7th Annual AMIA Invitational Health Policy Meeting December 12-13 ...
7th Annual AMIA Invitational Health Policy Meeting December 12-13 ...
7th Annual AMIA Invitational Health Policy Meeting December 12-13 ...
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Project Overview Purpose/Type of Data Project Features Results Challenges<br />
Using EHRs to recruit for clinical trials. Ohio State Univ.<br />
Wexner Medical Center (OSUWMC), Columbia Univ.<br />
Medical Center, and Weill Cornell Medical College.<br />
NLM-funded. Proposes that an improved longitudinal<br />
health record (comprehensive patient clinical summary)<br />
can improve screening for clinical trials.<br />
Integrating Data for Analysis, Anonymization, and<br />
Sharing (iDASH). Project of National Center for<br />
Biomedical Computing (NCBC), at the Univ of California,<br />
San Diego. Aims to enable data sharing for collaborative<br />
scientific discovery and analysis through secure<br />
cyberinfrastructure housing data repository with sharing<br />
permissions controlled by data contributor, privacy<br />
policies that protect and enable data sharing, and<br />
analytic tools and web services. Data repository<br />
enables developers to integrate heterogeneous data<br />
form national biomedical, clinical and informatics<br />
communities. 10<br />
<strong>AMIA</strong> <strong>Invitational</strong> <strong>Health</strong> <strong>Policy</strong> <strong>Meeting</strong> 20<strong>12</strong><br />
Page 38 <strong>12</strong>/10/20<strong>12</strong><br />
Innovative approach to<br />
integrate data in EHRs to<br />
generate a longitudinal<br />
medical history to<br />
accelerate recruitment of<br />
patients in trials<br />
Heterogeneous data from<br />
national biomedical, clinical<br />
and informatics<br />
communities. Protected<br />
health information on<br />
health conditions includes<br />
EHRs and genomic data.<br />
Also hosts data sets that do<br />
not contain personal health<br />
information including<br />
physical activity sensor data<br />
and de-identified medical<br />
images.<br />
“Information fusion,”<br />
combines processing of<br />
data stored in uncoded,<br />
narrative text; extraction of<br />
structured data from<br />
unstructured data; merging<br />
of multiple data sets; and<br />
combination of episodic<br />
events to create medical<br />
portrait.<br />
Cyberinfrastructure on top<br />
of a HIPAA-compliant<br />
private cloud; portal to<br />
algorithms, open source<br />
software, data, and<br />
training. Data modeling<br />
standards used when<br />
possible; maps data to<br />
existing component<br />
schemas. Data Use<br />
Agreement wizard<br />
facilitates data sharing.<br />
Electronic consent<br />
management system<br />
embeds education<br />
resources.<br />
Project underway for 3 years<br />
at OSU. Research efforts<br />
focused on<br />
extracting/annotating data<br />
from OSUWMC EMR;<br />
performing studies on<br />
medical event coreference<br />
resolution; and temporally<br />
ordering medical events<br />
extracted from clinical<br />
narratives. NLM funding will<br />
support sharing of data<br />
across institutions.<br />
iDASH platform maturing<br />
into secure, privacypreserving<br />
scalable<br />
environment for integration<br />
and analysis of genomic,<br />
transcriptomic, phenotypic,<br />
behavioral and<br />
environmental data. Reduces<br />
burden on data owners and<br />
users by allowing outsourcing<br />
of data sharing process to<br />
specialized team that<br />
understands research needs.<br />
Initial approach is to<br />
collaboratively develop<br />
research methods, but<br />
evaluate research<br />
independently without sharing<br />
data. In the future, data<br />
sharing agreements will be<br />
established among the 3<br />
medical centers.<br />
Addressing need to balance<br />
data privacy and data sharing<br />
through privacy policies and<br />
processes to regulate data<br />
sharing and novel privacy<br />
preservation algorithms.