Emerging Role of electronic health record analysis in the Diagnosis of essential hypertension

Kirsten Olsen; B. Lindqvist; A. Andersen

doi:10.5281/zenodo.22813624

Authors

Kirsten Olsen Department of General and Internal Medicine, Amur Academy of Primary Care Research Author https://orcid.org/9481-5495-8466-8836
B. Lindqvist Department of Clinical Primary Care Research, Ob Academy of General and Internal Medicine Author https://orcid.org/1236-0277-0103-9775
A. Andersen Department of General and Internal Medicine, Vistula Research Center for Primary Care Research Author https://orcid.org/4336-7123-1614-6762

DOI:

https://doi.org/10.5281/zenodo.22813624

Keywords:

electronic health records, essential hypertension, phenotyping algorithms, clinical decision support, natural language processing

Abstract

Graphical abstract

Background: Essential hypertension is diagnosed almost entirely through data already in the electronic health record, yet structured fields, diagnosis codes, prescribing data, and free-text notes each carry incomplete, conflicting information.

Objective: This review synthesizes the literature on electronic health record analysis for identifying essential hypertension: phenotyping algorithms, natural language processing and machine learning extraction, and decision support applications.

Methods: We conducted a narrative synthesis of peer-reviewed studies on electronic health record-based hypertension phenotyping, natural language processing extraction of blood pressure data, and randomized trials of record-linked decision support.

Findings: Algorithms combining codes, blood pressure thresholds, prescribing data, and notes mined by natural language processing outperform any single source; record-linked decision support and home-monitoring trials improve control; yet surveillance shows control has stagnated.

Conclusions: Electronic health record analysis is a genuinely useful, if imperfect, diagnostic instrument for essential hypertension, and standards-driven validation will determine how far its promise is realized.

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