vs. 0.90). For purposes of the case-control binary EHR-derived phenotype used here, we applied a 0.7 probability cut point to the Lasso results to determine final PTSD case and control status; we also selected a threshold score of 30 on the PCL from the MVP survey to minimize false negative classifications (e.g., due to an absence of PTSD screening information in the EHR). This final algorithm had a 0.96 sensitivity, 0.98 specificity, 0.91 positive predictive value, and 0.99 negative predictive value for PTSD classification in the trans-ancestral sample as determined by chart review.