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Updated: Oct 27, 2025

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A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
Published on: September 20, 2018
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Patient-led data sharing for clinical bioinformatics research: USCDI and beyond
William J Gordon1,2,3, Daniel Gottlieb1,4, David Kreda1
1Department of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts, USA.
Summary
The 21st Century Cures Act promotes patient access to electronic health records. Research involvement in the US Core Data for Interoperability (USCDI) can unlock significant value for clinical bioinformatics.
Area of Science:
- Health Informatics
- Bioinformatics
- Health Policy
Background:
- The 21st Century Cures Act (2016) mandates improved patient access to electronic health information.
- The US Core Data for Interoperability (USCDI) standardizes data elements for health information exchange.
- Enhanced data liquidity is expected to create new value in healthcare.
Purpose of the Study:
- To examine the potential value creation from USCDI data for clinical bioinformatics research.
- To advocate for research community engagement in the USCDI process.
- To propose a pragmatic mechanism for enabling data export using existing APIs.
Main Methods:
- Commentary and analysis of the 21st Century Cures Act and its implications.
- Review of the US Core Data for Interoperability (USCDI) expansion process.
- Discussion of potential value creation in clinical bioinformatics.
- Proposal of an API-based data export mechanism.
Main Results:
- USCDI expansion holds significant potential for value creation in clinical bioinformatics.
- Active research community involvement can accelerate this value realization.
- Existing APIs can be leveraged for full data export with minimal technical overhead.
Conclusions:
- Engaging the research community in USCDI development is crucial for maximizing its value.
- Leveraging existing APIs for data export offers a practical approach to enhancing data liquidity.
- The 21st Century Cures Act and USCDI provide a framework for advancing clinical bioinformatics through improved data access.

