PheCode-guided multi-modal topic modeling of electronic health records improves disease incidence prediction and GWAS discovery from UK Biobank.

ABSTRACT: Phenome-wide association studies rely on disease definitions derived from diagnostic codes, often failing to leverage the full richness of electronic health records (EHR). We present MixEHR-SAGE, a PheCode-guided multi-modal topic model that integrates diagnoses, procedures, and medications to enhance phenotyping from large-scale EHRs. By combining expert-informed priors with probabilistic inference, MixEHR-SAGE identifies over 1000 interpretable phenotype topics from UK Biobank data. Applied to 350 000 individuals with high-quality genetic data, MixEHR-SAGE-derived risk scores accurately predict incident type 2 diabetes (T2D) and leukemia diagnoses. Subsequent genome-wide association studies using these continuous risk scores uncovered novel disease-associated loci, including PPP1R15A for

SUBMITTER: Yang Z 

PROVIDER: S-EPMC12862981 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature