Summary
Objective: Data from clinical care is increasingly being used for research purposes. The i2b2
platform has been introduced in some US research communities as a tool for data integration
and querying by clinical users. The purpose of this project was to assess the applicability
of i2b2 in Germany regarding use cases, functionality and integration with privacy
enhancing tools.
Methods: A set of four research usage scenarios was chosen, including the transformation and
import of ontology and fact data from existing clinical data collections into i2b2
v1.4 instances. Query performance was measured in comparison to native SQL queries.
A setup and administration tool for i2b2 was developed. An extraction tool for CDISC
ODM data was programmed. Interfaces for the TMF privacy enhancing tools (PID Generator,
Pseudonymization Service) were implemented.
Results: Data could be imported in all tested scenarios from various source systems, including
the generation of i2b2 ontology definitions. The integration of TMF privacy enhancing
tools was possible without modification of the platform. Limitations were found regarding
query performance in comparison to native SQL and certain temporal queries.
Conclusions: i2b2 is a viable platform for data query tasks in use cases typical for networked
medical research in Germany. The integration of privacy enhancing tools facilitates
the use of i2b2 within established data protection concepts. Entry barriers should
be lowered by providing tools for simplified setup and import of medical standard
formats like CDISC ODM.
Keywords
Medical Record Systems - Information Storage and Retrieval - Single-Source