Evidence map›Paper›PMID 30124903›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2018

A case study evaluating the portability of an executable computable phenotype algorithm across multiple institutions and electronic health record environments.

Jennifer A Pacheco, Luke V Rasmussen, Richard C Kiefer, Thomas R Campion, Peter Speltz, Robert J Carroll, Sarah C Stallings, Huan Mo, Monika Ahuja, Guoqian Jiang and 14 more

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Not all phenotypes are created equal: covariates of success in e-phenotype specification.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review of Clinical Research Informatics.Yearbook of medical informatics · 2020
    Review
  17. Article
  18. Article
  19. Article
  20. 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

24 authors.

Jennifer A PachecoCenter for Genetic Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Luke V RasmussenDivision of Health and Biomedical Informatics, Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Richard C KieferDepartment of Health Sciences Research, Mayo Clinic, Rochester, Minnesota, USA.
Thomas R CampionDepartment of Healthcare Policy and Research, Weill Cornell Medicine, New York, New York, USA.
Peter SpeltzDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Robert J CarrollDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Sarah C StallingsMeharry-Vanderbilt Alliance, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Huan MoDepartment of Pathology, Loma Linda University Health, Loma Linda, California, USA.
Monika AhujaDepartment of Healthcare Policy and Research, Weill Cornell Medicine, New York, New York, USA.
Guoqian JiangDepartment of Health Sciences Research, Mayo Clinic, Rochester, Minnesota, USA.
Eric R LaRoseDepartment of Biomedical Informatics, Marshfield Clinic Research Institute, Marshfield, Wisconsin, USA.
Peggy L PeissigDepartment of Biomedical Informatics, Marshfield Clinic Research Institute, Marshfield, Wisconsin, USA.
Ning ShangDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.
Barbara BenoitResearch IS and Computing, Partners HealthCare, Harvard University, Somerville, Massachusetts, USA.
Vivian S GainerResearch IS and Computing, Partners HealthCare, Harvard University, Somerville, Massachusetts, USA.
Kenneth BorthwickHenry Hood Center for Health Research, Geisinger, Danville, Pennsylvania, USA.
Kathryn L JacksonDepartment of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Ambrish SharmaDepartment of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Andy Yizhou WuDepartment of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Abel N KhoDepartment of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Dan M RodenDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Jyotishman PathakDepartment of Healthcare Policy and Research, Weill Cornell Medicine, New York, New York, USA.
Joshua C DennyDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
William K ThompsonDepartment of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.

Funding

Genomic Basis of Susceptibility to COVID-19 Infection and its ComplicationsU01HG006379 · NHGRI · MAYO CLINIC ROCHESTER · PI Richard R. Sharp · 2011 to 2026
$16.5M
Variation, Function, and Disease Supplement ProgramU01HG008657 · NHGRI · UNIVERSITY OF WASHINGTON · PI David Russell Crosslin, Gail Pairitz Jarvik · 2015 to 2026
$13.4M
OMOP information model for eMERGE phenotypingU01HG008680 · NHGRI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Wendy K Chung, GEORGE M HRIPCSAK · 2015 to 2026
$13.3M
Global Alliance for Genomic Health (GA4GH)U01HG008676 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI LENNON, NIALL JOHN, REHM, HEIDI L · 2015 to 2019
$8.6M
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
VGER, the Vanderbilt Genome-Electronic Records ProjectU01HG008672 · NHGRI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DENNY, JOSHUA C., RODEN, DAN M · 2015 to 2019
$5.1M
OMOP information model for eMERGE phenotypingU01HG008679 · NHGRI · GEISINGER CLINIC · PI WILLIAMS, MARC S. · 2015 to 2019
$4.4M
Genomic Medicine at Northwestern: Discovery and ImplementationU01HG008673 · NHGRI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CHISHOLM, REX L, SMITH, MAUREEN E · 2015 to 2019
$4.1M
NHGRI NIH HHS U01 HG006379NHGRI NIH HHS U01 HG008657NHGRI NIH HHS U01 HG008672NHGRI NIH HHS U01 HG008673NHGRI NIH HHS U01 HG008676NHGRI NIH HHS U01 HG008679NHGRI NIH HHS U01 HG008680NIGMS NIH HHS R01 GM105688
6 · The paper itself

Abstract

Electronic health record (EHR) algorithms for defining patient cohorts are commonly shared as free-text descriptions that require human intervention both to interpret and implement. We developed the Phenotype Execution and Modeling Architecture (PhEMA, http://projectphema.org) to author and execute standardized computable phenotype algorithms. With PhEMA, we converted an algorithm for benign prostatic hyperplasia, developed for the electronic Medical Records and Genomics network (eMERGE), into a standards-based computable format. Eight sites (7 within eMERGE) received the computable algorithm, and 6 successfully executed it against local data warehouses and/or i2b2 instances. Blinded random chart review of cases selected by the computable algorithm shows PPV ≥90%, and 3 out of 5 sites had >90% overlap of selected cases when comparing the computable algorithm to their original eMERGE implementation. This case study demonstrates potential use of PhEMA computable representations to automate phenotyping across different EHR systems, but also highlights some ongoing challenges.

Indexed as

AlgorithmsElectronic Health RecordsPhenotypeDatabases, FactualData WarehousingGenomicsHumansMaleOrganizational Case StudiesProstatic Hyperplasia

Identifiers

PMID30124903
PMCPMC6213083

What OpenQuestion holds

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Registered trials

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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.