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Networked Behaviors Associated With a Large-Scale Secure Messaging Network: Cross-Sectional Secondary Data Analysis

Networked Behaviors Associated With a Large-Scale Secure Messaging Network: Cross-Sectional Secondary Data Analysis

Asynchronous text-based communication—generally referred to as secure messaging—can be used either within the electronic health record (EHR) or through independent secure mobile platforms and is rapidly becoming the primary mode of communication in modern clinical settings [4].

Laura Rosa Baratta, Linlin Xia, Daphne Lew, Elise Eiden, Y Jasmine Wu, Noshir Contractor, Bruce L Lambert, Sunny S Lou, Thomas Kannampallil

JMIR Med Inform 2025;13:e66544

Virtual Diabetes Prevention Program Tailored to Increase Participation of Black and Latino Men: Protocol for a Randomized Controlled Trial

Virtual Diabetes Prevention Program Tailored to Increase Participation of Black and Latino Men: Protocol for a Randomized Controlled Trial

In data analysis, missing weights will be managed using multiple imputations from time points near NDPP session delivery from GSM (global system for mobile communication) scale weights, weights extracted from EHR, and self-reported weights. Inclusion criteria Identified as Hispanic or Latino and or African American or Black as indicated in the electronic health record and later by self-report during screening.

Earle C Chambers, Elizabeth A Walker, Clyde Schechter, Eric Gil, Terysia Herbert, Katelyn Diaz, Jeffrey Gonzalez

JMIR Res Protoc 2025;14:e64405

Outcomes of an Advanced Epic Personalization Course on Clinician Efficiency through Use of Electronic Medical Records: Retrospective Study

Outcomes of an Advanced Epic Personalization Course on Clinician Efficiency through Use of Electronic Medical Records: Retrospective Study

The findings from our retrospective descriptive study are consistent with that of department-focused “EHR thrive” training conducted by Livingston and Bovi [24], in which trained clinicians demonstrated improved efficiency in time management across documentation, basket management, and clinical orders.

Junye George Chen, Hao Xing Lai, Shi Min Wong, Terry Ling Te Pan, Er Luen Lim, Zi Qiang Glen Liau

JMIR Form Res 2025;9:e68491

Predicting Early-Onset Colorectal Cancer in Individuals Below Screening Age Using Machine Learning and Real-World Data: Case Control Study

Predicting Early-Onset Colorectal Cancer in Individuals Below Screening Age Using Machine Learning and Real-World Data: Case Control Study

In contrast to imaging and genomic data, structured data from the electronic health record (EHR) offers a more accessible and cost-effective data source for initial research. Originally designed for administrative and billing purposes, structured EHR data have evolved into valuable tools for health care research, capturing a wealth of patient information, including clinical diagnoses, procedures, medications, and laboratory results, among others [11].

Chengkun Sun, Erin Mobley, Michael Quillen, Max Parker, Meghan Daly, Rui Wang, Isabela Visintin, Ziad Awad, Jennifer Fishe, Alexander Parker, Thomas George, Jiang Bian, Jie Xu

JMIR Cancer 2025;11:e64506

Technology-Enabled Workplace Learning Through Rethinking Electronic Health Records to Support Performance Feedback: Protocol for a Mixed Methods Study

Technology-Enabled Workplace Learning Through Rethinking Electronic Health Records to Support Performance Feedback: Protocol for a Mixed Methods Study

Over the course of the project, the researchers aim to understand how health care professionals are currently using EMRs and EHRs to support their practice, what the role of these technologies is in performance feedback and reflective practice of medical practitioners, and how the design of these technologies can be rethought to support a “next-generation” EHR that could support reflective practice.

Anna Janssen, Mia Nazir

JMIR Res Protoc 2025;14:e66824

A Deep Learning–Enabled Workflow to Estimate Real-World Progression-Free Survival in Patients With Metastatic Breast Cancer: Study Using Deidentified Electronic Health Records

A Deep Learning–Enabled Workflow to Estimate Real-World Progression-Free Survival in Patients With Metastatic Breast Cancer: Study Using Deidentified Electronic Health Records

However, assessing RECIST in retrospective electronic health record (EHR) data is challenging due to its strict assessment indicators [4]. RECIST considers changes in the size of individual target lesions over time and the presence or absence of new lesions to categorize disease status into complete or partial response, stable disease, or progression [5].

Gowtham Varma, Rohit Kumar Yenukoti, Praveen Kumar M, Bandlamudi Sai Ashrit, K Purushotham, C Subash, Sunil Kumar Ravi, Verghese Kurien, Avinash Aman, Mithun Manoharan, Shashank Jaiswal, Akash Anand, Rakesh Barve, Viswanathan Thiagarajan, Patrick Lenehan, Scott A Soefje, Venky Soundararajan

JMIR Cancer 2025;11:e64697

The Elastic Electronic Health Record: A Five-Tiered Framework for Applying Artificial Intelligence to Electronic Health Record Maintenance, Configuration, and Use

The Elastic Electronic Health Record: A Five-Tiered Framework for Applying Artificial Intelligence to Electronic Health Record Maintenance, Configuration, and Use

AI copilots have benefits, but they operate on a manually maintained, costly, and continuously noncurrent EHR content and configurations, ie, their effectiveness is fundamentally limited by flaws in the underlying EHR architecture. These flaws result from the complexity and scale of configurable “solutions” that comprise health record platforms; to solve this issue, we propose the “Elastic EHR”.

Colby Uptegraft, Kameron Collin Black, Jonathan Gale, Andrew Marshall, Shuhan He

JMIR AI 2025;4:e66741

Assessing the Impact on Electronic Health Record Burden After Five Years of Physician Engagement in a Canadian Mental Health Organization: Mixed-Methods Study

Assessing the Impact on Electronic Health Record Burden After Five Years of Physician Engagement in a Canadian Mental Health Organization: Mixed-Methods Study

One of the main challenges has been an approach to rapidly identify and address bottlenecks and issues related to the EHR. As a result, we developed the “SWAT” initiative, which focuses on bringing an interdisciplinary team to rapidly triage and address issues related to the EHR in an agile manner [19].

Tania Tajirian, Brian Lo, Gillian Strudwick, Adam Tasca, Emily Kendell, Brittany Poynter, Sanjeev Kumar, Po-Yen (Brian) Chang, Candice Kung, Debbie Schachter, Gwyneth Zai, Michael Kiang, Tamara Hoppe, Sara Ling, Uzma Haider, Kavini Rabel, Noelle Coombe, Damian Jankowicz, Sanjeev Sockalingam

JMIR Hum Factors 2025;12:e65656

Association Between Risk Factors and Major Cancers: Explainable Machine Learning Approach

Association Between Risk Factors and Major Cancers: Explainable Machine Learning Approach

Machine learning has shown promising potential in cancer prediction by leveraging electronic health record (EHR) data to identify risk factors [17]. Current applications range from developing predictive models for early cancer detection to personalized treatment recommendations and outcome predictions, based on various patient characteristics and biomarkers. Despite these advancements, several challenges remain in cancer prediction using machine learning [18].

Xiayuan Huang, Shushun Ren, Xinyue Mao, Sirui Chen, Elle Chen, Yuqi He, Yun Jiang

JMIR Cancer 2025;11:e62833