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effectiveness in clinical research have opened wide opportunities with increased
need for EHR data. The successes and lessons learned of initial research projects in
these areas have created both a foundation and a critical mass that is leading to more
and more use. While challenges still exist, studies demonstrating either the limits of
those challenges or solutions to them have kept momentum strong. Recent develop-
ments to increase the consistency and completeness of EHR data will undoubtedly
add to that momentum. We are now at a point that research leveraging EHR data for
phenotype and subject defi nition moves from an opportunity, to an accepted
approach, to a priority. This will continue to have dramatic effects on the need for
translational informatics.
Discussion Points
￿ Review what a phenotype is. Discuss what types of data are used to defi ne a
phenotype, and where that data exist.
￿ Discuss how different phenotypes could actually be biased according to data.
￿ Discuss the effect of Meaningful Use, and how data are actually growing (at
what rate is it growing?).
￿
Discuss how data that are not collected in EHRs could be collected.
References
1. Gullapalli RR, Desai KV, Santana-Santos L, Kant JA, Becich MJ. Next generation sequencing
in clinical medicine: challenges and lessons for pathology and biomedical informatics. J Pathol
Inform. 2012;3:40.
2. Jollis JG, Ancukiewicz M, DeLong ER, Pryor DB, Muhlbaier LH, Mark DB. Discordance of
databases designed for claims payment versus clinical information systems. Implications for
outcomes research. Ann Intern Med. 1993;119(8):844-50.
3. Donaldson, MS, Capron AM. Patient Outcomes Research Teams (PORTS): managing confl ict
of interest [Internet]. [cited 2013 Oct 3]. Available from: http://www.nap.edu/openbook.
php?record_id=1821&page=17 .
4. Einbinder JS, Rury C, Safran C. Outcomes research using the electronic patient record: Beth
Israel Hospital's experience with anticoagulation. Proc Annu Symp Comput Appl Sic Med
Care. 1995;819-23.
5. Safran C. Using routinely collected data for clinical research. Stat Med. 1991;10(4):559-64.
6. Safran C, Bloomrosen M, Hammond WE, Labkoff S, Markel-Fox S, Tang PC, et al. Toward a
national framework for the secondary use of health data: an American Medical Informatics
Association White Paper. J Am Med Inform Assoc. 2007;14(1):1-9.
7. Tierney WM, McDonald CJ. Practice databases and their uses in clinical research. Stat Med.
1991;10(4):541-57.
8. Weng C, Bigger JT, Busacca L, Wilcox A, Getaneh A. Comparing the effectiveness of a clini-
cal registry and a clinical data warehouse for supporting clinical trial recruitment: a case study.
AMIA Annu Symp Proc. 2010;2010:867-71.
9. Weng C, Batres C, Borda T, Weiskopf NG, Wilcox AB, Bigger JT, et al. A real-time screening
alert improves patient recruitment effi ciency. AMIA Annu Symp Proc. 2011;2011:1489-98.
10. Kohane IS. Using electronic health records to drive discovery in disease genomics. Nat Rev
Genet. 2011;12(6):417-28.
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