Evidence map›Paper›PMID 31613361›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2019

High-throughput multimodal automated phenotyping (MAP) with application to PheWAS.

Katherine P Liao, Jiehuan Sun, Tianrun A Cai, Nicholas Link, Chuan Hong, Jie Huang, Jennifer E Huffman, Jessica Gronsbell, Yichi Zhang, Yuk-Lam Ho and 10 more

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing 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

68 citing papers in PubMed.

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  13. Restriction with Normal Spirometry: A Retrospective Cohort Study.medRxiv : the preprint server for health sciences · 2025
    Article
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8 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

20 authors.

Katherine P LiaoDivision of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Boston, MA, USA.
Jiehuan SunDivision of Data Sciences, VA Boston Healthcare System, Boston, MA, USA.
Tianrun A CaiDivision of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Boston, MA, USA.
Nicholas LinkDivision of Data Sciences, VA Boston Healthcare System, Boston, MA, USA.
Chuan HongDepartment of Biomedical Informatics, Harvard Medical School, Boston, MA, USA.
Jie HuangDepartment of Biomedical Informatics, Harvard Medical School, Boston, MA, USA.
Jennifer E HuffmanDivision of Data Sciences, VA Boston Healthcare System, Boston, MA, USA.
Jessica GronsbellVerily Life Sciences, Cambridge, MA, USA.
Yichi ZhangDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Yuk-Lam HoDivision of Data Sciences, VA Boston Healthcare System, Boston, MA, USA.
Victor CastroPartners Healthcare Systems, Summerville, MA, USA.
Vivian GainerPartners Healthcare Systems, Summerville, MA, USA.
Shawn N MurphyDepartment of Biomedical Informatics, Harvard Medical School, Boston, MA, USA.
Christopher J O'DonnellDivision of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Boston, MA, USA.
J Michael GazianoDivision of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Boston, MA, USA.
Kelly ChoDivision of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Boston, MA, USA.
Peter SzolovitsComputer Science and Artificial Intelligence Laboratory, Massachusetts Institute of Technology, Cambridge, MA, USA.
Isaac S KohaneDepartment of Biomedical Informatics, Harvard Medical School, Boston, MA, USA.
Sheng YuCenter for Statistical Science, Tsinghua University, Beijing, China.
Tianxi CaiDepartment of Biomedical Informatics, Harvard Medical School, Boston, MA, USA.

Funding

TrainingU54HG007963 · NHGRI · HARVARD MEDICAL SCHOOL · PI KOHANE, ISAAC S., MURPHY, SHAWN N · 2014 to 2018
$18.3M
Finding Genomic Profiles of COVID-19 Phenotypes from the EHRU01HG008685 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIZABETH W KARLSON, Matthew S Lebo · 2015 to 2026
$13.6M
VERITY: Value and Evidence in Rheumatology using bioInformaTics, and advanced analYticsP30AR072577 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI Daniel Hal Solomon · 2017 to 2026
$9.8M
Developing i2b2 into a Health Innovation Platform for Clinical Decision Support in the Genomics EraR01HG009174 · NHGRI · MASSACHUSETTS GENERAL HOSPITAL · PI ARONSON, SAMUEL JEFFREY, MACRAE, CALUM A. · 2016 to 2019
$2.9M
NHGRI NIH HHS R01 HG009174NHGRI NIH HHS U01 HG008685NHGRI NIH HHS U54 HG007963NIAMS NIH HHS P30 AR072577
6 · The paper itself

Abstract

objectiveElectronic health records linked with biorepositories are a powerful platform for translational studies. A major bottleneck exists in the ability to phenotype patients accurately and efficiently. The objective of this study was to develop an automated high-throughput phenotyping method integrating International Classification of Diseases (ICD) codes and narrative data extracted using natural language processing (NLP). MATERIALS AND

methodsWe developed a mapping method for automatically identifying relevant ICD and NLP concepts for a specific phenotype leveraging the Unified Medical Language System. Along with health care utilization, aggregated ICD and NLP counts were jointly analyzed by fitting an ensemble of latent mixture models. The multimodal automated phenotyping (MAP) algorithm yields a predicted probability of phenotype for each patient and a threshold for classifying participants with phenotype yes/no. The algorithm was validated using labeled data for 16 phenotypes from a biorepository and further tested in an independent cohort phenome-wide association studies (PheWAS) for 2 single nucleotide polymorphisms with known associations.

resultsThe MAP algorithm achieved higher or similar AUC and F-scores compared to the ICD code across all 16 phenotypes. The features assembled via the automated approach had comparable accuracy to those assembled via manual curation (AUCMAP 0.943, AUCmanual 0.941). The PheWAS results suggest that the MAP approach detected previously validated associations with higher power when compared to the standard PheWAS method based on ICD codes.

conclusionThe MAP approach increased the accuracy of phenotype definition while maintaining scalability, thereby facilitating use in studies requiring large-scale phenotyping, such as PheWAS.

Indexed as

AlgorithmsElectronic Health RecordsInternational Classification of DiseasesNatural Language ProcessingPhenotypePolymorphism, Single NucleotideArea Under CurveHumansUnified Medical Language SystemHigh-throughputphenotypingPheWAS

Identifiers

PMID31613361
PMCPMC6798574

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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.