title: Analyzing the heterogeneity and complexity of Electronic Health Record oriented phenotyping algorithms.
abstract: The need for formal representations of eligibility criteria for clinical trials - and for phenotyping more generally - has been recognized for some time. Indeed, the availability of a formal computable representation that adequately reflects the types of data and logic evidenced in trial designs is a prerequisite for the automatic identification of study-eligible patients from Electronic Health Records. As part of the wider process of representation development, this paper reports on an analysis of fourteen Electronic Health Record oriented phenotyping algorithms (developed as part of the eMERGE project) in terms of their constituent data elements, types of logic used and temporal characteristics. We discovered that the majority of eMERGE algorithms analyzed include complex, nested boolean logic and negation, with several dependent on cardinality constraints and complex temporal logic. Insights gained from the study will be used to augment the CDISC Protocol Representation Model.
authors.affiliation: Mayo Clinic, Rochester, MN, USA.
authors.forename: Mike
authors.initials: M
authors.lastname: Conway
authors.forename: Richard L
authors.initials: RL
authors.lastname: Berg
authors.forename: David
authors.initials: D
authors.lastname: Carrell
authors.forename: Joshua C
authors.initials: JC
authors.lastname: Denny
authors.forename: Abel N
authors.initials: AN
authors.lastname: Kho
authors.forename: Iftikhar J
authors.initials: IJ
authors.lastname: Kullo
authors.forename: James G
authors.initials: JG
authors.lastname: Linneman
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Pacheco
authors.forename: Peggy
authors.initials: P
authors.lastname: Peissig
authors.forename: Luke
authors.initials: L
authors.lastname: Rasmussen
authors.forename: Noah
authors.initials: N
authors.lastname: Weston
authors.forename: Christopher G
authors.initials: CG
authors.lastname: Chute
authors.forename: Jyotishman
authors.initials: J
authors.lastname: Pathak
mesh_terms: D000465:Algorithms; D003937:Diagnosis, Differential; D057286:Electronic Health Records; D050031:Hashimoto Disease / Q000175:diagnosis*; D006801:Humans; D007037:Hypothyroidism / Q000175:diagnosis*; D010641:Phenotype