Evidence map›Paper›PMID 39822919›Full record

ArticleLearning health systems2025

The Complete Inpatient Record Using Comprehensive Electronic Data (CIRCE) project: A team-based approach to clinically validated, research-ready electronic health record data.

Andrea L C Schneider, Jennifer C Ginestra, Meeta Prasad Kerlin, Michael G S Shashaty, Todd A Miano, Daniel S Herman, Oscar J L Mitchell, Rachel Bennett, Alexander T Moffett, John Chandler and 16 more

Abstract read
In one paragraph

Article in Learning health systems, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
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  4. Pill Burden: A Quality-of-Life Measure After Parathyroidectomy for Secondary Hyperparathyroidism.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
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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

26 authors.

Andrea L C SchneiderDepartment of Neurology University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.ORCID https://orcid.org/0000-0003-0026-5052
Jennifer C GinestraDepartment of Medicine University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.
Meeta Prasad KerlinDepartment of Medicine University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.
Michael G S ShashatyDepartment of Medicine University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.
Todd A MianoDepartment of Biostatistics, Epidemiology and Informatics University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.
Daniel S HermanDepartment of Pathology and Laboratory Medicine University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.
Oscar J L MitchellDepartment of Medicine University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.
Rachel BennettDepartment of Medicine University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.
Alexander T MoffettDepartment of Medicine University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.
John ChandlerDepartment of Neurology University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.
Atul KalanuriaDepartment of Neurology University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.
Zahra FarajiDepartment of Medicine University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.
Nicholas S BishopDepartment of Medicine University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.ORCID https://orcid.org/0000-0001-6324-8140
Benjamin SchmidPalliative and Advanced Illness Research (PAIR) Center University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.
Angela T ChenUniversity of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.
Kathryn H BowlesLeonard Davis Institute of Health Economics University of Pennsylvania Philadelphia Pennsylvania USA.
Thomas JosephDepartment of Anesthesia and Critical Care University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.
Rachel KohnDepartment of Medicine University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.
Rachel R KelzLeonard Davis Institute of Health Economics University of Pennsylvania Philadelphia Pennsylvania USA.
George L AnesiDepartment of Medicine University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.
Monisha KumarDepartment of Neurology University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.
Ari B FriedmanLeonard Davis Institute of Health Economics University of Pennsylvania Philadelphia Pennsylvania USA.
Emily VailLeonard Davis Institute of Health Economics University of Pennsylvania Philadelphia Pennsylvania USA.
Nuala J MeyerDepartment of Medicine University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.
Blanca E HimesDepartment of Biostatistics, Epidemiology and Informatics University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.
Gary E WeissmanDepartment of Biostatistics, Epidemiology and Informatics University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.

Funding

Translational Research Support CoreP30ES013508 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI Trevor M Penning · 2006 to 2026
$35.3M
Cardiology & pulmonary research training grantT32HL007891 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI Jason D Christie · 1998 to 2026
$12.0M
Training in Critical Care Health Policy ResearchT32HL098054 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI Scott D Halpern · 2010 to 2026
$8.2M
Investigating Individual Susceptibility and Host Response in Acute Respiratory Distress SyndromeR35HL161196 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI Nuala Jennings Meyer · 2022 to 2026
$4.8M
CEBPD-Mediated Mechanisms of Glucocorticoid Insensitivity in Severe AsthmaR01HL133433 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI HIMES, BLANCA E · 2017 to 2021
$3.2M
Personalized Provider Selection to Reduce Surgical DisparitiesR01MD016088 · NIMHD · UNIVERSITY OF PENNSYLVANIA · PI Rachel Kelz · 2022 to 2026
$3.2M
Using Outcomes to Guide Treatment of Surgical EmergenciesR01AG060612 · NIA · UNIVERSITY OF PENNSYLVANIA · PI KELZ, RACHEL · 2019 to 2023
$2.7M
Phenotyping ARDS, Pneumonia, and Sepsis over time to elucidate shared and distinct trajectories ofillness and recoveryU01HL168419 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI Michael Oscar Harhay, Nuala Jennings Meyer · 2023 to 2026
$1.8M
Establishing Mechanisms Between Traumatic Brain Injury and Dementia Using Epidemiology, Clinical Studies, Blood-Based Biomarkers, and Neuroimaging BiomarkersK23NS123340 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI Andrea Lauren Christman Schneider · 2022 to 2026
$1.1M
The influence of ward capacity strain on outcomes among survivors of acute respiratory failureK23HL146894 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KOHN, RACHEL · 2019 to 2023
$1.0M
Efficient prediction of transmembrane binding sites for anesthetic ligandsK08GM139031 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI JOSEPH, THOMAS THENGANPALLIL · 2020 to 2024
$984k
Hospital adaptation and resiliency for infected and uninfected patients during respiratory viral surge events: from seasonal influenza to COVID-19K23HL161353 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI George L Anesi · 2022 to 2026
$837k
AHRQ HHS K12 HS026372NHLBI NIH HHS F32 HL167456NHLBI NIH HHS K01 HL169843NHLBI NIH HHS K23 HL146894NHLBI NIH HHS K23 HL161353NHLBI NIH HHS R01 HL133433NHLBI NIH HHS R35 HL161196NHLBI NIH HHS T32 HL007891NHLBI NIH HHS T32 HL098054NHLBI NIH HHS U01 HL168419NIA NIH HHS K23 AG080061NIA NIH HHS R01 AG060612NIEHS NIH HHS P30 ES013508NIGMS NIH HHS K08 GM139031NIMHD NIH HHS R01 MD016088NINDS NIH HHS K23 NS123340
6 · The paper itself

Abstract

Introduction: The rapid adoption of electronic health record (EHR) systems has resulted in extensive archives of data relevant to clinical research, hospital operations, and the development of learning health systems. However, EHR data are not frequently available, cleaned, standardized, validated, and ready for use by stakeholders. We describe an in-progress effort to overcome these challenges with cooperative, systematic data extraction and validation. Methods: A multi-disciplinary team of investigators collaborated to create the Complete Inpatient Record Using Comprehensive Electronic Data (CIRCE) Project dataset, which captures EHR data from six hospitals within the University of Pennsylvania Health System. Analysts and clinical researchers jointly iteratively reviewed SQL queries and their output to validate desired data elements. Data from patients aged ≥18 years with at least one encounter at an acute care hospital or hospice occurring since 7/1/2017 were included. The CIRCE Project includes three layers: (1) raw data comprised of direct SQL query output, (2) cleaned data with errors removed, and (3) transformed data with standardized implementations of commonly used case definitions and clinical scores. Results: Between July 1, 2017 and December 31, 2023, the dataset captured 1 629 920 encounters from 740 035 patients. Most encounters were emergency department only visits ( Conclusions: The CIRCE Project represents a novel cooperative research model to capture clinically validated EHR data from a large diverse academic health system in the greater Philadelphia region and is designed to facilitate collaboration and data sharing to support learning health system activities. Ultimately, these data will be de-identified and converted to a publicly available resource.

Indexed as

electronic health record (EHR)learning healthcare systemslearning health systems

Identifiers

PMID39822919
PMCPMC11733450

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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.