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Creating a Common Data Model for Comparative Effectiveness with the Observational Medical Outcomes Partnership
F FitzHenry1, F S Resnic2, S L Robbins2
1Tennessee Valley Healthcare System, Veterans Affairs Medical Center , Nashville, TN ; Department of Biomedical Informatics; Vanderbilt University, Nashville , TN.
Transforming health data to a common data model (CDM) like OMOP CDM is resource-intensive but enables efficient, multi-site comparative effectiveness research by standardizing cohort identification and analysis.
Area of Science:
- Health Informatics
- Comparative Effectiveness Research
- Data Standardization
Background:
- Large-scale distributed comparative effectiveness analyses require common data models (CDM) across health systems.
- Several CDMs exist, including Mini-Sentinel and the Observational Medical Outcomes Partnership (OMOP) CDM.
Purpose of the Study:
- To describe the challenges and opportunities of using the OMOP CDM for a study-specific case.
- To present three comparative effectiveness use cases developed from the OMOP CDM.
Main Methods:
- Two health system databases were transformed into the OMOP CDM using provided crosswalks.
- Cohorts for three comparative effectiveness use cases were developed from the transformed CDMs.
- Data included administrative/billing, demographic, order history, medication, and laboratory information.
Main Results:
- Differences in record counts per person month were observed between civilian and federal datasets.
- Data extraction methods for medications (orders vs. pharmacy fills) impacted counts.
- The federal system exhibited a higher prevalence of conditions across all three use cases.
- Manual coding was necessary for certain data types during the CDM transformation.
Conclusions:
- Data transformation to the OMOP CDM was time-consuming and resource-intensive.
- Manual data coding presented limitations during the conversion process.
- Once converted, the OMOP CDM facilitated consistent cohort identification and analysis across sites, minimizing cross-site effort.
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