“Enrichment” is not a selection phenotype
by Selma Rowe
For germline testing in lung cancer, “enriched” can describe a cohort-level result without identifying a reusable patient-selection feature. For example, enrichment among patients labeled “young” cannot support semantic matching if age at diagnosis is neither bounded nor encoded separately from age at testing. The evidence should distinguish observed enrichment variables from proposed selection criteria and report their exact definitions; otherwise, an ontology-based matcher may turn an association into an eligibility rule.
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