{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T01:05:20Z","timestamp":1771549520838,"version":"3.50.1"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2018,6,7]],"date-time":"2018-06-07T00:00:00Z","timestamp":1528329600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","award":["Patient and Public Involvement (PPI) Bursary. RDS Number 1976"],"award-info":[{"award-number":["Patient and Public Involvement (PPI) Bursary. RDS Number 1976"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Inform Decis Mak"],"published-print":{"date-parts":[[2018,12]]},"DOI":"10.1186\/s12911-018-0612-z","type":"journal-article","created":{"date-parts":[[2018,6,7]],"date-time":"2018-06-07T09:52:40Z","timestamp":1528365160000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Information standards for recording alcohol use in electronic health records: findings from a national consultation"],"prefix":"10.1186","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0096-1413","authenticated-orcid":false,"given":"Shamil","family":"Haroon","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darren","family":"Wooldridge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Hoogewerf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krishnarajah","family":"Nirantharakumar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Williams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lina","family":"Martino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neeraj","family":"Bhala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2018,6,7]]},"reference":[{"key":"612_CR1","doi-asserted-by":"publisher","first-page":"2223","DOI":"10.1016\/S0140-6736(09)60746-7","volume":"373","author":"J Rehm","year":"2009","unstructured":"Rehm J, Mathers C, Popova S, Thavorncharoensap M, Teerawattananon Y, Patra J. Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet. 2009;373:2223\u201333. Available from: \n                    http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19560604\n                    \n                   Cited 24 Apr 2017","journal-title":"Lancet"},{"key":"612_CR2","unstructured":"Campbell A. Alcohol-related deaths in the UK: registered in 2015 . Newport; 2015. Available from: \n                    https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/healthandsocialcare\/causesofdeath\/bulletins\/alcoholrelateddeathsintheunitedkingdom\/registeredin2015"},{"key":"612_CR3","unstructured":"Alcohol-use disorders: prevention | Guidance and guidelines | NICE. NICE; Available from: \n                    https:\/\/www.nice.org.uk\/guidance\/ph24\n                    \n                   Cited 24 Apr 2017."},{"key":"612_CR4","doi-asserted-by":"publisher","unstructured":"Kaner EFS, Dickinson HO, Beyer FR, Campbell F, Schlesinger C, Heather N, et al. Effectiveness of brief alcohol interventions in primary care populations. Cochrane Database Syst Rev. 2007; Available from: \n                    https:\/\/doi.org\/10.1002\/14651858.CD004148.pub3\n                    \n                   Cited 24 Apr 2017","DOI":"10.1002\/14651858.CD004148.pub3"},{"key":"612_CR5","doi-asserted-by":"publisher","unstructured":"McQueen J, Howe TE, Allan L, Mains D, Hardy V. Brief interventions for heavy alcohol users admitted to general hospital wards. Cochrane Database Syst Rev. 2011; Available from: \n                    https:\/\/doi.org\/10.1002\/14651858.CD005191.pub3\n                    \n                   Cited 24 Apr 2017","DOI":"10.1002\/14651858.CD005191.pub3"},{"key":"612_CR6","doi-asserted-by":"publisher","first-page":"e706","DOI":"10.3399\/bjgp13X673720","volume":"63","author":"Z Khadjesari","year":"2013","unstructured":"Khadjesari Z, Marston L, Petersen I, Nazareth I, Walters K. Alcohol consumption screening of newly-registered patients in primary care: a cross-sectional analysis. Br J Gen Pract. 2013;63:e706\u201312. Available from: \n                    http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/24152486\n                    \n                   Cited 24 Apr 2017","journal-title":"Br J Gen Pract"},{"key":"612_CR7","doi-asserted-by":"publisher","first-page":"651","DOI":"10.1093\/pubmed\/fdt120","volume":"36","author":"DJ Lee","year":"2014","unstructured":"Lee DJ, Knuckey S, Cook GA. Changes in Health Promot Pract in hospitals across England: the National Health Promotion in Hospital Audit 2009 and 2011. J Public Health. 2014;36:651\u20137. Available from: \n                    https:\/\/academic.oup.com\/jpubhealth\/article-lookup\/doi\/10.1093\/pubmed\/fdt120\n                    \n                   Cited Apr 2017 24","journal-title":"J Public Health"},{"key":"612_CR8","unstructured":"Standards for the clinical structure and content of patient records [Internet]. London; 2015. Available from: \n                    https:\/\/www.rcplondon.ac.uk\/projects\/outputs\/standards-clinical-structure-and-content-patient-records"},{"key":"612_CR9","doi-asserted-by":"crossref","unstructured":"Walsh S, Haroon S, Nirantharakumar K, Bhala N. Approaches to alcohol screening in secondary care: a review and meta-analysis. Lancet. 2017:390\u2013S92. Available from: \n                    http:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0140673617330271","DOI":"10.1016\/S0140-6736(17)33027-1"},{"key":"612_CR10","unstructured":"Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. The Alcohol Use Disorders Identification Test Guidelines for Use in Primary Care. ; Available from: \n                    http:\/\/apps.who.int\/iris\/bitstream\/10665\/67205\/1\/WHO_MSD_MSB_01.6a.pdf\n                    \n                   Cited 24 Apr 2017."},{"key":"612_CR11","doi-asserted-by":"publisher","unstructured":"Saunders JB, Aasland OG, Babor TF, De La Fuente JR, Grant M. Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption-II. AddictionBlackwell Publishing Ltd; 1993 ;88:791\u2013804. Available from: \n                    https:\/\/doi.org\/10.1111\/j.1360-0443.1993.tb02093.x\n                    \n                  . Cited 8 Jun 2017","DOI":"10.1111\/j.1360-0443.1993.tb02093.x"},{"key":"612_CR12","first-page":"1789","volume":"158","author":"K Bush","year":"1998","unstructured":"Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. For the ambulatory care quality improvement project (ACQUIP). The AUDIT alcohol consumption questions (AUDIT-C). Arch. Interal Med. 1998;158:1789\u201395.","journal-title":"Interal Med"},{"key":"612_CR13","doi-asserted-by":"crossref","unstructured":"Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC, et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. BioMed Central. 2009; Available from: \n                    https:\/\/implementationscience.biomedcentral.com\/articles\/10.1186\/1748-5908-4-50\n                    \n                  . Cited 24 Apr 2017.","DOI":"10.1186\/1748-5908-4-50"},{"key":"612_CR14","unstructured":"Wyatt J, Sathanandam S, Rastall P, Hoogewerf J, Wooldridge D. Personal health record (PHR) - Landsc Rev. London; 2016. Available from: \n                    https:\/\/www.rcplondon.ac.uk\/projects\/outputs\/personal-health-record-phr-landscape-review\n                    \n                  ."},{"key":"612_CR15","unstructured":"openEHR [Internet]. [cited 2017 Apr 24]. Available from: \n                    http:\/\/www.openehr.org\/"},{"key":"612_CR16","unstructured":"Maternity Services Secondary Uses Data Set. NHS Digital; [cited 2017 Jul Available from21].\n                    http:\/\/content.digital.nhs.uk\/maternityandchildren\/maternity\n                    \n                  ."},{"key":"612_CR17","unstructured":"Cancer Outcomes and Services Dataset (COSD). Public Heal. Engl. 2017 [cited 2017 Jul 21]. Available from: \n                    http:\/\/www.ncin.org.uk\/collecting_and_using_data\/data_collection\/cosd"},{"key":"612_CR18","unstructured":"NHS Digital, 1 Trevelyan Square, Boar Lane, Leeds, LS1 6AE UK. Quality and Outcomes Framework [Internet]. NHS Digital, 1 Trevelyan Square, Boar Lane, Leeds, LS1 6AE, United Kingdom; Available from: \n                    https:\/\/digital.nhs.uk\/data-and-information\/data-collections-and-data-sets\/data-collections\/quality-and-outcomes-framework-qof\n                    \n                  . Cited Apr 25 2017."},{"key":"612_CR19","unstructured":"NHS England\u00a0\u00bb 2017\/19 CQUIN . Available from: \n                    https:\/\/www.england.nhs.uk\/nhs-standard-contract\/cquin\/cquin-17-19\/"},{"key":"612_CR20","unstructured":"UK Chief Medical Officers\u2019 Low Risk Drinking Guidelines . 2016. Available from: \n                    https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/545937\/UK_CMOs__report.pdf"},{"key":"612_CR21","unstructured":"Our Strategy - NHS Digital. 2015 . Available from: \n                    https:\/\/digital.nhs.uk\/article\/249\/Our-Strategy"},{"key":"612_CR22","doi-asserted-by":"publisher","first-page":"402","DOI":"10.4338\/ACI-2013-12-RA-0101","volume":"5","author":"E Chen","year":"2014","unstructured":"Chen E, Garcia-Webb M. An analysis of free-text alcohol use documentation in the electronic health record: early findings and implications. Appl Clin Inform. 2014;5:402\u201315. Available from: \n                    http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25024757\n                    \n                   Cited 24 Apr 2017","journal-title":"Appl Clin Inform"},{"key":"612_CR23","doi-asserted-by":"crossref","unstructured":"Mitchell AJ, Meader N, Bird V, Rizzo M. Clinical recognition and recording of alcohol disorders by clinicians in primary and secondary care: meta-analysis. Br J Psychiatry. 2012;201 Available from: \n                    http:\/\/bjp.rcpsych.org\/content\/201\/2\/93.full\n                    \n                   Cited 24 Apr 2017","DOI":"10.1192\/bjp.bp.110.091199"}],"container-title":["BMC Medical Informatics and Decision Making"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12911-018-0612-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12911-018-0612-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12911-018-0612-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,6,6]],"date-time":"2019-06-06T19:08:49Z","timestamp":1559848129000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmedinformdecismak.biomedcentral.com\/articles\/10.1186\/s12911-018-0612-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,7]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,12]]}},"alternative-id":["612"],"URL":"https:\/\/doi.org\/10.1186\/s12911-018-0612-z","relation":{},"ISSN":["1472-6947"],"issn-type":[{"value":"1472-6947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,7]]},"assertion":[{"value":"20 August 2017","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 May 2018","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 June 2018","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This was undertaken as a quality improvement project rather than a research project. Patients and healthcare staff participated as members of the public who volunteered to take part when notified of the project. Therefore by taking part they provided implied consent. Ethical approval was therefore not required and the project did not involve holding confidential and participant identifiable data. Under the UK Policy Framework for Health and Social Care Research and the University of Birmingham's Code of Practice for Research, only research projects are required to undergo ethics review. This paper reports the outcome of a consultation exercise, which is not considered to be research for the purposes of ethics review under these policy frameworks.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare that they have no competing interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Publisher\u2019s Note"}}],"article-number":"36"}}