Response to Litz (2025): Advancing standards for system-level learning from clinical data (Lancaster et al., 2025)

We thank Litz (2025) for his thoughtful commentary and shared commitment to improving posttraumatic stress disorder care through the transparent use of observational outcome data. The proposed reporting checklist offers a timely framework for enhancing interpretive clarity and hypothesis generation. Our study incorporated many of these elements and was designed as a descriptive, noncomparative analysis aligned with learning health system goals. We acknowledge the importance of careful framing to avoid overinterpretation and support the broader call for standardized reporting practices. Measurement-based care remains central to Cohen Veterans Network's approach, and we welcome continued dialogue to advance responsible data use and iterative quality improvement across systems.