Supported by the Patient-Centered Outcomes Research Institute (PCORI) Contract CDRN-1306-04819 1...
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Transcript of Supported by the Patient-Centered Outcomes Research Institute (PCORI) Contract CDRN-1306-04819 1...
Supported by the Patient-Centered Outcomes Research Institute (PCORI) Contract CDRN-1306-04819 1
PopMedNet in the pSCANNER Network
PMN User Meeting
Supported by the Patient-Centered Outcomes Research Institute (PCORI) Contract CDRN-1306-04819 2
pSCANNER Network – 16M patients
• 5 University of California Medical Centers• Cedar’s Sinai Hospital • Pacific NW Rural Health Practice-Based Research
Network• Los Angeles Department of Health Services• Intermountain Health Care• 5 multi-site FQHCs• Children’s Hospital of Los Angeles• Keck Medicine of USC
Supported by the Patient-Centered Outcomes Research Institute (PCORI) Contract CDRN-1306-04819 3
Service Oriented Architecture for privacy-preserving analytics in distributed research networks› Focus on map-reduce, iterative algorithms based on
parallel-distributed processing algorithms Role based access control De-centralized study administration Menu-driven queries for multiple activities › Proposing collaboration partners, data sets, and
protocols› Specifying regression analytics › Data set extractions› Cohort discovery
Methods repository for contributing analytic methods
SCANNER Network Software (AHRQ 2010-2014)
Supported by the Patient-Centered Outcomes Research Institute (PCORI) Contract CDRN-1306-04819 4
2015
Supported by the Patient-Centered Outcomes Research Institute (PCORI) Contract CDRN-1306-04819 5
Traditional 3-tier Architecture
Supported by the Patient-Centered Outcomes Research Institute (PCORI) Contract CDRN-1306-04819 6
Data Tier
Local Logic Tier
Code & Specification Repository(1) PRESENTATION(2) TRANSLATION(3) AGGREGATION(4) STORED SPECIFICATIONS
Aggregation Logic Tier
This layer coordinates across results produced by multiple sites. (1)Aggregate for Display(2)Aggregate for Iteration
Translation Logic Tier (DAN)TBD whether this happens locally or as a service (OR BOTH). This layer reads metadata from each site and translates platform independent specifications into platform-specific executables
ASSEMBLEPROGRAMS
STANDARDIZE OUTPUT
Authorization TierLocal authorities verify (may be automated, pre-authorized, or manual)(1) Validity of Localization(2) Access Permission(3) Verity of Results
AuthorizeVerify
Authorize Verify
AuthorizeVerifyAuthorizeVerify
Authorize Verify
Authorize Verify
GLOBAL
LOCAL
New in pSCANNER-PMN
Supported by the Patient-Centered Outcomes Research Institute (PCORI) Contract CDRN-1306-04819 7
Replace pSCANNER role-based access controls with PopMedNet API
Replace pSCANNER methods repository with GitHub for open source analytics› Collaboration with CEILO social code-sharing platform
Platform-independent, ISO & HL7 standards-based query formats
Replaces pSCANNER nodes’ web API with modified PopMedNet DataMartClient & pSCANNER Request Types
Adding features to PopMedNet› New PMN permission type – any investigator can
propose a study to any site, any site can decline or agree to participate
› New PMN node that aggregates results and re-issues requests
New in pSCANNER Software
Supported by the Patient-Centered Outcomes Research Institute (PCORI) Contract CDRN-1306-04819 8
• Menu-driven Queries for Compatible Analytic Libraries• Data Visualization (Observational Health
Data Science & Informatics) • Electronic Clinical Quality Measures (NQF
Library)• Privacy-preserving Multivariate Map-
Reduce (One Model Per Network)• Independently Estimated Multi-Variate
(One model per site)
• Model Transformation Libraries• OMOP CDM to PCORnet CDM• OMOP CDM to CMS Quality Data Model• Version control of local EHR DBs to CDMs• Study-Specific Dataset ETLs
Open Source Code Repository
Code & Specification Repository(1) PRESENTATION(2) TRANSLATION(3) AGGREGATION(4) STORED SPECIFICATIONS
Supported by the Patient-Centered Outcomes Research Institute (PCORI) Contract CDRN-1306-04819 9
2016 - Stakeholders & Partners
CIELO: “Towards a research analysis
commons”
OHDSI: “To transform medical decision making …health databases for
population-level estimation and patient-level predictions”
PCORNet: “fosters a range of observational and interventional
research that harnesses the power of clinical data gathered at the point of
care in health systems across the country.”
National Quality Forum: “…National collaboration
to improve health and healthcare quality
through measurement”