Experiences from the OHDSI international data network Application of

Experiences from the OHDSI international data network Application of the OHDSI CDM on Korean Healthcare System October, 20 2015 Department of Biomedical Informatics Ajou University School of Medicine Rae Woong Park, MD, PhD

Construction of a de-identified and integrated clinical data warehouse and analysis system Just finished 3-year project, December 2011 – October 2014

Development of an open-innovative clinical data visualization and analysis service based on OHDSI Just launched, 3-year project, December 2014 – October 2017 Ajou Univ. Hospital 2.6 M patients Integrative Platform for DRN Gachun Gil Hospital 2.3 M patients

Outcome database construction 1. Paper reports OCR from free-text medical recording *OCR: Optical Character Recognition 3. Digitalized data (lab, med. etc.) ETL 2. Recordings in free-text format Parsing Outcome database

National Infrastructure for Clinical Data Sharing and Secondary Use Real-time Batch Process 4 Real-time feedback CDSS - allergy, DDI - Lab results - medications - Hospital Central Repository 3 1 2 6 Real-time EMR data CDM EMR (local) (integrated) EMR 3 2 CDM Hospital 1 EMR 2 CDM batch CDW 3 Hospital 1 ETL 5 CDW (Analytics) Visualizing/ Analytics

National Infrastructure for Clinical Data Sharing and Secondary Use Hospital A Hospital B Central Repository Center for Clinical Data Exchange 1 Clinical data in CDM format National Health CDSS Information Exchange EMR 3 Request for clinical data from other hospitals 4 Clinical data from other hospitals EMR 2 Review DB Secondary Uses PHR Citizens Public Health Government CDSS Clinitians Industry Academia Research Development