) contain vital data for syphilis surveillance.
Manual data extraction from EHRs is resource-intensive.

Purpose of the Study:

To describe the SmartChart Suite, a platform for automated EHR data extraction.
To evaluate the performance of SmartChart Suite in a pilot study for syphilis surveillance.
To assess the potential of automated data abstraction in improving public health surveillance.

Main Methods:

Developed the SmartChart Suite framework compliant with HHS Health IT Alignment Policy.
Deployed SmartChart Suite at Grady Health System, integrating with Epic EHR.
Conducted a pilot study involving automated and manual chart review of 50 syphilis patient records.

Main Results:

SmartChart Suite achieved high performance metrics: 97.6% precision, 100.0% recall, and 98.8% F-Score.
Successful deployment and integration with the Epic EHR system.
Demonstrated feasibility of automated data retrieval, logical evaluation, standardized storage, and results display.

Conclusions:

Automated EHR data abstraction using SmartChart Suite shows significant potential for enhancing public health surveillance.
The platform can improve case investigation processes and reduce the burden on health departments.
SmartChart Suite offers a flexible, open-source solution for disease surveillance and registry development.