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Int+J+Biomed+Data+Min 2015 ; 4 (1): � Nephropedia Template TP
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ePhenotyping for Abdominal Aortic Aneurysm in the Electronic Medical Records and Genomics (eMERGE) Network: Algorithm Development and Konstanz Information Miner Workflow #MMPMID27054044Borthwick KM; Smelser DT; Bock JA; Elmore JR; Ryer EJ; Ye Z; Pacheco JA; Carrell DS; Michalkiewicz M; Thompson WK; Pathak J; Bielinski SJ; Denny JC; Linneman JG; Peissig PL; Kho AN; Gottesman O; Parmar H; Kullo IJ; McCarty CA; B�ttinger EP; Larson EB; Jarvik GP; Harley JB; Bajwa T; Franklin DP; Carey DJ; Kuivaniemi H; Tromp GInt J Biomed Data Min 2015[Dec]; 4 (1): � PMID27054044show ga
Background and objective: We designed an algorithm to identify abdominal aortic aneurysm cases and controls from electronic health records to be shared and executed within the ?electronic Medical Records and Genomics? (eMERGE) Network. Materials and methods: Structured Query Language, was used to script the algorithm utilizing ?Current Procedural Terminology? and ?International Classification of Diseases? codes, with demographic and encounter data to classify individuals as case, control, or excluded. The algorithm was validated using blinded manual chart review at three eMERGE Network sites and one non-eMERGE Network site. Validation comprised evaluation of an equal number of predicted cases and controls selected at random from the algorithm predictions. After validation at the three eMERGE Network sites, the remaining eMERGE Network sites performed verification only. Finally, the algorithm was implemented as a workflow in the Konstanz Information Miner, which represented the logic graphically while retaining intermediate data for inspection at each node. The algorithm was configured to be independent of specific access to data and was exportable (without data) to other sites. Results: The algorithm demonstrated positive predictive values (PPV) of 92.8% (CI: 86.8-96.7) and 100% (CI: 97.0-100) for cases and controls, respectively. It performed well also outside the eMERGE Network. Implementation of the transportable executable algorithm as a Konstanz Information Miner workflow required much less effort than implementation from pseudo code, and ensured that the logic was as intended. Discussion and conclusion: This ePhenotyping algorithm identifies abdominal aortic aneurysm cases and controls from the electronic health record with high case and control PPV necessary for research purposes, can be disseminated easily, and applied to high-throughput genetic and other studies.�
  
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