CDISC Healthcare Link Profiles Information
The CDISC Healthcare Link Initiative is one of the most rapidly
developing areas of work being conducted by CDISC. Leveraging standards
to improve the methods by which investigative sites can conduct medical
research and capture data for clinical research studies is vital for a
number of reasons; one very important reason is that clinicians
frequently do one research study and no more due to the unwieldy nature
of clinical research processes today. The increasing presence of an
electronic health record (EHR) at healthcare sites opens new
opportunities to integrate the processes of clinical care and clinical
research. This will, in turn, expand the capacity for research and
increase patient participation.
The overarching goals for CDISC Healthcare Link have been to:
- Make it easier for physicians to conduct clinical research,
- Collect data only once in an industry standard format for multiple downstream uses
- Improve data quality and patient safety
Since the CDISC Healthcare Link Initiative was conceived in ~ 1997 and
officially launched in 2004, CDISC has developed: a suite of
foundational standards (detailed in other chapters), various means to
leverage these standards and a series of ‘enablers’ to improve the
workflow of clinicians doing research. The Initiative has taken steps
to ensure that the link between clinical research and healthcare takes
into account existing regulations, privacy and security concerns, and
current practices to provide practical pathways to achieve the vision
through a stepwise approach. These enablers were developed in
conjunctions with EHR vendors, and respect the limited amount of
resource that these vendors can devote to a problem that is secondary to
their main concern. These enablers are available now and have already
proven to significantly decrease the time and effort to provide data for
certain use cases, such as safety reporting, using EHRs.
Please click here to see a table listing the CDISC-IHE Healthcare Link profiles.
Click here to see the CDISC Healthcare Link Chapter (updated from the previously
published CDISC Primer).
For information on other CDISC enabling standards used with Healthcare Link see CDISC CDASH, Protocol Representation Model, Study Design Model-XML and ODM.
Challenge: Interoperability between Healthcare and Clinical Research
For years now, researchers have dreamed of accessing the data held within electronic health records (EHRs) and using it for research purposes. And site investigators, who provide the data, have dreamed of a solution that eliminates double data entry of research data.
The CDISC Healthcare Link project began in 2005 and focuses on the mission of interoperability between healthcare (the EHR) and clinical research. The roots of the Healthcare Link project come from the collaborative work of a preceding initiative-- the eSDI project, an FDA-CDISC project to encourage the use of eSource data (e.g. EHRs) in regulated clinical research, leveraging CDISC standards.
Solution: Integration Standards to connect disparate systems and data
The solution is here. CDISC and IHE (Integrating the Healthcare Enterprise) have created the inaugural working link between EHRs and clinical research systems. This groundbreaking approach uses the CDISC/IHE developed integration profile, Retrieve Form for Data-capture profile (RFD), along with CDISC standards to collect relevant data from the electronic health record for critical secondary uses such as Safety Reporting (and Biosurveillance), Clinical Research, and Disease Registries. Reaching through to the EHR in this way to pull key data of interest to clinical research that is already existing in the EHR creates system interoperability and improves data quality and most importantly timeliness of data sharing (key in safety reporting) while alleviating the Investigator site from supporting and entering data in to multiple redundant (from the investigator’s perspective) data collection tools for the purpose of the secondary uses.
This integration creates the first ‘sticky parts’ that connect healthcare and clinical research data workflow.
IHE Retrieve Form for Data Capture Profile
RFD has also been useful in debunking both the overly facile illusions of turnkey access to EHR data, and the overly pessimistic view that such access is twenty years off.
The case study work completed thus far by the Healthlink Initiative falls into two primary areas: interoperability demonstrations and production pilot implementations. We anticipate that the efforts made thus far by the Healthcare link Initiative will provide a foundation for the harmonization of standards between EHRs and clinical research-- and will support a new value case that was prioritized through an ANSI workgroup recently convened for this purpose.
RFD has been through a number of live Interoperability demos at HIMSS07, HIMSS08, CDISC International Interchange and most recently at the 2009 DIA Annual in San Diego.
HIMSS Flyer 2007
HIMSS Flyer 2008
DIA Flyer 2009
CDISC received a letter of endorsement from EHRA (the Electronic Health Record Association) in 2008 for the development work with IHE and the resulting RDF integration profile.
For information or inquiries, please contact CDISC Healthcare Link Program Manager, Landen Bain.