{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,8]],"date-time":"2025-06-08T09:03:47Z","timestamp":1749373427069,"version":"3.37.3"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2020,6,2]],"date-time":"2020-06-02T00:00:00Z","timestamp":1591056000000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000016","name":"US Department of Health and Human Services","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["5R01HS021472"],"award-info":[{"award-number":["5R01HS021472"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005982","name":"Office of the National Coordinator for Health Information Technology","doi-asserted-by":"publisher","award":["901X003"],"award-info":[{"award-number":["901X003"]}],"id":[{"id":"10.13039\/100005982","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Shared Instrumentation","award":["1S10OD021644-01A1"],"award-info":[{"award-number":["1S10OD021644-01A1"]}]},{"name":"University of Utah Population Health Research"},{"DOI":"10.13039\/501100001921","name":"PHR","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001921","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000097","name":"National Center for Research Resources","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000097","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["UL1TR002538","5UL1TR001067-05","8UL1TR000105","UL1RR025764"],"award-info":[{"award-number":["UL1TR002538","5UL1TR001067-05","8UL1TR000105","UL1RR025764"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The objective of this project was to enable poison control center (PCC) participation in standards-based health information exchange (HIE). Previously, PCC participation was not possible due to software noncompliance with HIE standards, lack of informatics infrastructure, and the need to integrate HIE processes into workflow.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>We adapted the Health Level Seven Consolidated Clinical Document Architecture (C-CDA) consultation note for the PCC use case. We used rapid prototyping to determine requirements for an HIE dashboard for use by PCCs and developed software called SNOWHITE that enables poison center HIE in tandem with a poisoning information system.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>We successfully implemented the process and software at the PCC and began sending outbound C-CDAs from the Utah PCC on February 15, 2017; we began receiving inbound C-CDAs on October 30, 2018.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>With the creation of SNOWHITE and initiation of an HIE process for sending outgoing C-CDA consultation notes from the Utah Poison Control Center, we accomplished the first participation of PCCs in standards-based HIE in the US. We faced several challenges that are also likely to be present at PCCs in other states, including the lack of a robust set of patient identifiers to support automated patient identity matching, challenges in emergency department computerized workflow integration, and the need to build HIE software for PCCs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>As a multi-disciplinary, multi-organizational team, we successfully developed both a process and the informatics tools necessary to enable PCC participation in standards-based HIE and implemented the process at the Utah PCC.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocaa055","type":"journal-article","created":{"date-parts":[[2020,4,27]],"date-time":"2020-04-27T19:35:06Z","timestamp":1588016106000},"page":"1000-1006","source":"Crossref","is-referenced-by-count":1,"title":["Enabling health information exchange at a US Poison Control Center"],"prefix":"10.1093","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7078-8479","authenticated-orcid":false,"given":"Mollie R","family":"Cummins","sequence":"first","affiliation":[{"name":"University of Utah College of Nursing, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9954-6799","authenticated-orcid":false,"given":"Guilherme","family":"Del Fiol","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara I","family":"Crouch","sequence":"additional","affiliation":[{"name":"Utah Poison Control Center, University of Utah, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pallavi","family":"Ranade-Kharkar","sequence":"additional","affiliation":[{"name":"Intermountain Healthcare, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aly","family":"Khalifa","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Iskander","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darren","family":"Mann","sequence":"additional","affiliation":[{"name":"Intermountain Healthcare, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matt","family":"Hoffman","sequence":"additional","affiliation":[{"name":"Medical Informatics, Utah Health Information Network, Murray, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sid","family":"Thornton","sequence":"additional","affiliation":[{"name":"Intermountain Healthcare, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Todd L","family":"Allen","sequence":"additional","affiliation":[{"name":"Intermountain Healthcare, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Bennett","sequence":"additional","affiliation":[{"name":"Utah Poison Control Center, University of Utah, Salt Lake City, Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,6,1]]},"reference":[{"year":"2017","key":"2020110613104538500_ocaa055-B1"},{"key":"2020110613104538500_ocaa055-B2"},{"issue":"12","key":"2020110613104538500_ocaa055-B3","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1080\/15563650.2018.1533727","article-title":"2017 Annual Report of the American Association of Poison Control Centers\u2019 National Poison Data System (NPDS): 35th Annual Report","volume":"56","author":"Gummin","year":"2018","journal-title":"Clin Toxicol (Phila Pa)"},{"issue":"5152","key":"2020110613104538500_ocaa055-B4","doi-asserted-by":"crossref","first-page":"1419","DOI":"10.15585\/mmwr.mm675152e1","article-title":"Drug and opioid-involved overdose deaths - 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