innovative use cases for the new redcap ehr integration module

Paul A. Harris, PhDDirector, Office of Research InformaticsProfessor of Biomedical Informatics, Biostatistics, and Biomedical EngineeringVanderbilt University Medical Center

Innovative Use Cases for the new REDCap EHR Integration Module

Agenda

• Introducing: REDCap & REDCap Consortium

• Inventing: EHR + EDC Interoperability

• Innovating: Applied Model for Clinical Trials

Invention Innovation

The process of translating an idea or

invention into a good or service that creates value or for which customers will pay

at Vanderbilt and across the REDCap Consortium.

Agenda

• Introducing REDCap & REDCap Consortium

• Inventing: EHR + EDC Interoperability

• Innovating: Applied Model for Clinical Trials

Software Platform …

5/29 5/30 5/31

Concurrent VUMC Users (Last Week)

Map of VUMC Users (Last Week)

W T F S S MT T

Available at no cost to Academic, Nonprofit, Government Organizations

October Partner Licensing …

Active Growth

> 8,300 articles in diverse biomedical research domains have cited use of the platform

This is great, but will it do …

Used Systems Get Better ….

It’s the Bi-Directional Empowerment …

Used Systems Get Better ….

Agenda

• Introducing REDCap & REDCap Consortium

• Inventing: EHR + EDC Interoperability

• Innovating: Applied Model for Clinical Trials

Any chance you could integrate in some waywith our EHR?

Any chance you could integrate in some waywith our EHR? e.g. so we don’t have to copy/paste?

That’s pretty hard to do …. EHR vendors are different andtend to hang onto their data, lack of standards, mappingis complex, permissions,regulatory requirements,privacy requirements, ‘easy’at project level – but hardto scale, even harder acrossinstitutions, blah, blah, blah

December 2015 November 02, 2017

December 2015 November 02, 2017

INVENT NEW METHODS

Danciu I, Cowan JD, Basford M, Wang X, Saip A, Osgood S, Shirey-Rice J, Kirby J, Harris PA. Secondary use of clinical data: The Vanderbilt approach. J BiomedInform. 2014 Feb 14. pii: S1532-0464(14)00039-2. doi: 10.1016/j.jbi.2014.02.003. PMID: 24534443.

Value Proposition• Instant Data Flow• No Research Data Warehouse Dependency

Value Proposition• Research-Centric Workflow

Value Proposition• Research-Centric Workflow

Value Proposition• Instant Data Flow• No Research Data Warehouse Dependency

Real Estate

Data Flow

+

If you can think it, you can do it

Value Proposition• Research-Centric Workflow

Value Proposition• Instant Data Flow• No Research Data Warehouse Dependency

Real Estate

Data Flow

+

If you can think it, you can do it

NEW USE CASES!

Creating REDCap Project-Level Mapping for EHRREDCap Data Exchange

EHR REDCap

Not as easy as it looks …

Enabling Workflow (REDCap in EHR)

Enabling Workflow (REDCap in EHR)

Enabling Workflow (REDCap in EHR) - continued

Enabling Workflow (REDCap in EHR) - continued

Enabling Workflow (REDCap in EHR) - continued

Workflow-Neutral Data Flow(this time from REDCap … after typing in MRN)

Workflow-Neutral Data Flow(this time from REDCap … after typing in MRN)

Data Flow Based on Temporal Input (e.g. Visit Dates)(Enter Date and REDCap Fetches Data From EHR)

Data Flow Based on Temporal Input (e.g. Visit Dates)

Any chance you could integrate in some waywith our EHR?

WE LOVE IT!

FIRST USE CASE: CRF MAPPING

Any chance you could integrate in some waywith our EHR?

THAT ISN’T WHATI HAD IN MIND

Data Mart

FIRST USE CASE: CRF MAPPING

1

2

3SECOND USE CASE: DATA MART

Any chance you could integrate in some waywith our EHR?

WE LOVE IT!

SECOND USE CASE: DATA MART

Agenda

• Introducing REDCap & REDCap Consortium

• Inventing: EHR + EDC Interoperability

• Innovating: Applied Model for Clinical Trials

Changing the world at Vanderbilt

34

CurrentApp Orchard

Download Ranking

#6 of 187 Apps

Oct 2019

Changing the world at Vanderbilt

Setting up REDCap on FHIR

35

CurrentApp Orchard

Download Ranking

#6 of 187 Apps

Oct 2019

Changing the world at…

Better, Cheaper, Faster

What if …

Democratizing EHR extraction methods shouldImprove efficiency in multi-site data collection

High-Level Data Flow Schematic

Local

DCC

Local

High-Level Data Flow Schematic

Screening Database- Traditional -

(1 row per patient)

CandidateMRN

Local

Trigger

DCC

MRNCustomListener

WebService

Local

High-Level Data Flow Schematic

Screening Database - Traditional -

(1 row per patient)

CandidateMRN

Local

DCC

MRNCustomListener

WebService

Local

One-TimeDataPull

Trigger

High-Level Data Flow Schematic

Screening Database- Traditional -

(1 row per patient)

CandidateMRN

Local

DCC

MRNCustomListener

WebService

Local

One-TimeDataPull

Eligible + RandomizedMRN

Study Database 2- Data Mart -

(1 row per patient fact)

Trigger

High-Level Data Flow Schematic

Screening Database- Traditional -

(1 row per patient)

CandidateMRN

Local

DCC

MRNCustomListener

WebService

Local

One-TimeDataPull

Study Database 2- Data Mart -

(1 row per patient fact)

ContinuousData

Pull

Eligible + RandomizedMRN

Trigger

High-Level Data Flow Schematic

Screening Database- Traditional -

(1 row per patient)

CandidateMRN

Local

DCC

MRNCustomListener

WebService

Local

One-TimeDataPull

Study Database 2- Data Mart -

(1 row per patient fact)

ContinuousData

Pull

De-IdentifiedData Extracts(Every X Hours)

Standard REDCap Web Service

DCCData Lake

Eligible + RandomizedMRN

Trigger

High-Level Data Flow Schematic

Screening Database- Traditional -

(1 row per patient)

CandidateMRN

Local

DCC

MRNCustomListener

WebService

Local

One-TimeDataPull

Study Database 2- Data Mart -

(1 row per patient fact)

ContinuousData

Pull

De-IdentifiedData Extracts(Every X Hours)

Standard REDCap Web Service

DCCData Lake …

Eligible + RandomizedMRN

Trigger

34

CurrentApp Orchard

Download Ranking

#6 of 187 Apps

Oct 2019

34

CurrentApp Orchard

Download Ranking

#6 of 187 Apps

Oct 2019

34

CurrentApp Orchard

Download Ranking

#6 of 187 Apps

Oct 2019

Thank You!

Paul.Harris@Vanderbilt.Edu

Q/A & Discussion

What about …

Specific Data Types

Roadmap