Evidence map›Paper›PMID 24190931›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2013

Normalization and standardization of electronic health records for high-throughput phenotyping: the SHARPn consortium.

Jyotishman Pathak, Kent R Bailey, Calvin E Beebe, Steven Bethard, David C Carrell, Pei J Chen, Dmitriy Dligach, Cory M Endle, Lacey A Hart, Peter J Haug and 22 more

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Clinical Research Informatics: a Decade-in-Review.Yearbook of medical informatics · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Characterizing variability of electronic health record-driven phenotype definitions.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Classification, Ontology, and Precision Medicine.The New England journal of medicine · 2018
    Review
  19. The rendering of human phenotype and rare diseases in ICD-11.Journal of inherited metabolic disease · 2018
    Article
  20. Review

3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

32 authors.

Jyotishman PathakDepartment of Health Sciences Research, Mayo Clinic, Rochester, Minnesota, USA.
Kent R Bailey
Calvin E Beebe
Steven Bethard
David C Carrell
Pei J Chen
Dmitriy Dligach
Cory M Endle
Lacey A Hart
Peter J Haug
Stanley M Huff
Vinod C Kaggal
Dingcheng Li
Hongfang Liu
Kyle Marchant
James Masanz
Timothy Miller
Thomas A Oniki
Martha Palmer
Kevin J Peterson
Susan Rea
Guergana K Savova
Craig R Stancl
Sunghwan Sohn
Harold R Solbrig
Dale B Suesse
Cui Tao
David P Taylor
Les Westberg
Stephen Wu
Ning Zhuo
Christopher G Chute

Funding

National Infrastructure for Standardized and Portable EHR Phenotyping AlgorithmsR01GM105688 · NIGMS · WEILL MEDICAL COLL OF CORNELL UNIV · PI LUO, YUAN, PATHAK, JYOTISHMAN · 2013 to 2020
$5.7M
Natural language processing for clinical and translational researchR01GM102282 · NIGMS · MAYO CLINIC ROCHESTER · PI LIU, HONGFANG, PAKHOMOV, SERGUEI VS · 2013 to 2016
$2.5M
NIGMS NIH HHS R01 GM102282NIGMS NIH HHS R01 GM105688
6 · The paper itself

Abstract

RESEARCH

objectiveTo develop scalable informatics infrastructure for normalization of both structured and unstructured electronic health record (EHR) data into a unified, concept-based model for high-throughput phenotype extraction. MATERIALS AND

methodsSoftware tools and applications were developed to extract information from EHRs. Representative and convenience samples of both structured and unstructured data from two EHR systems-Mayo Clinic and Intermountain Healthcare-were used for development and validation. Extracted information was standardized and normalized to meaningful use (MU) conformant terminology and value set standards using Clinical Element Models (CEMs). These resources were used to demonstrate semi-automatic execution of MU clinical-quality measures modeled using the Quality Data Model (QDM) and an open-source rules engine.

resultsUsing CEMs and open-source natural language processing and terminology services engines-namely, Apache clinical Text Analysis and Knowledge Extraction System (cTAKES) and Common Terminology Services (CTS2)-we developed a data-normalization platform that ensures data security, end-to-end connectivity, and reliable data flow within and across institutions. We demonstrated the applicability of this platform by executing a QDM-based MU quality measure that determines the percentage of patients between 18 and 75 years with diabetes whose most recent low-density lipoprotein cholesterol test result during the measurement year was <100 mg/dL on a randomly selected cohort of 273 Mayo Clinic patients. The platform identified 21 and 18 patients for the denominator and numerator of the quality measure, respectively. Validation results indicate that all identified patients meet the QDM-based criteria.

conclusionsEnd-to-end automated systems for extracting clinical information from diverse EHR systems require extensive use of standardized vocabularies and terminologies, as well as robust information models for storing, discovering, and processing that information. This study demonstrates the application of modular and open-source resources for enabling secondary use of EHR data through normalization into standards-based, comparable, and consistent format for high-throughput phenotyping to identify patient cohorts.

Indexed as

Data MiningMedical Informatics ApplicationsNatural Language ProcessingPhenotypeAlgorithmsBiomedical ResearchComputer SecurityElectronic Health RecordsHumansSoftwareVocabulary, ControlledElectronic health recordMeaningful UseNatural Language ProcessingNormalizationPhenotype Extraction

Identifiers

PMID24190931
PMCPMC3861933

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.