Clinical Research Informatics and Electronic Health Record Data

R. L. Richesson; M. M. Horvath; S. A. Rusincovitch

doi:10.15265/IY-2014-0009

Yearbook of Medical Informatics, Table of Contents

Yearb Med Inform 2014; 23(01): 215-223
DOI: 10.15265/IY-2014-0009

Original Article

Georg Thieme Verlag KG Stuttgart

Clinical Research Informatics and Electronic Health Record Data

R. L. Richesson

¹Duke University School of Nursing, Durham, NC, USA

,

M. M. Horvath

²Health Intelligence and Research Services, Duke Health Technology Solutions, Durham, NC, USA

,

S. A. Rusincovitch

³Duke Translational Medicine Institute, Duke University, Durham, NC, USA

› Author Affiliations

Abstract

Summary

Objectives: The goal of this survey is to discuss the impact of the growing availability of electronic health record (EHR) data on the evolving field of Clinical Research Informatics (CRI), which is the union of biomedical research and informatics.

Results: Major challenges for the use of EHR-derived data for research include the lack of standard methods for ensuring that data quality, completeness, and provenance are sufficient to assess the appropriateness of its use for research. Areas that need continued emphasis include methods for integrating data from heterogeneous sources, guidelines (including explicit phenotype definitions) for using these data in both pragmatic clinical trials and observational investigations, strong data governance to better understand and control quality of enterprise data, and promotion of national standards for representing and using clinical data.

Conclusions: The use of EHR data has become a priority in CRI. Awareness of underlying clinical data collection processes will be essential in order to leverage these data for clinical research and patient care, and will require multi-disciplinary teams representing clinical research, informatics, and healthcare operations. Considerations for the use of EHR data provide a starting point for practical applications and a CRI research agenda, which will be facilitated by CRI’s key role in the infrastructure of a learning healthcare system.

Keywords

Biomedical research - electronic health records - data collection - research design

Full Text

References

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