Dunn William D, Cobb Jake, Levey Allan I, Gutman David A
Department of Neurology, Emory University, Atlanta, GA, USA; Department of Biomedical Informatics, Emory University, Atlanta, GA, USA.
College of Computing, Georgia Institute of Technology, Atlanta, GA, USA.
Int J Med Inform. 2016 Sep;93:103-10. doi: 10.1016/j.ijmedinf.2016.06.015. Epub 2016 Jun 27.
A memory clinic at an academic medical center has relied on several ad hoc data capture systems including Microsoft Access and Excel for cognitive assessments over the last several years. However these solutions are challenging to maintain and limit the potential of hypothesis-driven or longitudinal research. REDCap, a secure web application based on PHP and MySQL, is a practical solution for improving data capture and organization. Here, we present a workflow and toolset to facilitate legacy data migration and real-time clinical research data collection into REDCap as well as challenges encountered.
Legacy data consisted of neuropsychological tests stored in over 4000 Excel workbooks. Functions for data extraction, norm scoring, converting to REDCap-compatible formats, accessing the REDCap API, and clinical report generation were developed and executed in Python.
Over 400 unique data points for each workbook were migrated and integrated into our REDCap database. Moving forward, our REDCap-based system replaces the Excel-based data collection method as well as eases the integration into the standard clinical research workflow and Electronic Health Record.
In the age of growing data, efficient organization and storage of clinical and research data is critical for advancing research and providing efficient patient care. We believe that the workflow and tools described in this work to promote legacy data integration as well as real time data collection into REDCap ultimately facilitate these goals.
在过去几年中,一家学术医疗中心的记忆诊所一直依靠包括Microsoft Access和Excel在内的多个临时数据捕获系统进行认知评估。然而,这些解决方案维护起来具有挑战性,并且限制了假设驱动或纵向研究的潜力。REDCap是一个基于PHP和MySQL的安全Web应用程序,是改善数据捕获和组织的实用解决方案。在此,我们展示了一种工作流程和工具集,以促进将遗留数据迁移以及实时临床研究数据收集到REDCap中,并介绍了遇到的挑战。
遗留数据包括存储在4000多个Excel工作簿中的神经心理学测试。在Python中开发并执行了用于数据提取、常模评分、转换为REDCap兼容格式、访问REDCap API以及生成临床报告的功能。
每个工作簿的400多个唯一数据点被迁移并集成到我们的REDCap数据库中。展望未来,我们基于REDCap的系统取代了基于Excel的数据收集方法,并简化了与标准临床研究工作流程和电子健康记录的集成。
在数据不断增长的时代,高效组织和存储临床及研究数据对于推进研究和提供高效的患者护理至关重要。我们相信,本文所述的促进遗留数据集成以及将实时数据收集到REDCap中的工作流程和工具最终有助于实现这些目标。