{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T16:59:36Z","timestamp":1780333176746,"version":"3.54.1"},"reference-count":72,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,11,7]],"date-time":"2017-11-07T00:00:00Z","timestamp":1510012800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Informatics J"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p>Health literacy is the capacity to understand and act upon health-related information and navigate the healthcare system. Published evidence demonstrates a relationship between health literacy and health status. Because of this, there are increasingly calls for a health literacy assessment to be collected and stored in the electronic health record for use by the healthcare team. This article describes the results of a literature review of health literacy assessment instruments with the goal of formulating semantically interoperable concepts that may be used to store the interpretation of the health literacy assessment in the electronic health record. The majority of health literacy instruments could be stored in the electronic health record using a three-concept solution of inadequate, marginal and adequate health literacy. This three-concept solution fully supports semantic interoperability needs across the patient care spectrum.<\/jats:p>","DOI":"10.1177\/1460458217739341","type":"journal-article","created":{"date-parts":[[2017,11,8]],"date-time":"2017-11-08T02:08:43Z","timestamp":1510106923000},"page":"1025-1037","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Capturing health literacy assessment in the electronic health record through evidence-based concept creation: A review of the literature and recommendations for action"],"prefix":"10.1177","volume":"25","author":[{"given":"Ruth E","family":"Wetta","sequence":"first","affiliation":[{"name":"Cerner Corporation, USA; University of Kansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta D","family":"Severin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi","family":"Gruhler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nate","family":"Lewis","sequence":"additional","affiliation":[{"name":"Cerner Corporation, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,11,7]]},"reference":[{"key":"bibr1-1460458217739341","unstructured":"Institute of Medicine (US) Committee on Health Literacy; Nielsen-Bohlman L, Panzer AM, Kindig DA (eds). Health literacy: a prescription to end confusion: executive summary. Washington, DC: The National Academies Press, 2004, p. 16."},{"key":"bibr2-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2006.00540.x"},{"key":"bibr3-1460458217739341","volume-title":"Communicating health: priorities and strategies for progress","author":"Rudd R.","year":"2003"},{"key":"bibr4-1460458217739341","volume-title":"State of the USA health indicators: letter report","author":"Institute of Medicine","year":"2009"},{"key":"bibr5-1460458217739341","volume-title":"The health literacy of America\u2019s adults: results from the 2003 national assessment of adult literacy","author":"Kutner M","year":"2006"},{"key":"bibr6-1460458217739341","unstructured":"Goodman M, Finnegan R, Mohadjer L, et al. Literacy, numeracy, and problem solving in technology-rich environments among U.S. adults. Results from the program for the international assessment of adult competencies 2012: first look (NCES 2014\u2013008). Washington, DC: US Department of Education, National Center for Education Statistics; 2013, https:\/\/nces.ed.gov\/pubs2014\/2014008.pdf (accessed 7 February 2017)."},{"key":"bibr7-1460458217739341","volume-title":"Vital signs: core metrics for health and health care progress","author":"Institute of Medicine","year":"2015"},{"key":"bibr8-1460458217739341","unstructured":"US Department of Health and Human Services, Office of Disease Prevention and Health Promotion. Healthy People 2020. Washington, DC, https:\/\/www.healthypeople.gov\/2020\/topics-objectives\/topic\/health-communication-and-health-information-technology (accessed 20 July 2015)."},{"key":"bibr9-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.4.475"},{"key":"bibr10-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.1999.00334.x"},{"key":"bibr11-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2004.40153.x"},{"key":"bibr12-1460458217739341","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-155-2-201107190-00005"},{"key":"bibr13-1460458217739341","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.87.6.1027"},{"issue":"3","key":"bibr14-1460458217739341","first-page":"257","volume":"5","author":"Weiss BD","year":"1992","journal-title":"J Am Board Fam Pract"},{"key":"bibr15-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2008.539"},{"key":"bibr16-1460458217739341","first-page":"1","volume":"199","author":"Berkman ND","year":"2011","journal-title":"Evid Rep Technol Assess (Full Rep)"},{"key":"bibr17-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12476"},{"key":"bibr18-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.1998.00242.x"},{"key":"bibr19-1460458217739341","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.92.8.1278"},{"key":"bibr20-1460458217739341","first-page":"6","volume-title":"Proceedings of Pfizer conference \u201cpromoting health literacy: a call to action,\u201d","author":"Friedland R."},{"key":"bibr21-1460458217739341","volume-title":"Report, Department of Health Policy, School of Public Health and Health Services","author":"Vernon JA","year":"2007"},{"key":"bibr22-1460458217739341","volume-title":"Measures of health literacy: workshop summary","author":"Institute of Medicine (IOM)","year":"2009"},{"key":"bibr23-1460458217739341","unstructured":"America\u2019s Health Insurance Plans. Health literacy and America\u2019s Health Insurance Plans: laying the foundation and beyond (3rd edn), Report, November 2013. https:\/\/www.ahip.org\/health-literacy-and-americas-health-insurance-plans-laying-the-foundation-and-beyond (accessed 10 October 2016)."