1 00:00:14,714 --> 00:00:17,751 >> Jon McKeeby: Common Data Elements, Part 2 of 4. 2 00:00:17,751 --> 00:00:20,353 Again, my name is Jon Walter McKeeby. 3 00:00:20,353 --> 00:00:22,088 I'm the chief information officer 4 00:00:22,088 --> 00:00:25,024 at the Clinical Center of the NIH. 5 00:00:25,925 --> 00:00:28,294 And we utilize common data elements 6 00:00:28,294 --> 00:00:31,097 to share data across clinical research. 7 00:00:31,097 --> 00:00:33,566 So, this is the second part of the series. 8 00:00:35,535 --> 00:00:37,203 So, we're going to review NIH 9 00:00:37,203 --> 00:00:39,539 Data Management and Sharing Policy. 10 00:00:39,539 --> 00:00:41,941 Under the Data Management and Sharing Policy, 11 00:00:42,509 --> 00:00:47,013 NIH expects that investigators and institutes plan and budget 12 00:00:47,013 --> 00:00:49,215 for the management and sharing of data. 13 00:00:50,950 --> 00:00:53,753 All researchers need to submit a data management 14 00:00:53,753 --> 00:00:56,823 sharing plan for review when applying for funding. 15 00:00:57,357 --> 00:01:02,896 Comply with the approved data management sharing plan. 16 00:01:03,596 --> 00:01:06,533 Individual NIH Institute Centers 17 00:01:06,533 --> 00:01:11,337 and Offices may have additional policies and expectations, 18 00:01:11,938 --> 00:01:15,708 and we identify a link for those policies. 19 00:01:16,543 --> 00:01:20,313 CDEs can be a part of a compliant data management 20 00:01:20,313 --> 00:01:21,614 and sharing plan. 21 00:01:21,614 --> 00:01:25,051 They should be. They allow the sharing to occur. 22 00:01:25,752 --> 00:01:29,556 Using Common data elements can be part of an effective plan 23 00:01:29,556 --> 00:01:33,560 for managing and sharing data. According to the policy, 24 00:01:33,560 --> 00:01:37,964 NIH encourages researchers to use common data elements 25 00:01:39,299 --> 00:01:42,235 in order to improve accuracy, consistency, 26 00:01:42,235 --> 00:01:46,873 and interoperability among data sets within various areas 27 00:01:46,873 --> 00:01:48,708 of health and disease research. 28 00:01:49,742 --> 00:01:54,581 We provided links here on Office of Intramural Research Guidance, 29 00:01:54,581 --> 00:02:00,153 as well as Office of Intramural Data Management 30 00:02:00,153 --> 00:02:01,754 and Sharing Plan Template. 31 00:02:02,589 --> 00:02:05,191 They state that researchers must describe 32 00:02:05,191 --> 00:02:08,962 what Common data elements will be used in their project 33 00:02:08,962 --> 00:02:12,999 and to justify if common data elements will not be used. 34 00:02:15,235 --> 00:02:18,071 Common data element usage at NIH. 35 00:02:18,805 --> 00:02:23,209 Some institutes and centers have had mature 36 00:02:23,209 --> 00:02:25,545 common data element programs for years. 37 00:02:26,045 --> 00:02:28,715 Examples are the clinical center, BTRIS, 38 00:02:29,816 --> 00:02:33,820 which is the repository for the intramural program 39 00:02:33,820 --> 00:02:37,123 at the NIH of all the clinical research data. 40 00:02:38,091 --> 00:02:41,794 And then NINDS has common data elements 41 00:02:41,794 --> 00:02:44,831 across domains of different diseases. 42 00:02:44,831 --> 00:02:46,432 And we'll talk about that. 43 00:02:47,534 --> 00:02:51,838 NLM has been involved with common data element since 2012. 