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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
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Agenda
• Introducing: REDCap & REDCap Consortium
• Inventing: EHR + EDC Interoperability
• Innovating: Applied Model for Clinical Trials
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Invention Innovation
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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.
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Agenda
• Introducing REDCap & REDCap Consortium
• Inventing: EHR + EDC Interoperability
• Innovating: Applied Model for Clinical Trials
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Software Platform …
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5/29 5/30 5/31
Concurrent VUMC Users (Last Week)
Map of VUMC Users (Last Week)
W T F S S MT T
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Available at no cost to Academic, Nonprofit, Government Organizations
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October Partner Licensing …
Active Growth
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> 8,300 articles in diverse biomedical research domains have cited use of the platform
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This is great, but will it do …
Used Systems Get Better ….
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It’s the Bi-Directional Empowerment …
Used Systems Get Better ….
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Agenda
• Introducing REDCap & REDCap Consortium
• Inventing: EHR + EDC Interoperability
• Innovating: Applied Model for Clinical Trials
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Any chance you could integrate in some waywith our EHR?
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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
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December 2015 November 02, 2017
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December 2015 November 02, 2017
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INVENT NEW METHODS
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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.
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Value Proposition• Instant Data Flow• No Research Data Warehouse Dependency
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Value Proposition• Research-Centric Workflow
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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
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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!
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Creating REDCap Project-Level Mapping for EHRREDCap Data Exchange
EHR REDCap
Not as easy as it looks …
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Enabling Workflow (REDCap in EHR)
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Enabling Workflow (REDCap in EHR)
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Enabling Workflow (REDCap in EHR) - continued
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Enabling Workflow (REDCap in EHR) - continued
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Enabling Workflow (REDCap in EHR) - continued
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Workflow-Neutral Data Flow(this time from REDCap … after typing in MRN)
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Workflow-Neutral Data Flow(this time from REDCap … after typing in MRN)
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Data Flow Based on Temporal Input (e.g. Visit Dates)(Enter Date and REDCap Fetches Data From EHR)
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Data Flow Based on Temporal Input (e.g. Visit Dates)
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Any chance you could integrate in some waywith our EHR?
WE LOVE IT!
FIRST USE CASE: CRF MAPPING
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Any chance you could integrate in some waywith our EHR?
THAT ISN’T WHATI HAD IN MIND
Data Mart
FIRST USE CASE: CRF MAPPING
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1
2
3SECOND USE CASE: DATA MART
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Any chance you could integrate in some waywith our EHR?
WE LOVE IT!
SECOND USE CASE: DATA MART
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Agenda
• Introducing REDCap & REDCap Consortium
• Inventing: EHR + EDC Interoperability
• Innovating: Applied Model for Clinical Trials
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Changing the world at Vanderbilt
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34
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Changing the world at Vanderbilt
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Setting up REDCap on FHIR
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Changing the world at…
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Better, Cheaper, Faster
What if …
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Democratizing EHR extraction methods shouldImprove efficiency in multi-site data collection
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High-Level Data Flow Schematic
Local
DCC
Local
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High-Level Data Flow Schematic
Screening Database- Traditional -
(1 row per patient)
CandidateMRN
Local
Trigger
DCC
MRNCustomListener
WebService
Local
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High-Level Data Flow Schematic
Screening Database - Traditional -
(1 row per patient)
CandidateMRN
Local
DCC
MRNCustomListener
WebService
Local
One-TimeDataPull
Trigger
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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
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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
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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
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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
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34
CurrentApp Orchard
Download Ranking
#6 of 187 Apps
Oct 2019
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34
CurrentApp Orchard
Download Ranking
#6 of 187 Apps
Oct 2019
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34
CurrentApp Orchard
Download Ranking
#6 of 187 Apps
Oct 2019