{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T17:18:13Z","timestamp":1772471893992,"version":"3.50.1"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T00:00:00Z","timestamp":1703548800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Clinical text processing offers a promising avenue for improving multiple aspects of healthcare, though operational deployment remains a substantial challenge. This case report details the implementation of a national clinical text processing infrastructure within the Department of Veterans Affairs (VA).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Two foundational use cases, cancer case management and suicide and overdose prevention, illustrate how text processing can be practically implemented at scale for diverse clinical applications using shared services.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Insights from these use cases underline both commonalities and differences, providing a replicable model for future text processing applications.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This project enables more efficient initiation, testing, and future deployment of text processing models, streamlining the integration of these use cases into healthcare operations. This project implementation is in a large integrated health delivery system in the United States, but we expect the lessons learned to be relevant to any health system, including smaller local and regional health systems in the United States.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocad249","type":"journal-article","created":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T14:50:55Z","timestamp":1703602255000},"page":"727-731","source":"Crossref","is-referenced-by-count":4,"title":["Deploying a national clinical text processing infrastructure"],"prefix":"10.1093","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3970-8204","authenticated-orcid":false,"given":"Kimberly F","family":"McManus","sequence":"first","affiliation":[{"name":"Department of Veterans Affairs, Office of the CTO , Washington, DC 20571, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johnathon 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L","family":"Levin","sequence":"additional","affiliation":[{"name":"Evergreen Design LLC , Guilford, CT 06437, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asqar S","family":"Shotqara","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, Center for Innovation to Implementation (Ci2i) , Palo Alto, CA 94304, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"D\u2019Auria","sequence":"additional","affiliation":[{"name":"Product Engineering, Department of Veterans Affairs , Austin, TX 78741, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elliot M","family":"Fielstein","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, Office of Mental Health and Suicide Prevention, Veterans Health Administration , Nashville, TN 37212, United States"},{"name":"Department of Biomedical Informatics, Vanderbilt University Medical Center , 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H","family":"Taddei","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs , West Haven, CT 06516, United States"},{"name":"Yale School of Medicine , New Haven, CT 06510, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Erdos","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs , West Haven, CT 06516, United States"},{"name":"Yale School of Medicine , New Haven, CT 06510, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne R","family":"Tamang","sequence":"additional","affiliation":[{"name":"Division of Immunology and Rheumatology, Department of Medicine, Stanford University , Stanford, CA 94304, United States"},{"name":"Department of Veterans Affairs, Office of Mental Health and Suicide Prevention, Program Evaluation Resource Center , Palo Alto, CA 94304, United 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