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European Medical Information Framework Introduction 29 April 2016

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Page 1: European Medical Information Framework - intbir.nih.gov · Project objectives . Identify predictors of Alzheimer’s Disease (AD) in the pre-clinical and prodromal phase . Identify

European Medical Information Framework

Introduction 29 April 2016

Page 2: European Medical Information Framework - intbir.nih.gov · Project objectives . Identify predictors of Alzheimer’s Disease (AD) in the pre-clinical and prodromal phase . Identify

Our Vision

To be the trusted European hub for health care data intelligence, enabling new insights into diseases and treatments

EMIF supports flow from:

Data Discovery

Data Assessment

Data Reuse

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Page 3: European Medical Information Framework - intbir.nih.gov · Project objectives . Identify predictors of Alzheimer’s Disease (AD) in the pre-clinical and prodromal phase . Identify

Project objectives

Identify predictors of Alzheimer’s Disease

(AD) in the pre-clinical and

prodromal phase

Identify predictors of metabolic

complications in obesity

Develop a framework for evaluating, enhancing and providing access to human health data across Europe, support EMIF-Metabolic and EMIF-AD (the specific topics below) as well as support research using human health data in general

EMIF-AD EMIF-Metabolic

EMIF-Platform

Page 4: European Medical Information Framework - intbir.nih.gov · Project objectives . Identify predictors of Alzheimer’s Disease (AD) in the pre-clinical and prodromal phase . Identify

Network Products/ Services

What is EMIF trying to achieve?

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Understand and simplify the health

research process and outputs in the EU

Develop relevant tools for the identification,

assessment and (re)use of health data

Enhance connectivity between Data Custodians and

Researchers

Increase efficiencies for scientific research and pharmaceutical R&D

Platform

Market

Page 5: European Medical Information Framework - intbir.nih.gov · Project objectives . Identify predictors of Alzheimer’s Disease (AD) in the pre-clinical and prodromal phase . Identify

EMIF; enabling the data to information to knowledge flow

† Private Remote Research Environment

EMIF Catalogue (Also within EPAD, DPUK

as communities) EHR-derived

data

Cohort-derived data

PRREs†

Data Discovery Assessment (Re)Use Access Request

Process & Approval

Flow

Ethical Code of Practice (ECoP)

tranSMART

Octopus

R Cloud

……

Harmonisation: OMOP CDM

Harmonisation: Knowledge

Objects

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Page 6: European Medical Information Framework - intbir.nih.gov · Project objectives . Identify predictors of Alzheimer’s Disease (AD) in the pre-clinical and prodromal phase . Identify

Infrastructure implemented – discovery, assessment and analysis

Catalogue Tool – Identify study variables, size, characteristics – E.g. 45 cohorts for AD; ~60,000 research study participants

Participant/ Variable Selection Tool – Generation of virtual cohorts – Value proposition for clinical trials

Data analysis tool / TranSMART

– Pooled analysis of harmonised data

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Page 7: European Medical Information Framework - intbir.nih.gov · Project objectives . Identify predictors of Alzheimer’s Disease (AD) in the pre-clinical and prodromal phase . Identify

Closer detail on the EMIF Service Framework

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Public access Catalogue descriptors

On registration Publicly

accessible dashboards

Verified organisations Customised dashboards

Verified users and organisations

Feasibility (aggregated

results)

Verified teams and organisations

Research analysis (data sharing: centralised or

federated models) Sign up

EMIF online communities

Verified users and organisations

Suitability (data item profiles)

Page 8: European Medical Information Framework - intbir.nih.gov · Project objectives . Identify predictors of Alzheimer’s Disease (AD) in the pre-clinical and prodromal phase . Identify

Catalogue - Communities

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Page 9: European Medical Information Framework - intbir.nih.gov · Project objectives . Identify predictors of Alzheimer’s Disease (AD) in the pre-clinical and prodromal phase . Identify

Catalogue – AD cohorts

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Page 10: European Medical Information Framework - intbir.nih.gov · Project objectives . Identify predictors of Alzheimer’s Disease (AD) in the pre-clinical and prodromal phase . Identify

Cohort information

Mid Term Review meeting 15/04/2016 10

Page 11: European Medical Information Framework - intbir.nih.gov · Project objectives . Identify predictors of Alzheimer’s Disease (AD) in the pre-clinical and prodromal phase . Identify

Catalogue – suitability

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Page 12: European Medical Information Framework - intbir.nih.gov · Project objectives . Identify predictors of Alzheimer’s Disease (AD) in the pre-clinical and prodromal phase . Identify

Integration in the EMIF-Platform

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Page 13: European Medical Information Framework - intbir.nih.gov · Project objectives . Identify predictors of Alzheimer’s Disease (AD) in the pre-clinical and prodromal phase . Identify

Content EMIF-AD Catalogue

Number of cohorts Clinical 31 Population 7 Trial 1 Other 5

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Number of subjects Normal cognition 31376 Subjective cognitive complaints 4369 Mild cognitive impairment 11287 Alzheimer’s disease dementia 9754 Other dementia 2453

Total N=59239

Page 14: European Medical Information Framework - intbir.nih.gov · Project objectives . Identify predictors of Alzheimer’s Disease (AD) in the pre-clinical and prodromal phase . Identify

Cohorts: From data discovery to re-use

Catalogue PST VST PRRE

Data discovery Data assessment Data access Data re-use

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source data

Harmonized triples

Semantic ETL

Data source 1

3

source data

Harmonized triples

Semantic ETL

Data source n

global library

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Page 15: European Medical Information Framework - intbir.nih.gov · Project objectives . Identify predictors of Alzheimer’s Disease (AD) in the pre-clinical and prodromal phase . Identify

Participant selection tool

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Page 16: European Medical Information Framework - intbir.nih.gov · Project objectives . Identify predictors of Alzheimer’s Disease (AD) in the pre-clinical and prodromal phase . Identify

Variable selection tool

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Page 17: European Medical Information Framework - intbir.nih.gov · Project objectives . Identify predictors of Alzheimer’s Disease (AD) in the pre-clinical and prodromal phase . Identify

tranSMART Homepage

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Page 18: European Medical Information Framework - intbir.nih.gov · Project objectives . Identify predictors of Alzheimer’s Disease (AD) in the pre-clinical and prodromal phase . Identify

Using tranSMART

1000 study (WP3)

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Page 19: European Medical Information Framework - intbir.nih.gov · Project objectives . Identify predictors of Alzheimer’s Disease (AD) in the pre-clinical and prodromal phase . Identify

tranSMART cross-trial analysis

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Page 20: European Medical Information Framework - intbir.nih.gov · Project objectives . Identify predictors of Alzheimer’s Disease (AD) in the pre-clinical and prodromal phase . Identify

AD cohorts in tranSMART

Cohorts N

AddNeuroMed 786 Antwerp 150 Descripa 881 EDAR 332 Genoa 157 IDIBAPS 167 IMAP 144 Lausanne 40 Pharmacog 147 St Pau 119

Total N=2923

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