I am still struggling with my research question and my attempt is in the subject box above. It should be aimed at how increasing the knowledge of phenotypes and longitudinal data in EHRs will advance the personalization of medical care. I have attached the articles I would like you to use for this paper. Please don’t come off as an expert on the matter because I will need to present on this topic in a few weeks. The professor asked me to narrow my focus to how the collection of data varies and specifically noted I should stay away from Natural Language Processing (NLP) software, and Positive Predictive Value (PPV). So I was leaning towards how the primary studies noted differences in those records where ICD9CM, plus mentions of the diagnosis in the clinical or primary care notes, as well as in other supporting study how they take into account labs and radiology. I would also like eMERGE mentioned in the article probably somewhere in the introduction.
The format of the paper is IMRADS
I- Introduction- about 1 1/2- 2 pages
M-Methods- 1/2-1 pg
R-Results- 4-5 pg
A-Analysis- 2 or 3 pg
D-Discussion- 2 or 3 pg
**Here are some notes from the Professor for Methods/Results sections
Methods: You could include in there, how you searched, the date, the keywords, the databases you went to. Total number of articles retreived, how many excluded, why excluded. Here are my search criteria: Utilized EBSCO host, ProQuest, NCBI search databases using these search keywords: (disease OR diseases) AND (phenotype OR phenotypes OR phewas) AND (impact OR effect OR outcome OR relationship) AND su(Biobanks OR eMERGE) eliminated those articles that focused on pharmacogenetics I originally retrieved 250 after eliminating pharmacogenetics the number was reduced to 120 articles
**Professors notes continued**
Results: These are the primary studies that support your thesis. So that the paper is more manageable, consider 3-5 primary studies only in the results section. This will also limit the topic breadth. Be creative if you want in using tables, figures, data from these primary studies. **The results section should be presented in past tense. The use of 2-3 tables or figures from the primary studies. This section will be approx. 5 pages in length**
**Do not interpret the results, you only report the findings of these studies.
We haven’t covered the Analysis and Discussion portions yet but with a 2 page introduction, 5 1/2 pages for Methods and Results. That leaves about 5 pages for Analysis and Discussion some gaps should be mentioned. One key consideration I was thinking of adding was how patients records can become fragmented if they receive medical care at multiple sites that do not share EHR data. It is discussed in one of the articles. Sometimes people are taking medications that algorithms would pick up on for Atrial fibrillation but the patient isn’t diagnosed with that disease they take the medication for another health related issue which is form of misinformation or gap.
Just wanted to supply you with some of my ideas since this is the fourth week of the class and it is important that some of my work and voice is reflected in the work.
The formatting is in Vancouver style. Paper total length including 2 pages of references is 14 pages.
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