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Using EPR2020 for Clinical Research. Diana Gumas, Director of Clinical and Clinical Research IT. Migration of clinical data to EPR2020 (powered by Amalga). EPR2020 Read-Only Data Discovery for Clinical Care Research Quality Improvement. Patient Portal.
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Using EPR2020 for Clinical Research Diana Gumas, Director of Clinical and Clinical Research IT
Migration of clinical data to EPR2020 (powered by Amalga) EPR2020 Read-Only Data Discovery for Clinical Care Research Quality Improvement Patient Portal Clinical Research Management System Inpatient & Outpatient HDM/Casemix Diagnoses/Procedures JHCP Other JHH/JHBMCClinical Systems External Labs Additional Hospitals EPR- JHH & JHBMC Discharge summaries Operative notes Clinic Notes Problems, Allergies, Meds Lab Results Radiology Results
Now drill down to see Clinical Data for the Research Participant Clinical detail for the Patient: Problems, Allergies, Immunizations, Medications Labs Documents Active Research Study enrollment
Researcher App View: Diagnosis“Find my patients who had a cardiac diagnosisin the 1st quarter of 2010” Provides assistance gathering: • Preliminary, anonymous data for feasibility, grant applications and statistical sample-size estimates • IRB-approved case-finding--for study enrollment (mailings, phone solicitation), chart review, and cohort/case-control studies • Research data extracts - monthly/quarterly integrated extracts from EPR, POE, ORMIS, lab/PDS, billing systems, vaccination/transfusion/culture data, etc.
Electronic Patient Record (EPR) and Research • One major source • of clinical data for JHH/JHBMC • Research documentation • New EPR clinical research note just for researchers • Access to scanned consents • & Can look at statistics for race, gender, age, diagnosis description
DiagSeq 1 - the primary for this encounter.Notice patient has a pacemaker… so…
Future Plans • My Research Patients’ Outpatient Diagnosis • My Research Patients’ Procedures • Alerts for significant events • Participant admission • Lab value out of range • Evaluate Microsoft cohort discovery tool • Evaluate use of i2b2 with data from EPR2020 • Provide result data to Case Report Forms in Research System • Interface to Specimen Tracking Tool (caTissue) • Natural Language Processing to mine documents
EPR2020 Data Contents Available today from EPR for JHH & JHBMC - *view-only* 4.4M Patients, 32.6M Visits 16.2M Documents, 8.5M Radiology Reports 78M Lab Tests, 402M Lab Results 1.7M Problems, 2.5M Medications, 159K Allergies, 475K Immunizations 5.8M Inpatient Diagnoses (409K distinct) In progress: Community physician visits and summary documents Outpatient diagnosis codes & procedures Images Improve speed of display Additional clinical research tools