44 00:02:52,672 --> 00:02:57,510 NLM encourages the adoption of common data elements across NIH. 45 00:02:58,044 --> 00:03:01,447 There's an NIH common data element taskforce, 46 00:03:01,948 --> 00:03:05,685 and there's an NIH common data elements repository. 47 00:03:05,685 --> 00:03:09,589 And we'll review all these items in the next set of slides. 48 00:03:11,724 --> 00:03:16,029 So BTRIS is the NIH Intramural Research Program 49 00:03:16,029 --> 00:03:18,598 research clinical data warehouse. 50 00:03:19,098 --> 00:03:24,737 We've had data since 1976 in different databases, 51 00:03:25,305 --> 00:03:29,042 different systems, in our original EHR, 52 00:03:29,042 --> 00:03:33,680 which was referred to as MIS, our original laboratory system. 53 00:03:34,280 --> 00:03:37,550 And so, we have all this data and we want to utilize it. 54 00:03:37,550 --> 00:03:41,087 So, we developed a terminology to allow this. 55 00:03:41,654 --> 00:03:48,361 So, the BTRIS common data element is referred to as RED, 56 00:03:48,361 --> 00:03:50,296 the Research Entity Dictionary. 57 00:03:51,631 --> 00:03:54,400 BTRIS allows bidirectional exchange of data 58 00:03:54,400 --> 00:03:57,003 between clinical and I.C. research systems. 59 00:03:58,104 --> 00:04:00,840 Medical record number is the key identifier 60 00:04:00,840 --> 00:04:02,842 to identify a patient. 61 00:04:02,842 --> 00:04:06,980 We have self-service as well as assisted data curation, 62 00:04:07,680 --> 00:04:12,852 and we facilitate data exchange with research collaborators. 63 00:04:13,453 --> 00:04:18,324 We provide data from BTRIS to multiple clinical systems 64 00:04:18,324 --> 00:04:21,461 utilizing the common data elements 65 00:04:21,461 --> 00:04:25,465 that are specific to our research entities dictionary. 66 00:04:27,367 --> 00:04:30,937 And so BTRIS, we have multiple systems that feed 67 00:04:30,937 --> 00:04:34,007 our data repository referred to as BTRIS. 68 00:04:34,540 --> 00:04:37,577 We provide the data through extractions, 69 00:04:37,577 --> 00:04:40,847 our self-service as well as we produce 70 00:04:40,847 --> 00:04:44,017 reports specific to request. 71 00:04:44,017 --> 00:04:47,954 And so, this is the services that BTRIS provides. 72 00:04:49,422 --> 00:04:53,192 BTRIS is based on the research entities dictionary 73 00:04:53,192 --> 00:04:54,927 referred to as RED. 74 00:04:54,927 --> 00:04:59,499 It allows ensure operability across NIHIC systems. 75 00:05:00,166 --> 00:05:04,937 Allows multiple classifications and hierarchies to coexist. 76 00:05:05,505 --> 00:05:08,441 And it allows tests to be defined across years, 77 00:05:08,441 --> 00:05:12,845 names, type of test. And so, a glucose ordered in MIS 78 00:05:12,845 --> 00:05:15,848 if it's following the same reference range, 79 00:05:15,848 --> 00:05:20,386 following the same instruments, glucose and CRIS -- 80 00:05:20,386 --> 00:05:22,088 which is our current HER -- 81 00:05:23,523 --> 00:05:26,926 various types of ordering the glucose 82 00:05:26,926 --> 00:05:30,663 would be all identified as the same test. 83 00:05:31,531 --> 00:05:34,667 Below is the RED web search. 84 00:05:34,667 --> 00:05:38,905 So, you can search for specific items and know the values. 85 00:05:38,905 --> 00:05:41,974 And by clicking it, then you can find values 86 00:05:41,974 --> 00:05:47,113 across the entire repository that fit that item. 87 00:05:48,114 --> 00:05:50,883 So, this is an example of common data 88 00:05:50,883 --> 00:05:54,854 elements specific for NIH Intramural Program.