innovative use cases for the new redcap ehr integration module
TRANSCRIPT
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
