Schilling Lisa M, Kwan Bethany M, Drolshagen Charles T, Hosokawa Patrick W, Brandt Elias, Pace Wilson D, Uhrich Christopher, Kamerick Michael, Bunting Aidan, Payne Philip R O, Stephens William E, George Joseph M, Vance Mark, Giacomini Kelli, Braddy Jason, Green Mika K, Kahn Michael G
University of Colorado Anschutz Medical Campus.
American Academy of Family Physicians.
EGEMS (Wash DC). 2013 Oct 7;1(1):1027. doi: 10.13063/2327-9214.1027. eCollection 2013.
Distributed Data Networks (DDNs) offer infrastructure solutions for sharing electronic health data from across disparate data sources to support comparative effectiveness research. Data sharing mechanisms must address technical and governance concerns stemming from network security and data disclosure laws and best practices, such as HIPAA.
The Scalable Architecture for Federated Translational Inquiries Network (SAFTINet) deploys TRIAD grid technology, a common data model, detailed technical documentation, and custom software for data harmonization to facilitate data sharing in collaboration with stakeholders in the care of safety net populations. Data sharing partners host TRIAD grid nodes containing harmonized clinical data within their internal or hosted network environments. Authorized users can use a central web-based query system to request analytic data sets.
SAFTINet DDN infrastructure achieved a number of data sharing objectives, including scalable and sustainable systems for ensuring harmonized data structures and terminologies and secure distributed queries. Initial implementation challenges were resolved through iterative discussions, development and implementation of technical documentation, governance, and technology solutions.
分布式数据网络(DDN)为跨不同数据源共享电子健康数据提供基础设施解决方案,以支持比较效果研究。数据共享机制必须解决因网络安全、数据披露法律及最佳实践(如《健康保险流通与责任法案》)而产生的技术和治理问题。
联合转化查询网络的可扩展架构(SAFTINet)部署了TRIAD网格技术、通用数据模型、详细的技术文档以及用于数据协调的定制软件,以便与安全网人群护理中的利益相关者合作促进数据共享。数据共享伙伴在其内部或托管网络环境中托管包含协调临床数据的TRIAD网格节点。授权用户可以使用基于网络的中央查询系统来请求分析数据集。
SAFTINet DDN基础设施实现了多个数据共享目标,包括用于确保协调数据结构和术语以及安全分布式查询的可扩展和可持续系统。通过反复讨论、技术文档的开发与实施、治理以及技术解决方案,解决了初始实施挑战。