Evidence map›Paper›PMID 40233206›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2025

Recovering missing electronic health record mortality data with a machine learning-enhanced data linkage process.

John P Powers, Samyuktha Nandhakumar, Sofia Z Dard, Paul Kovach, Peter J Leese

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Observational
  3. 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

5 authors.

John P PowersNorth Carolina Translational and Clinical Sciences Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.ORCID 0000-0002-1471-6259
Samyuktha NandhakumarNorth Carolina Translational and Clinical Sciences Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.
Sofia Z DardNorth Carolina Translational and Clinical Sciences Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.
Paul KovachNorth Carolina Translational and Clinical Sciences Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.
Peter J LeeseNorth Carolina Translational and Clinical Sciences Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.ORCID 0000-0001-9730-1675

Funding

North Carolina Translational and Clinical Sciences Institute (NC TraCS)UM1TR004406 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NICHOLAS J SHAHEEN · 2023 to 2026
$37.5M
NCATS NIH HHS UM1 TR004406NIH HHS UM1TR004406
6 · The paper itself

Abstract

objectiveTo develop a continual process for linking more comprehensive external mortality data to electronic health records (EHRs) for a large healthcare system, which can serve as a template for other healthcare systems. MATERIALS AND

methodsMonthly updates of state death records were arranged, and an automated pipeline was developed to identify matches with patients in the EHR. A machine learning classifier was used to closely match human classification performance of potential record matches.

resultsThe automated linkage process achieved high performance in classifying potential record matches, with a sensitivity of 99.3% and specificity of 98.8% relative to manual classification. Only 22.4% of identified patient deaths were previously indicated in the EHR. DISCUSSION AND

conclusionsWe developed a solution for recovering missing mortality data for EHR that is effective, scalable for cost and computation, and sustainable over time. These recovered mortality data now supplement the EHR data available for research purposes.

Indexed as

Death CertificatesElectronic Health RecordsInformation Storage and RetrievalMachine LearningMedical Record LinkageMortalityHumansdeath certificateselectronic health recordsmachine learningmedical record linkagemortality

Identifiers

PMID40233206
PMCPMC12089760

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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.