Evidence map›Paper›PMID 38937550›Full record

ArticleNPJ digital medicine2024

A multi-center study on the adaptability of a shared foundation model for electronic health records.

Lin Lawrence Guo, Jason Fries, Ethan Steinberg, Scott Lanyon Fleming, Keith Morse, Catherine Aftandilian, Jose Posada, Nigam Shah, Lillian Sung

Abstract read
In one paragraph

Article in NPJ digital medicine, 2024. 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.

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  11. Large Models for Small Tables: Adapting Tabular Foundation Models to EHR Data.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2026
    Article
  12. Knowledgeable Language Models as Black-Box Optimizers for Personalized Medicine.... International Conference on Learning Representations · 2026
    Article
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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

9 authors.

Lin Lawrence Guo *Program in Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada.
Jason Fries *Stanford Center for Biomedical Informatics Research, Stanford University, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0001-9316-5768
Ethan SteinbergStanford Center for Biomedical Informatics Research, Stanford University, Palo Alto, CA, USA.
Scott Lanyon FlemingStanford Center for Biomedical Informatics Research, Stanford University, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0002-6047-7877
Keith MorseDivision of Pediatric Hospital Medicine, Department of Pediatrics, Stanford University, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0002-8307-1642
Catherine AftandilianDivision of Hematology/Oncology, Department of Pediatrics, Stanford University, Palo Alto, CA, USA.
Jose PosadaUniversidad del Norte, Barranquilla, Colombia.ORCID http://orcid.org/0000-0003-3864-0241
Nigam ShahStanford Center for Biomedical Informatics Research, Stanford University, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0001-9385-7158
Lillian SungProgram in Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada. Lillian.sung@sickkids.ca.ORCID http://orcid.org/0000-0003-0951-3091

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Foundation models are transforming artificial intelligence (AI) in healthcare by providing modular components adaptable for various downstream tasks, making AI development more scalable and cost-effective. Foundation models for structured electronic health records (EHR), trained on coded medical records from millions of patients, demonstrated benefits including increased performance with fewer training labels, and improved robustness to distribution shifts. However, questions remain on the feasibility of sharing these models across hospitals and their performance in local tasks. This multi-center study examined the adaptability of a publicly accessible structured EHR foundation model (FM

Identifiers

PMID38937550
PMCPMC11211479

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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.