{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:15:43Z","timestamp":1787015743249,"version":"build-2736575974"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,10,30]],"date-time":"2015-10-30T00:00:00Z","timestamp":1446163200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000072","name":"NIDCR","doi-asserted-by":"crossref","award":["1R01DE021051"],"award-info":[{"award-number":["1R01DE021051"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2016,3]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n \n Secondary data are a significant resource for in\u2010depth epidemiologic and public health research. It also allows for effective quality control and clinical outcomes measurement. To illustrate the value of structured diagnostic entry, a use case was developed to quantify adherence to current practice guidelines for managing chronic moderate periodontitis (\n CMP<\/jats:styled-content>\n ).\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Six dental schools using the same electronic health record (\n EHR<\/jats:styled-content>\n ) contribute data to a dental data repository (\n BigMouth<\/jats:styled-content>\n ) based on the i2b2 data\u2010warehousing platform. Participating institutions are able to query across the full repository without being able to back trace specific data to its originating institution. At each of the three sites whose data are included in this analysis, the\n D<\/jats:styled-content>\n ental\n D<\/jats:styled-content>\n iagnostic\n S<\/jats:styled-content>\n ystem (\n DDS<\/jats:styled-content>\n ) terminology was used to document diagnoses in the clinics. We ran multiple queries against this multi\u2010institutional database, and the output was validated by manually reviewing a subset of patient charts.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Over the period under study, 1,866 patients were diagnosed with\n CMP<\/jats:styled-content>\n . Of these, 15 percent received only periodontal prophylaxis treatment, 20 percent received only periodontal maintenance treatment, and only 41 percent received periodontal maintenance treatment in combination with other\n AAP<\/jats:styled-content>\n guideline treatments.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Our results showed that most patients with\n CMP<\/jats:styled-content>\n were not treated according to the\n AAP<\/jats:styled-content>\n guidelines. On the basis of this use case, we conclude that the availability and habitual use of a structured diagnosis in an\n EHR<\/jats:styled-content>\n allow for the aggregation and secondary analyses of clinical data to support downstream analyses for quality improvement and epidemiological assessments.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jphd.12124","type":"journal-article","created":{"date-parts":[[2015,10,30]],"date-time":"2015-10-30T08:44:17Z","timestamp":1446194657000},"page":"152-156","source":"Crossref","is-referenced-by-count":18,"title":["Dental clinical research: an illustration of the value of standardized diagnostic terms"],"prefix":"10.1111","volume":"76","author":[{"given":"Elsbeth","family":"Kalenderian","sequence":"first","affiliation":[{"name":"Department of Oral Health Policy and Epidemiology Harvard School of Dental Medicine Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bunmi","family":"Tokede","sequence":"additional","affiliation":[{"name":"Department of Oral Health Policy and Epidemiology Harvard School of Dental Medicine Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Ramoni","sequence":"additional","affiliation":[{"name":"Center for Biomedical Informatics Harvard Medical School Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Oral Health Policy and Epidemiology Harvard School of Dental Medicine Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Kimmes","sequence":"additional","affiliation":[{"name":"Department of Pathology & Radiology Oregon Health and Science University School of Dentistry Portland OR USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel","family":"White","sequence":"additional","affiliation":[{"name":"Science Center School of Dentistry at Houston Houston TX USA"},{"name":"Department of Preventive and Restorative Dental Sciences School of Dentistry University of California San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ram","family":"Vaderhobli","sequence":"additional","affiliation":[{"name":"Science Center School of Dentistry at Houston Houston TX USA"},{"name":"Department of Preventive and Restorative Dental Sciences School of Dentistry University of California San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfa","family":"Yansane","sequence":"additional","affiliation":[{"name":"Department of Oral Health Policy and Epidemiology Harvard School of Dental Medicine Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert","family":"Feilzer","sequence":"additional","affiliation":[{"name":"Department of Material Science Academic Centre of Dentistry Amsterdam Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad","family":"Walji","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Biomedical Sciences University of Texas Health Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,10,30]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2012.00319.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1929.tb13889.x"},{"key":"e_1_2_6_4_1","unstructured":"SpackmanKA CampbellKE CoteRASNOMED RT: a reference terminology for health care. 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