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Identification of Relationships Between Patients Through Elements in a Data Warehouse Using the Familial, Associational, and Incidental Relationship (FAIR) Initiative: A Pilot Study.

English TM, Kinney RL, Davis MJ, Kamberi A, Chan W, Sadasivam RS, Houston TK - JMIR Med Inform (2015)

Bottom Line: The preferred method was matching patients using insurance or phone number, which had a sensitivity of 72.1% (289/401) and a specificity of 94% (93/99).FAIR is a valuable research and clinical resource that extends the capabilities of existing data warehouses and lays the groundwork for family-based research.FAIR will expedite studies that would otherwise require registry or manual chart abstraction data sources.

View Article: PubMed Central - HTML - PubMed

Affiliation: The University of Massachusetts Medical School, Division of Health Informatics & Implementation Science, Worcester, MA, United States. thomas.english@umassmed.edu.

ABSTRACT

Background: Over the last several years there has been widespread development of medical data warehouses. Current data warehouses focus on individual cases, but lack the ability to identify family members that could be used for dyadic or familial research. Currently, the patient's family history in the medical record is the only documentation we have to understand the health status and social habits of their family members. Identifying familial linkages in a phenotypic data warehouse can be valuable in cohort identification and in beginning to understand the interactions of diseases among families.

Objective: The goal of the Familial, Associational, & Incidental Relationships (FAIR) initiative is to identify an index set of patients' relationships through elements in a data warehouse.

Methods: Using a test set of 500 children, we measured the sensitivity and specificity of available linkage algorithm identifiers (eg, insurance identification numbers and phone numbers) and validated this tool/algorithm through a manual chart audit.

Results: Of all the children, 52.4% (262/500) were male, and the mean age of the cohort was 8 years old (SD 5). Of the children, 51.6% (258/500) were identified as white in race. The identifiers used for FAIR were available for the majority of patients: insurance number (483/500, 96.6%), phone number (500/500, 100%), and address (497/500, 99.4%). When utilizing the FAIR tool and various combinations of identifiers, sensitivity ranged from 15.5% (62/401) to 83.8% (336/401), and specificity from 72% (71/99) to 100% (99/99). The preferred method was matching patients using insurance or phone number, which had a sensitivity of 72.1% (289/401) and a specificity of 94% (93/99). Using the Informatics for Integrating Biology and the Bedside (i2b2) warehouse infrastructure, we have now developed a Web app that facilitates FAIR for any index population.

Conclusions: FAIR is a valuable research and clinical resource that extends the capabilities of existing data warehouses and lays the groundwork for family-based research. FAIR will expedite studies that would otherwise require registry or manual chart abstraction data sources.

No MeSH data available.


Specify Data window for the FAIR Concept Tracker.
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Related In: Results  -  Collection

License 1 - License 2
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figure2: Specify Data window for the FAIR Concept Tracker.

Mentions: Figure 2 shows the Specify Data window from the FAIR Concept Tracker. This window allows the user to load the desired Patient Set—from either the Workplace or the Previous Queries panel—and one or more Concepts and drop them into the appropriate drop-in boxes. Figure 3 shows the Select Subjects window from the FAIR Concept Tracker, which allows the user to select appropriate subjects for tracing the selected Concepts in the “related” individuals. Figure 4 shows the View Results window from the FAIR Concept Tracker. This window displays a group of patients that match, the identification number of each patient, the relationship of each group member, and the circulatory diagnoses of each patient. This example shows a view of how a fully functional system would look once all relationships, beyond that of the child and mother, have been defined.


Identification of Relationships Between Patients Through Elements in a Data Warehouse Using the Familial, Associational, and Incidental Relationship (FAIR) Initiative: A Pilot Study.

English TM, Kinney RL, Davis MJ, Kamberi A, Chan W, Sadasivam RS, Houston TK - JMIR Med Inform (2015)

Specify Data window for the FAIR Concept Tracker.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4376146&req=5

figure2: Specify Data window for the FAIR Concept Tracker.
Mentions: Figure 2 shows the Specify Data window from the FAIR Concept Tracker. This window allows the user to load the desired Patient Set—from either the Workplace or the Previous Queries panel—and one or more Concepts and drop them into the appropriate drop-in boxes. Figure 3 shows the Select Subjects window from the FAIR Concept Tracker, which allows the user to select appropriate subjects for tracing the selected Concepts in the “related” individuals. Figure 4 shows the View Results window from the FAIR Concept Tracker. This window displays a group of patients that match, the identification number of each patient, the relationship of each group member, and the circulatory diagnoses of each patient. This example shows a view of how a fully functional system would look once all relationships, beyond that of the child and mother, have been defined.

Bottom Line: The preferred method was matching patients using insurance or phone number, which had a sensitivity of 72.1% (289/401) and a specificity of 94% (93/99).FAIR is a valuable research and clinical resource that extends the capabilities of existing data warehouses and lays the groundwork for family-based research.FAIR will expedite studies that would otherwise require registry or manual chart abstraction data sources.

View Article: PubMed Central - HTML - PubMed

Affiliation: The University of Massachusetts Medical School, Division of Health Informatics & Implementation Science, Worcester, MA, United States. thomas.english@umassmed.edu.

ABSTRACT

Background: Over the last several years there has been widespread development of medical data warehouses. Current data warehouses focus on individual cases, but lack the ability to identify family members that could be used for dyadic or familial research. Currently, the patient's family history in the medical record is the only documentation we have to understand the health status and social habits of their family members. Identifying familial linkages in a phenotypic data warehouse can be valuable in cohort identification and in beginning to understand the interactions of diseases among families.

Objective: The goal of the Familial, Associational, & Incidental Relationships (FAIR) initiative is to identify an index set of patients' relationships through elements in a data warehouse.

Methods: Using a test set of 500 children, we measured the sensitivity and specificity of available linkage algorithm identifiers (eg, insurance identification numbers and phone numbers) and validated this tool/algorithm through a manual chart audit.

Results: Of all the children, 52.4% (262/500) were male, and the mean age of the cohort was 8 years old (SD 5). Of the children, 51.6% (258/500) were identified as white in race. The identifiers used for FAIR were available for the majority of patients: insurance number (483/500, 96.6%), phone number (500/500, 100%), and address (497/500, 99.4%). When utilizing the FAIR tool and various combinations of identifiers, sensitivity ranged from 15.5% (62/401) to 83.8% (336/401), and specificity from 72% (71/99) to 100% (99/99). The preferred method was matching patients using insurance or phone number, which had a sensitivity of 72.1% (289/401) and a specificity of 94% (93/99). Using the Informatics for Integrating Biology and the Bedside (i2b2) warehouse infrastructure, we have now developed a Web app that facilitates FAIR for any index population.

Conclusions: FAIR is a valuable research and clinical resource that extends the capabilities of existing data warehouses and lays the groundwork for family-based research. FAIR will expedite studies that would otherwise require registry or manual chart abstraction data sources.

No MeSH data available.