OHDSI grew out of the Observational Medical Outcomes Partnership (OMOP) [4 (link)], which was a public-private partnership established in the US to inform the appropriate use of observational healthcare databases for studying the effects of medical products. The five-year project developed new methods in observational research and established an observational research laboratory. At the conclusion of this five-year project, the OMOP research investigators initiated the OHDSI effort, and the research laboratory moved to the Reagan-Udall Foundation for the FDA under the Innovation in Medical Evidence Development and Surveillance (IMEDS) Program [5 ].
A centerpiece of the OMOP project was the development of the OMOP Common Data Model (CDM) [4 (link)] which represents healthcare data from diverse sources in a consistent and standardized way (seeTable 1 ). This CDM is a “strong” information model, in which the encoding and relationships among concepts are explicitly and formally specified. The OHDSI team has adopted and continued maintenance of this model and its associated vocabulary services. OHDSI’s overall approach is to create an open network of observational data holders, and require that they translate their data to the OMOP CDM. Each element in the participant’s database must be mapped to the approved CDM vocabulary and placed in the data schema. In return, this approach creates a unique opportunity of implementing a number of existing data exploration and evidence generation tools and participating in world-wide studies because any given query can be executed at any site without modification. This enables multicenter, global analyses to be executed rapidly and efficiently using applications or programs developed at a single site.
Data are retained at the participant’s site, simplifying patient and business privacy issues. The team previously found that simply merging the databases is likely to give poor answers because of the heterogeneity [6 ]. Instead, the analyses are carried out locally and the results are transmitted to the coordinating center, where they can be studied on a population level and aggregated as appropriate.
OHDSI operates at several levels: infrastructure, data, methods, applications, and experiments. These levels serve both to support and inform the work of each other to ensure that the infrastructure and products support the mission. Rather than just creating a data network, OHDSI directly integrates the researchers who use the network and the data scientists who create the algorithms with the use cases for the data network.
The group’s guiding principles are that the effort be
To achieve the principle of inclusivity, OHDSI is an open collaborative. Anyone who can give time, data, or funding is welcome, and participation in the operation of OHDSI is expected. Currently, participants come from around the world, including the United States, United Kingdom, Netherlands, Sweden, Italy, Korea, Taiwan, Hong Kong, and Australia.
A centerpiece of the OMOP project was the development of the OMOP Common Data Model (CDM) [4 (link)] which represents healthcare data from diverse sources in a consistent and standardized way (see
Data are retained at the participant’s site, simplifying patient and business privacy issues. The team previously found that simply merging the databases is likely to give poor answers because of the heterogeneity [6 ]. Instead, the analyses are carried out locally and the results are transmitted to the coordinating center, where they can be studied on a population level and aggregated as appropriate.
OHDSI operates at several levels: infrastructure, data, methods, applications, and experiments. These levels serve both to support and inform the work of each other to ensure that the infrastructure and products support the mission. Rather than just creating a data network, OHDSI directly integrates the researchers who use the network and the data scientists who create the algorithms with the use cases for the data network.
The group’s guiding principles are that the effort be
To achieve the principle of inclusivity, OHDSI is an open collaborative. Anyone who can give time, data, or funding is welcome, and participation in the operation of OHDSI is expected. Currently, participants come from around the world, including the United States, United Kingdom, Netherlands, Sweden, Italy, Korea, Taiwan, Hong Kong, and Australia.