Evidence map›Paper›PMID 37567968›Full record

ArticleNPJ digital medicine2023

EHR-Safe: generating high-fidelity and privacy-preserving synthetic electronic health records.

Jinsung Yoon, Michel Mizrahi, Nahid Farhady Ghalaty, Thomas Jarvinen, Ashwin S Ravi, Peter Brune, Fanyu Kong, Dave Anderson, George Lee, Arie Meir and 4 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–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

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Foundation Model-Guided Synthetic EHR Release: Performance Enhancement with Privacy Preservation.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2026
    Article
  11. Article
  12. Synth-SBDH: A Synthetic Dataset of Social and Behavioral Determinants of Health for Clinical Text.Proceedings of the Conference on Empirical Methods in Natural Language Processing. Conference on Empirical Methods in Natural Language Processing · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Synthetic Data for the Get With The Guidelines-Stroke Registry.Journal of the American Heart Association · 2025
    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

14 authors.

Jinsung YoonGoogle Cloud, 1155 Borregas Ave, Sunnyvale, CA, USA. jinsungyoon@google.com.ORCID http://orcid.org/0000-0002-5481-5171
Michel MizrahiGoogle Cloud, 1155 Borregas Ave, Sunnyvale, CA, USA.
Nahid Farhady GhalatyGoogle Cloud, 1155 Borregas Ave, Sunnyvale, CA, USA.
Thomas JarvinenGoogle Cloud, 1155 Borregas Ave, Sunnyvale, CA, USA.
Ashwin S RaviGoogle Cloud, 1155 Borregas Ave, Sunnyvale, CA, USA.
Peter BruneGoogle Cloud, 1155 Borregas Ave, Sunnyvale, CA, USA.
Fanyu KongGoogle Cloud, 1155 Borregas Ave, Sunnyvale, CA, USA.
Dave AndersonGoogle Cloud, 1155 Borregas Ave, Sunnyvale, CA, USA.
George LeeGoogle Cloud, 1155 Borregas Ave, Sunnyvale, CA, USA.
Arie MeirGoogle LLC, 1600 Amphitheatre Pkwy, Mountain View, CA, USA.
Farhana BandukwalaGoogle Cloud, 1155 Borregas Ave, Sunnyvale, CA, USA.
Elli KanalGoogle LLC, 1600 Amphitheatre Pkwy, Mountain View, CA, USA.
Sercan Ö ArıkGoogle Cloud, 1155 Borregas Ave, Sunnyvale, CA, USA.ORCID http://orcid.org/0000-0001-6333-1729
Tomas PfisterGoogle Cloud, 1155 Borregas Ave, Sunnyvale, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Privacy concerns often arise as the key bottleneck for the sharing of data between consumers and data holders, particularly for sensitive data such as Electronic Health Records (EHR). This impedes the application of data analytics and ML-based innovations with tremendous potential. One promising approach for such privacy concerns is to instead use synthetic data. We propose a generative modeling framework, EHR-Safe, for generating highly realistic and privacy-preserving synthetic EHR data. EHR-Safe is based on a two-stage model that consists of sequential encoder-decoder networks and generative adversarial networks. Our innovations focus on the key challenging aspects of real-world EHR data: heterogeneity, sparsity, coexistence of numerical and categorical features with distinct characteristics, and time-varying features with highly-varying sequence lengths. Under numerous evaluations, we demonstrate that the fidelity of EHR-Safe is almost-identical with real data (<3% accuracy difference for the models trained on them) while yielding almost-ideal performance in practical privacy metrics.

Identifiers

PMID37567968
PMCPMC10421926

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.