Evidence map›Paper›PMID 41769828›Full record

ArticleBioinformatics (Oxford, England)2026

Statistical methods to harmonize electronic health record data across healthcare systems: case study and lessons learned.

Xu Shi, Yuqi Zhai, Xianshi Yu, Xiaoou Li, Brian L Hazlehurst, Denis B Nyongesa, Daniel S Sapp, Brian D Williamson, David S Carrell, Luesa Healy and 16 more

Abstract read
In one paragraph

Article in Bioinformatics (Oxford, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

26 authors.

Xu ShiDepartment of Biostatistics, University of Michigan School of Public Health, Ann Arbor, MI 48109, United States.ORCID 0000-0001-8566-9552
Yuqi ZhaiDepartment of Biostatistics, University of Michigan School of Public Health, Ann Arbor, MI 48109, United States.
Xianshi YuDepartment of Computer Sciences, University of Wisconsin, Madison 53706, United States.
Xiaoou LiSchool of Statistics, University of Minnesota, Minneapolis, MN 55455, United States.ORCID 0000-0001-7340-2500
Brian L HazlehurstKaiser Permanente Northwest, Center for Health Research, Portland, OR 97227, United States.
Denis B NyongesaKaiser Permanente Northwest, Center for Health Research, Portland, OR 97227, United States.
Daniel S SappKaiser Permanente Northwest, Center for Health Research, Portland, OR 97227, United States.
Brian D WilliamsonKaiser Permanente Washington Health Research Institute, Seattle, WA 98101, United States.ORCID 0000-0002-7024-548X
David S CarrellKaiser Permanente Washington Health Research Institute, Seattle, WA 98101, United States.
Luesa HealyKaiser Permanente Washington Health Research Institute, Seattle, WA 98101, United States.
Kara L Cushing-HaugenKaiser Permanente Washington Health Research Institute, Seattle, WA 98101, United States.
Jenna WongDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA 02215, United States.
Shirley V WangDivision of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Boston, MA 02115, United States.
James S FloydDepartment of Medicine, School of Medicine, University of Washington, Seattle, WA 98195, United States.
Kathleen ShattuckDepartment of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, MA 02215, United States.
Samuel McGownDepartment of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, MA 02215, United States.
Sarah AlamDepartment of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, MA 02215, United States.
José J Hernández-MuñozOffice of Surveillance and Epidemiology, Center for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, MD 20993, United States.ORCID 0000-0002-2553-3159
Jie LiOffice of Surveillance and Epidemiology, Center for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, MD 20993, United States.
Yong MaOffice of Biostatistics, Office of Translational Sciences, Center for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, MD 20993, United States.
Danijela StojanovicOffice of Surveillance and Epidemiology, Center for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, MD 20993, United States.
Sudha R RamanDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC 27710, United States.
Sharon E DavisDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37232, United States.
Tianxi CaiDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA 02115, United States.ORCID 0000-0002-5379-2502
Jennifer C NelsonKaiser Permanente Washington Health Research Institute, Seattle, WA 98101, United States.
Patrick J HeagertyDepartment of Biostatistics, University of Washington, Seattle, WA 1415 Washington Heights, Ann Arbor, MI 48109, United States.

Funding

Overall: Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Center at VanderbiltP50HD103537 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Lea K Davis · 2020 to 2026
$10.3M
NICHD NIH HHS P50 HD103537Task Order 7540119F19002Task Order 75F40119D10037U.S. Food and Drug Administration (FDA)
6 · The paper itself

Abstract

motivationAlthough common data models for electronic health record (EHR) data can facilitate multi-site data organization and querying, the same medical event may still be coded differently between healthcare systems. In this paper, we present statistical methods to identify and mitigate coding discrepancies using summary-level data, and demonstrate these methods using data from two FDA Sentinel data partners: Kaiser Permanente Washington and Kaiser Permanente Northwest.

resultsWe first characterize differences in coding patterns, then compute a code mapping matrix to harmonize data between systems. Our findings reveal significant heterogeneity in coded EHR data, even after adopting a common data model with the same coding system, highlighting the importance of data harmonization before downstream analyses. Our study also demonstrates the effectiveness of the data harmonization approaches, which provide a foundational data quality step to promote semantic interoperability, enhance data integration, and improve the integrity of study conclusions. AVAILABILITY AND IMPLEMENTATION: Computation prototypes, including R/Python codes and examples, are included in Section 7, available as supplementary data at Bioinformatics online and will be posted on GitHub upon publication.

Indexed as

Delivery of Health CareElectronic Health RecordsHumans

Identifiers

PMID41769828
PMCPMC13005927

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.