Evidence map›Paper›PMID 31119199›Full record

ArticleNPJ digital medicine2019

Semantic integration of clinical laboratory tests from electronic health records for deep phenotyping and biomarker discovery.

Xingmin Aaron Zhang, Amy Yates, Nicole Vasilevsky, J P Gourdine, Tiffany J Callahan, Leigh C Carmody, Daniel Danis, Marcin P Joachimiak, Vida Ravanmehr, Emily R Pfaff and 20 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing 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

39 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Identifying Phenotypes for Earlier Diagnosis of Rare Diseases.Studies in health technology and informatics · 2025
    Article
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  8. Review
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  11. On the limitations of large language models in clinical diagnosis.medRxiv : the preprint server for health sciences · 2024
    Article
  12. LeafAI: query generator for clinical cohort discovery rivaling a human programmer.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. HL7 FHIR-based tools and initiatives to support clinical research: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
  18. Generalizable Long COVID Subtypes: Findings from the NIH N3C and RECOVER Programs.medRxiv : the preprint server for health sciences · 2022
    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

30 authors.

Xingmin Aaron ZhangThe Jackson Laboratory for Genomic Medicine, Farmington CT 06032, USA.ORCID 0000-0002-7284-3950
Amy YatesOregon Clinical and Translational Research Institute, Oregon Health and Science University, Portland, OR 97239, USA.ORCID 0000-0002-0664-7185
Nicole VasilevskyOregon Clinical and Translational Research Institute, Oregon Health and Science University, Portland, OR 97239, USA.ORCID 0000-0001-5208-3432
J P GourdineOregon Clinical and Translational Research Institute, Oregon Health and Science University, Portland, OR 97239, USA.
Tiffany J CallahanComputational Bioscience Program, Department of Pharmacology, University of Colorado Anschutz School of Medicine, Aurora, CO 80045, USA.ORCID 0000-0002-8169-9049
Leigh C CarmodyThe Jackson Laboratory for Genomic Medicine, Farmington CT 06032, USA.ORCID 0000-0001-7941-2961
Daniel DanisThe Jackson Laboratory for Genomic Medicine, Farmington CT 06032, USA.ORCID 0000-0003-0900-3411
Marcin P JoachimiakEnvironmental Genomics and Systems Biology Division, Lawrence Berkeley National Laboratory, Berkeley, CA 94720, USA.
Vida RavanmehrThe Jackson Laboratory for Genomic Medicine, Farmington CT 06032, USA.
Emily R PfaffNorth Carolina Translational and Clinical Sciences Institute (NC TraCS), University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
James ChampionNorth Carolina Translational and Clinical Sciences Institute (NC TraCS), University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Kimberly RobaskyNorth Carolina Translational and Clinical Sciences Institute (NC TraCS), University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Hao XuRenaissance Computing Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Karamarie FechoRenaissance Computing Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.ORCID 0000-0002-6704-9306
Nephi A WaltonGenomic Medicine Institute, Geisinger Health System, Danville, PA 17822, USA.
Richard L ZhuInstitute for Clinical and Translational Research, Johns Hopkins University, Baltimore, MD 21202, USA.
Justin RamsdillOregon Clinical and Translational Research Institute, Oregon Health and Science University, Portland, OR 97239, USA.
Christopher J MungallEnvironmental Genomics and Systems Biology Division, Lawrence Berkeley National Laboratory, Berkeley, CA 94720, USA.
Sebastian KöhlerCharité Centrum für Therapieforschung, Charité - Universitätsmedizin Berlin Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin 10117, Germany.ORCID 0000-0002-5316-1399
Melissa A HaendelOregon Clinical and Translational Research Institute, Oregon Health and Science University, Portland, OR 97239, USA.
Clement J McDonaldLister Hill National Center for Biomedical Communications, National Library of Medicine, National Institutes of Health, Bethesda, MD 20894, USA.
Daniel J VreemanDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.ORCID 0000-0001-5119-6531
David B PedenNorth Carolina Translational and Clinical Sciences Institute (NC TraCS), University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Tellen D BennettDepartment of Pediatrics, Section of Pediatric Critical Care, University of Colorado School of Medicine, Aurora, CO 80045, USA.ORCID 0000-0003-1483-4236
James A FeinsteinAdult and Child Consortium for Health Outcomes Research and Delivery Science (ACCORDS), University of Colorado School of Medicine, Aurora, CO 80045, USA.ORCID 0000-0003-3074-8805
Blake MartinDepartment of Pediatrics, Section of Pediatric Critical Care, University of Colorado School of Medicine, Aurora, CO 80045, USA.
Adrianne L StefanskiComputational Bioscience Program, Department of Pharmacology, University of Colorado Anschutz School of Medicine, Aurora, CO 80045, USA.
Lawrence E HunterComputational Bioscience Program, Department of Pharmacology, University of Colorado Anschutz School of Medicine, Aurora, CO 80045, USA.ORCID 0000-0003-1455-3370
Christopher G ChuteInstitute for Clinical and Translational Research, Johns Hopkins University, Baltimore, MD 21202, USA.ORCID 0000-0001-5437-2545
Peter N RobinsonThe Jackson Laboratory for Genomic Medicine, Farmington CT 06032, USA.ORCID 0000-0002-0736-9199

