Evidence map›Paper›PMID 26464024›Full record

ArticleJournal of biomedical informatics2015

Learning probabilistic phenotypes from heterogeneous EHR data.

Rimma Pivovarov, Adler J Perotte, Edouard Grave, John Angiolillo, Chris H Wiggins, Noémie Elhadad

Abstract read
In one paragraph

Article in Journal of biomedical informatics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
–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

61 citing papers in PubMed.

  1. Article
  2. Multimodal Training to Unimodal Deployment: Leveraging Unstructured Data During Training to Optimize Structured Data Only Deployment.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2026
    Article
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  4. Article
  5. Clinical Research Informatics: a Decade-in-Review.Yearbook of medical informatics · 2024
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Probabilistic Machine Learning for Healthcare.Annual review of biomedical data science · 2021
    Review
  20. Article

1 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

6 authors.

Rimma PivovarovDepartment of Biomedical Informatics, Columbia University, 622 W. 168th Street, New York, NY, USA. Electronic address: rip7002@nyp.org.
Adler J PerotteDepartment of Biomedical Informatics, Columbia University, 622 W. 168th Street, New York, NY, USA. Electronic address: ajp2120@cumc.columbia.edu.
Edouard GraveDepartment of Biomedical Informatics, Columbia University, 622 W. 168th Street, New York, NY, USA. Electronic address: eg2795@cumc.columbia.edu.
John AngiolilloCollege of Physicians and Surgeons, Columbia University, New York, NY, USA. Electronic address: ja2686@cumc.columbia.edu.
Chris H WigginsDepartment of Applied Physics and Applied Mathematics, Columbia University, New York, NY, USA. Electronic address: chw2@columbia.edu.
Noémie ElhadadDepartment of Biomedical Informatics, Columbia University, 622 W. 168th Street, New York, NY, USA. Electronic address: noemie.elhadad@columbia.edu.

Funding

Training in Biomedical Informatics at Columbia UniversityT15LM007079 · NLM · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI NOEMIE ELHADAD, GEORGE M HRIPCSAK · 1992 to 2026
$28.9M
NLM NIH HHS T15 LM007079
6 · The paper itself

Abstract

We present the Unsupervised Phenome Model (UPhenome), a probabilistic graphical model for large-scale discovery of computational models of disease, or phenotypes. We tackle this challenge through the joint modeling of a large set of diseases and a large set of clinical observations. The observations are drawn directly from heterogeneous patient record data (notes, laboratory tests, medications, and diagnosis codes), and the diseases are modeled in an unsupervised fashion. We apply UPhenome to two qualitatively different mixtures of patients and diseases: records of extremely sick patients in the intensive care unit with constant monitoring, and records of outpatients regularly followed by care providers over multiple years. We demonstrate that the UPhenome model can learn from these different care settings, without any additional adaptation. Our experiments show that (i) the learned phenotypes combine the heterogeneous data types more coherently than baseline LDA-based phenotypes; (ii) they each represent single diseases rather than a mix of diseases more often than the baseline ones; and (iii) when applied to unseen patient records, they are correlated with the patients' ground-truth disorders. Code for training, inference, and quantitative evaluation is made available to the research community.

Indexed as

Electronic Health RecordsLearningProbabilityHumansPhenotypeClinical phenotype modelingComputational disease modelsElectronic health recordMedical information systemsPhenotypingProbabilistic modeling

Identifiers

PMID26464024
PMCPMC8025140

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.