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Socio-economic legacy: EHR4CR's data reuse revolution

data
The project EHR4CR is helping researchers optimise clinical trial design and recruit patients. Image by Vitaly Vlasov via pexels

 

Electronic health record (EHR) systems are widely used in Europe and worldwide. These rich data sources can be used to address bottle necks in clinical trial design and, crucially, patient recruitment. However the lack of interoperability between EHR systems has traditionally limited the ability to efficiently combine the data across large populations for research analysis.

The EHR4CR project was launched in 2011 to develop a platform that can use de-identified data from hospital EHR systems, in full compliance with the ethical, regulatory and data protection policies and requirements of each participating country. The platform supports distributed querying to assist in clinical trials feasibility assessment and patient recruitment, and can connect securely to the data within multiple hospital EHR systems and clinical data warehouses across Europe.

The legacy of EHR4CR includes a not-for-profit organisation Health Data (i~HD),  which develops and promotes best practices in the governance, quality, semantic interoperability and uses of health data, and InSite, a clinical research platform for building a network of hospitals open to data re-use for research.  InSite has since been commercialised by Custodix and SME collaborator spin off (now merged with a US company TriNetX), and some pharma companies have contracted the platform to conduct clinical research studies using it.

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