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Crescenz VA Medical Center, Philadelphia, PA, (3)VA Informatics and Computing Infrastructure, (4)VA Informatics and Computing Infrastructure (VINCI), (5)University of Pennsylvania, Philadelphia, PA, (6)Division of Gastroenterology and Hepatology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA, (7)University of Pennsylvania, (8)Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, (9)VA Long Beach Healthcare System Background: Nonalcoholic fatty liver disease (NAFLD) is a leading cause of chronic liver disease