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Scientific Concept of the National Cohort (status ... - Nationale Kohorte

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figure 4.3: Organizational units and <strong>the</strong>ir functions<br />

Study centers<br />

(n = 18)<br />

Integration<br />

centers<br />

(n = 2)<br />

Competence<br />

centers<br />

(3 � n � 5)<br />

Trust center<br />

(n = 1)<br />

Transfer unit<br />

(n = 1)<br />

A.4.2.1 Study centers<br />

Fig. 4.3<br />

Subject management<br />

> Recruitment<br />

> Scheduling<br />

> De-Identification (coding)<br />

> Central storage <strong>of</strong> all study data<br />

> Data quality checks<br />

> Providing data to study/competence centers<br />

> Analysis support<br />

147<br />

A.4 Integrated Data Management<br />

Data collection<br />

> Interview/Examination<br />

> Sample collection<br />

> Quality assurance & control<br />

> Processing and interpretation <strong>of</strong> topic-specific study data<br />

> Topic-specific quality assurance & comparative quality control<br />

> Centralized data collection (esp. secondary data)<br />

> Central tasks in topic-specific follow-up<br />

> Centralized back-up <strong>of</strong> personal identifying data<br />

> Pseudonym generation (optionally; for coding)<br />

> Central tasks involving re-identification<br />

Administrative tasks related to data analysis<br />

The tasks <strong>of</strong> study centers are divided into two main areas: study subject management and<br />

data collection. This division is also reflected in figure 4.4, which schematically depicts <strong>the</strong><br />

basic structure <strong>of</strong> a study center from a technical point <strong>of</strong> view: The study subject management<br />

part (including recruitment, schedule management, registration, and (re-)contacting)<br />

is shown on <strong>the</strong> left-hand side, <strong>the</strong> data collection part in <strong>the</strong> middle. In <strong>the</strong> two parts, separate<br />

kinds <strong>of</strong> data are processed: Personal identifying information for <strong>the</strong> study subjects is<br />

handled in <strong>the</strong> subject management part and stored by <strong>the</strong> unique identification number<br />

ID-P (see Sect. A.7). In <strong>the</strong> data collection part, all collected study data regarding a particular<br />

subject are identified by <strong>the</strong> pseudonym ID-S. The two parts are linked by <strong>the</strong> relation<br />

between ID-P and ID-S, which is created during recruitment, and is handled with special<br />

care concerning confidentially.<br />

Study centers are built as similarly to each o<strong>the</strong>r as possible, including uniform hardware,<br />

s<strong>of</strong>tware, and data models that will be developed centrally.<br />

Personal identifying information for <strong>the</strong> study subjects is stored in a local database at each<br />

study center, separately from any medical study data. Access to this database is restricted<br />

to a few authorized persons within <strong>the</strong> study center. The information is also sent to <strong>the</strong> overall<br />

subject list (“master patient index”) at <strong>the</strong> trust center for a central check for double entries,<br />

pseudonym generation (for coding), and as back-up for data safety reasons. However,<br />

A.4

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