1Centre for Statistics in Medicine, UK EQUATOR Centre, Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, University of Oxford, Oxford OX3 7LD, UK
2Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, Netherlands
3Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
4National Institute for Health and Care Research (NIHR) Birmingham Biomedical Research Centre, Birmingham, UK
5Department of Epidemiology, Harvard T H Chan School of Public Health, Boston, MA, USA
6Department of Development and Regeneration, KU Leuven, Leuven, Belgium
7Department of Biomedical Data Science, Leiden University Medical Centre, Leiden, Netherlands
8Department of Electrical Engineering and Computer Science, Institute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA, USA
9Institute of Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
10University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
11Department of Medical Information Processing, Biometry and Epidemiology, Ludwig-Maximilians-University of Munich, Munich, Germany
12Patient representative, Health Data Research UK patient and public involvement and engagement group
13Patient representative, University of East Anglia, Faculty of Health Sciences, Norwich Research Park, Norwich, UK
14Beth Israel Deaconess Medical Center, Boston, MA, USA
15Laboratory for Computational Physiology, Massachusetts Institute of Technology, Cambridge, MA, USA
16Department of Biostatistics, Harvard T H Chan School of Public Health, Boston, MA, USA
17Institute of Health Informatics, University College London, London, UK 18British Heart Foundation Data Science Centre, London, UK 19Department of Computing, Imperial College London, London, UK 20Northwestern University Feinberg School of Medicine, Chicago
18British Heart Foundation Data Science Centre, London, UK
19Department of Computing, Imperial College London, London, UK
20Northwestern University Feinberg School of Medicine, Chicago, IL, USA
21Hardian Health, Haywards Heath, UK
22Section for Clinical Biometrics, Centre for Medical Data Science, Medical University of Vienna, Vienna, Austria
23Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada
24Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada
25Department of Computer Science, University of Toronto, Toronto, ON, Canada
26Vector Institute for Artificial Intelligence, Toronto, ON, Canada
27Department of Medicine, University of Cape Town, Cape Town, South Africa
28National Institute for Health and Care Excellence, London, UK
29The BMJ, London, UK
30Department of Neurology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA
31Department of Intelligent Medical Systems, German Cancer Research Centre, Heidelberg, Germany
32Wellcome Trust, London, UK
33Alan Turing Institute, London, UK
34Department of Bioethics, Hospital for Sick Children Toronto, ON, Canada
35Genetics and Genome Biology, SickKids Research Institute, Toronto, ON, Canada
36Australian Institute for Machine Learning, University of Adelaide, Adelaide, SA, Australia
37Medicines and Healthcare products Regulatory Agency, London, UK
38Department of Health Policy and Center for Health Policy, Stanford University, Stanford, CA, USA
39Department of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, MI, USA
40Department of Epidemiology, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, Netherlands
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Corresponding author:
Gary S Collins,
Email: gary.collins@csm.ox.ac.uk
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Received: 17 July 2025 • Revised: 30 July 2025 • Accepted: 30 July 2025