Evidence map›Paper›PMID 28410982›Full record

ArticleJournal of biomedical informatics2017

EHR-based phenotyping: Bulk learning and evaluation.

Po-Hsiang Chiu, George Hripcsak

Abstract read
In one paragraph

Article in Journal of biomedical informatics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Article
  2. Artificial Intelligence in Biomedical Sciences: A Scoping Review.British journal of biomedical science · 2025
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Federated Learning in Health care Using Structured Medical Data.Advances in kidney disease and health · 2023
    Review
  8. Article
  9. Article
  10. High-throughput phenotyping with temporal sequences.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  11. Generative transfer learning for measuring plausibility of EHR diagnosis records.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  12. Article
  13. Review
  14. Article
  15. High-throughput multimodal automated phenotyping (MAP) with application to PheWAS.Journal of the American Medical Informatics Association : JAMIA · 2019
    Article
  16. Article
  17. Article
  18. Article
  19. Defining Phenotypes from Clinical Data to Drive Genomic Research.Annual review of biomedical data science · 2018
    Article
  20. Automated disease cohort selection using word embeddings from Electronic Health Records.Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing · 2018
    Article
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

2 authors.

Po-Hsiang ChiuDepartment of Biomedical Informatics, Columbia University, 622 W. 168th Street, New York, NY, USA. Electronic address: pc2694@columbia.edu.
George HripcsakDepartment of Biomedical Informatics, Columbia University, 622 W. 168th Street, New York, NY, USA. Electronic address: hripcsak@columbia.edu.

Funding

DISCOVERING AND APPLYING KNOWLEDGE IN CLINICAL DATABASESR01LM006910 · NLM · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HRIPCSAK, GEORGE M · 2000 to 2023
$10.6M
NLM NIH HHS R01 LM006910
6 · The paper itself

Abstract

In data-driven phenotyping, a core computational task is to identify medical concepts and their variations from sources of electronic health records (EHR) to stratify phenotypic cohorts. A conventional analytic framework for phenotyping largely uses a manual knowledge engineering approach or a supervised learning approach where clinical cases are represented by variables encompassing diagnoses, medicinal treatments and laboratory tests, among others. In such a framework, tasks associated with feature engineering and data annotation remain a tedious and expensive exercise, resulting in poor scalability. In addition, certain clinical conditions, such as those that are rare and acute in nature, may never accumulate sufficient data over time, which poses a challenge to establishing accurate and informative statistical models. In this paper, we use infectious diseases as the domain of study to demonstrate a hierarchical learning method based on ensemble learning that attempts to address these issues through feature abstraction. We use a sparse annotation set to train and evaluate many phenotypes at once, which we call bulk learning. In this batch-phenotyping framework, disease cohort definitions can be learned from within the abstract feature space established by using multiple diseases as a substrate and diagnostic codes as surrogates. In particular, using surrogate labels for model training renders possible its subsequent evaluation using only a sparse annotated sample. Moreover, statistical models can be trained and evaluated, using the same sparse annotation, from within the abstract feature space of low dimensionality that encapsulates the shared clinical traits of these target diseases, collectively referred to as the bulk learning set.

Indexed as

Electronic Health RecordsSupervised Machine LearningData CurationHumansModels, StatisticalPhenotypeDisease modelingEHR phenotypingEnsemble learningFeature learningKnowledge representationStacked generalization

Identifiers

PMID28410982
PMCPMC5934756

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.