A Practice-Based Research Network Ecology of Medical care Revisited Green et al NEJM 2012
Primary Care Data in Ontario • Demographics 85% recorded on EMRs • Prescribing • Diagnoses • Tests & Procedures • Free Text
Big Data from Primary Care
Primary care EMR data safe Haven for 1M patients in GTA from & EMRs Data Extraction Safe Haven Uses 1M patients 1400 Family Physicians EMR 0.5-1 Gb per practice UTOPIAN EMR CPCSSN EMRALD Use Cases A Link UTOPIAN EMR data to another dataset for person specific research. B Identify potential subjects for an intervention study. EMR C Follow up patients enrolled in studies via their EMR data to collect process and outcome measures. Other
From UTOPIAN to Ontario and beyond…… AMIA Annu Symp Proc. 2007;:548-52. Architecture of the open-source clinical research chart from Informatics for Integrating Biology and the Bedside. Murphy SN1 et al.
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