Using EPR2020 for Clinical Research

addictedswimmingAI and Robotics

Oct 24, 2013 (3 years and 7 months ago)

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Using EPR2020 for Clinical Research

Diana Gumas, Director of Clinical and Clinical
Research IT

1

Migration of clinical data to EPR2020
(powered by Amalga)

2


EPR
-

JHH & JHBMC

Discharge summaries

Operative notes

Clinic Notes

Problems, Allergies, Meds

Lab Results

Radiology Results


EPR2020

Read
-
Only

Data Discovery


for

Clinical Care

Research

Quality Improvement

JHCP

External Labs

Additional Hospitals

Clinical Research
Management System

Patient
Portal

HDM/
Casemix

Inpatient & Outpatient

Diagnoses/Procedures

Other JHH/JHBMC

Clinical Systems

3

Multiple
Applications



Including
Research Support

4

Research App View:

Patients on “My Studies”

5

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

6

Research App View:

Research Lab Results

7

Exporting Lab Results Saves Significant

Researcher Hours!


Researcher App View: Diagnosis

“Find my patients who had a cardiac diagnosis

in the 1
st

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.

8

Electronic Patient Record (EPR)


and Research

9

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

10

Diag

Seq

1
-

the primary for this encounter.

Notice patient has a pacemaker… so…

11

Search patient’s documents for pacemaker

12

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

13

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