},{"key":"bibr24-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2013.840699"},{"key":"bibr25-1460458217739341","unstructured":"National Quality Forum. Health literacy: a linchpin in achieving national goals for health and healthcare. NQF Issue Brief, 13 March 2009, http:\/\/www.qualityforum.org\/WorkArea\/linkit.aspx?LinkIdentifier=id&ItemID=17654 (accessed June 10, 2016)."},{"key":"bibr26-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2006.00669.x"},{"key":"bibr27-1460458217739341","unstructured":"Healthcare Information and Management Systems Society (HIMSS). What is interoperability? http:\/\/www.himss.org\/library\/interoperability-standards\/what-is-interoperability (2016, accessed 12 January 2016)."},{"key":"bibr28-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2008.05.016"},{"key":"bibr29-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2006.00540.x"},{"key":"bibr30-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-015-3288-4"},{"key":"bibr31-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03530210031026"},{"key":"bibr32-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2005.40245.x"},{"key":"bibr33-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2014.999893"},{"key":"bibr34-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2013.10.001"},{"key":"bibr35-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-1207"},{"key":"bibr36-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1097\/TGR.0b013e31827e4807"},{"issue":"2","key":"bibr37-1460458217739341","first-page":"1","volume":"41","author":"Monsen KA","year":"2016","journal-title":"Inform Health Soc Care"},{"key":"bibr38-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1201\/b13617"},{"key":"bibr39-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2014-204915"},{"key":"bibr40-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X16638330"},{"key":"bibr41-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2015.04.003"},{"key":"bibr42-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-015-1551-6"},{"key":"bibr43-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-015-0073-6"},{"key":"bibr44-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0145455"},{"key":"bibr45-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2014-204915"},{"key":"bibr46-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2014.936571"},{"key":"bibr47-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1177\/1054773813488417"},{"key":"bibr48-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12315"},{"key":"bibr49-1460458217739341","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2013.05.130096"},{"key":"bibr50-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2012.04.001"},{"key":"bibr51-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-012-2079-4"},{"issue":"10","key":"bibr52-1460458217739341","doi-asserted-by":"crossref","first-page":"41","DOI":"10.3928\/00989134-20110503-02","volume":"37","author":"Zamora H","year":"2011","journal-title":"J Gerontol Nurs"},{"key":"bibr53-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2011.03.014"},{"key":"bibr54-1460458217739341","first-page":"24","volume":"26","author":"Haun J","journal-title":"Fed Pract"},{"key":"bibr55-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2018.2008.00408.x"},{"key":"bibr56-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-009-1158-7"},{"key":"bibr57-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-7-21"},{"key":"bibr58-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2006.00532.x"},{"key":"bibr59-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2005.40245.x"},{"key":"bibr60-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1370\/afm.405"},{"key":"bibr61-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2003.10651.x"},{"key":"bibr62-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3180616c1b"},{"key":"bibr63-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2013.09.020"},{"key":"bibr64-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2009.0319"},{"key":"bibr65-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12426"},{"key":"bibr66-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2010.499987"},{"key":"bibr67-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1007\/s00038-009-0050-x"},{"key":"bibr68-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.4862"},{"key":"bibr69-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1093\/her\/cym051"},{"key":"bibr70-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2010.12.002"},{"key":"bibr71-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2012.12.014"},{"key":"bibr72-1460458217739341","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2016.5810"}],"container-title":["Health Informatics Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1460458217739341","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1460458217739341","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1460458217739341","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:30:21Z","timestamp":1777501821000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1460458217739341"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,7]]},"references-count":72,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,9]]}},"alternative-id":["10.1177\/1460458217739341"],"URL":"https:\/\/doi.org\/10.1177\/1460458217739341","relation":{},"ISSN":["1460-4582","1741-2811"],"issn-type":[{"value":"1460-4582","type":"print"},{"value":"1741-2811","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11,7]]}}}