CODE-EHR best-practice framework for the use of structured electronic health-care records in clinical research

Publication date

2022-10

Authors

Kotecha, Dipak
Asselbergs, Folkert WORCID 0000-0002-1692-8669ISNI 0000000391548591
Achenbach, Stephan
Anker, Stefan D.
Atar, Dan
Baigent, Colin
Banerjee, Amitava
Beger, Birgit
Brobert, Gunnar
Casadei, Barbara

Editors

Advisors

Supervisors

Document Type

Article

Collections

Open Access logo

License

cc_by

Abstract

Big data is important to new developments in global clinical science that aim to improve the lives of patients. Technological advances have led to the regular use of structured electronic health-care records with the potential to address key deficits in clinical evidence that could improve patient care. The COVID-19 pandemic has shown this potential in big data and related analytics but has also revealed important limitations. Data verification, data validation, data privacy, and a mandate from the public to conduct research are important challenges to effective use of routine health-care data. The European Society of Cardiology and the BigData@Heart consortium have brought together a range of international stakeholders, including representation from patients, clinicians, scientists, regulators, journal editors, and industry members. In this Review, we propose the CODE-EHR minimum standards framework to be used by researchers and clinicians to improve the design of studies and enhance transparency of study methods. The CODE-EHR framework aims to develop robust and effective utilisation of health-care data for research purposes.

Keywords

Big Data, COVID-19, Electronic Health Records, Electronics, Humans, Pandemics, Medicine (miscellaneous), Health Informatics, Decision Sciences (miscellaneous), Health Information Management, Journal Article, Review

Citation

Kotecha, D, Asselbergs, F W, Achenbach, S, Anker, S D, Atar, D, Baigent, C, Banerjee, A, Beger, B, Brobert, G, Casadei, B, Ceccarelli, C, Cowie, M R, Crea, F, Cronin, M, Denaxas, S, Derix, A, Fitzsimons, D, Fredriksson, M, Gale, C P, Gkoutos, G V, Goettsch, W, Hemingway, H, Ingvar, M, Jonas, A, Kazmierski, R, Logstrup, S, Lumbers, R T, Luescher, T F, McGreavy, P, Pina, I L, Roessig, L, Steinbeisser, C, Sundgren, M, Tyl, B, van Thiel, G, van Bochove, K, Vardas, P E, Villanueva, T, Vrana, M, Weber, W, Weidinger, F, Windecker, S, Wood, A & Grobbee, D E 2022, 'CODE-EHR best-practice framework for the use of structured electronic health-care records in clinical research', The Lancet. Digital health, vol. 4, no. 10, pp. E757-E764. https://doi.org/10.1016/S2589-7500(22)00151-0