Evidence map›Paper›PMID 39545787›Full record

ArticleBriefings in bioinformatics2024

Generating pregnant patient biological profiles by deconvoluting clinical records with electronic health record foundation models.

David Seong, Samson Mataraso, Camilo Espinosa, Eloise Berson, S Momsen Reincke, Lei Xue, Chloe Kashiwagi, Yeasul Kim, Chi-Hung Shu, Philip Chung and 8 more

Abstract read
In one paragraph

Article in Briefings in bioinformatics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Artificial intelligence-guided nutritional therapy in the ICU.Current opinion in clinical nutrition and metabolic care · 2026
    Review
  2. 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

18 authors.

David SeongImmunology Program, Stanford University School of Medicine, 240 Pasteur Drive, Palo Alto CA, 94304, United States.ORCID 0000-0002-8980-5731
Samson MatarasoDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Stanford CA, 94305, United States.
Camilo EspinosaImmunology Program, Stanford University School of Medicine, 240 Pasteur Drive, Palo Alto CA, 94304, United States.
Eloise BersonDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Stanford CA, 94305, United States.
S Momsen ReinckeDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Stanford CA, 94305, United States.
Lei XueDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Stanford CA, 94305, United States.
Chloe KashiwagiImmunology Program, Stanford University School of Medicine, 240 Pasteur Drive, Palo Alto CA, 94304, United States.
Yeasul KimDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Stanford CA, 94305, United States.
Chi-Hung ShuDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Stanford CA, 94305, United States.
Philip ChungDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Stanford CA, 94305, United States.
Marc GhanemDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Stanford CA, 94305, United States.
Feng XieDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Stanford CA, 94305, United States.
Ronald J WongDepartment of Pediatrics, Stanford University School of Medicine, 300 Pasteur Drive, Stanford CA, 94305, United States.
Martin S AngstDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Stanford CA, 94305, United States.
Brice GaudilliereDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Stanford CA, 94305, United States.
Gary M ShawDepartment of Pediatrics, Stanford University School of Medicine, 300 Pasteur Drive, Stanford CA, 94305, United States.
David K StevensonDepartment of Pediatrics, Stanford University School of Medicine, 300 Pasteur Drive, Stanford CA, 94305, United States.
Nima AghaeepourImmunology Program, Stanford University School of Medicine, 240 Pasteur Drive, Palo Alto CA, 94304, United States.

Funding

MOLECULAR &CELLULAR IMMUNOBIOLOGYT32AI007290 · NIAID · STANFORD UNIVERSITY · PI Sean Curtis Bendall, Olivia M Martinez · 1985 to 2026
$27.0M
Research in Anesthesia Training Program (ReAP)T32GM089626 · NIGMS · STANFORD UNIVERSITY · PI Vivianne L Tawfik · 2010 to 2026
$5.2M
Machine Learning for Integrative Modeling of the Immune System in Clinical SettingsR35GM138353 · NIGMS · STANFORD UNIVERSITY · PI AGHAEEPOUR, NIMA · 2020 to 2024
$2.2M
Alfred E. Mann FoundationBurroughs Wellcome Fund 1019816Chambers-Okamura Prematurity FundHess Research FundMarch of DimesNIAID NIH HHS T32 AI007290NIGMS NIH HHS R35 GM138353NIGMS NIH HHS T32 GM089626NIH HHS R35GM138353Roberts Foundation Research Fund
6 · The paper itself

Abstract

Translational biology posits a strong bi-directional link between clinical phenotypes and a patient's biological profile. By leveraging this bi-directional link, we can efficiently deconvolute pre-existing clinical information into biological profiles. However, traditional computational tools are limited in their ability to resolve this link because of the relatively small sizes of paired clinical-biological datasets for training and the high dimensionality/sparsity of tabular clinical data. Here, we use state-of-the-art foundation models (FMs) for electronic health record (EHR) data to generate proteomics profiles of pregnant patients, thereby deconvoluting pre-existing clinical information into biological profiles without the cost and effort of running large-scale traditional omics studies. We show that FM-derived representations of a patient's EHR data coupled with a fully connected neural network prediction head can generate 206 blood protein expression levels. Interestingly, these proteins were enriched for developmental pathways, while proteins not able to be generated from EHR data were enriched for metabolic pathways. Finally, we show a proteomic signature of gestational diabetes that includes proteins with established and novel links to gestational diabetes. These results showcase the power of FM-derived EHR representations in efficiently generating biological states of pregnant patients. This capability can revolutionize disease understanding and therapeutic development, offering a cost-effective, time-efficient, and less invasive alternative to traditional methods of generating proteomics.

Indexed as

Electronic Health RecordsProteomicsComputational BiologyDiabetes, GestationalFemaleHumansNeural Networks, ComputerPregnancyelectronic health recordfoundation modelmachine learningpregnancyproteomics

Identifiers

PMID39545787
PMCPMC11565587

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.