Funding

Oregon Clinical and Translational Research Institute - The National COVID Cohort Collaborative (N3C)UL1TR002369 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia D Morris, Christopher G. Slatore · 2017 to 2026
$78.4M
Shared Resource ManagementP30CA034196 · NCI · JACKSON LABORATORY · PI Madeleine Joy Braun · 1985 to 2026
$61.9M
Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
The Monarch Initiative: Linking Diseases to Model Organism ResourcesR24OD011883 · OD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HAENDEL, MELISSA A, MUNGALL, CHRISTOPHER J · 2012 to 2024
$16.0M
NLM's Personal Health Record and Consumer Service R&DZIALM008925 · NLM · NATIONAL LIBRARY OF MEDICINE · PI MCDONALD, CLEMENT · 2009 to 2020
$11.8M
Computational Bioscience Program Training GrantT15LM009451 · NLM · UNIVERSITY OF COLORADO DENVER · PI Katherina Kechris-Mays, Arjun Krishnan · 2007 to 2026
$11.7M
Technology Development for a MolBio Knowledge-BaseR01LM008111 · NLM · UNIVERSITY OF COLORADO DENVER · PI HUNTER, LAWRENCE E · 2004 to 2021
$9.7M
Biomedical Data Translator Technical Feasibility Assessment and Architecture DesignOT3TR002019 · NCATS · JOHNS HOPKINS UNIVERSITY · PI CHUTE, CHRISTOPHER G, HAENDEL, MELISSA A · 2016 to 2019
$5.7M
Biomedical Data Translator Technical Feasibility Assessment and Architecture DesignOT3TR002020 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI AHALT, STANLEY CARLTON, TROPSHA, ALEXANDER · 2016 to 2019
$3.1M
Enhancing Medication Safety in Children with Polypharmacy Using Parent-Reported Symptom AssessmentsK23HD091295 · NICHD · UNIVERSITY OF COLORADO DENVER · PI FEINSTEIN, JAMES A · 2017 to 2021
$826k
NCATS NIH HHS OT3 TR002019NCATS NIH HHS OT3 TR002020NCATS NIH HHS UL1 TR002369NCATS NIH HHS UL1 TR002489NCI NIH HHS P30 CA034196NICHD NIH HHS K23 HD091295NIH HHS R24 OD011883NLM NIH HHS HHSN276201400008CNLM NIH HHS R01 LM008111NLM NIH HHS T15 LM009451
6 · The paper itself

Abstract

Electronic Health Record (EHR) systems typically define laboratory test results using the Laboratory Observation Identifier Names and Codes (LOINC) and can transmit them using Fast Healthcare Interoperability Resource (FHIR) standards. LOINC has not yet been semantically integrated with computational resources for phenotype analysis. Here, we provide a method for mapping LOINC-encoded laboratory test results transmitted in FHIR standards to Human Phenotype Ontology (HPO) terms. We annotated the medical implications of 2923 commonly used laboratory tests with HPO terms. Using these annotations, our software assesses laboratory test results and converts each result into an HPO term. We validated our approach with EHR data from 15,681 patients with respiratory complaints and identified known biomarkers for asthma. Finally, we provide a freely available SMART on FHIR application that can be used within EHR systems. Our approach allows readily available laboratory tests in EHR to be reused for deep phenotyping and exploits the hierarchical structure of HPO to integrate distinct tests that have comparable medical interpretations for association studies.

Identifiers

PMID31119199
PMCPMC6527418

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LicenceCC BY
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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.