Evidence map›Paper›PMID 32805036›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2021

The National COVID Cohort Collaborative (N3C): Rationale, design, infrastructure, and deployment.

Melissa A Haendel, Christopher G Chute, Tellen D Bennett, David A Eichmann, Justin Guinney, Warren A Kibbe, Philip R O Payne, Emily R Pfaff, Peter N Robinson, Joel H Saltz and 47 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 399 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
399citing papers in PubMed, 1 pooled it
23.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

399 citing papers in PubMed, 1 synthesis or guideline pooled it, 576 citations in OpenAlex.

  1. Learning competing risks across multiple hospitals: one-shot distributed algorithms.Journal of the American Medical Informatics Association : JAMIA · 2024
    Pooled it
  2. Article
  3. Electronic Phenotype for Detection, Staging, and Subtyping of Acute Kidney Injury.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2026
    Article
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  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Differential COVID-19 Outcomes Across Lysosomal Disorders.medRxiv : the preprint server for health sciences · 2026
    Article
  16. Observational
  17. Article
  18. Article
  19. Article
  20. VO: The Vaccine Ontology.Scientific data · 2026
    Article

339 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

57 authors at 20 institutions in 1 country.

Melissa A HaendelOregon Clinical and Translational Research Institute, Oregon Health and Science University, Portland, Oregon, USA.
Christopher G ChuteSchools of Medicine, Public Health, and Nursing, Johns Hopkins University, Baltimore, Maryland, USA.
Tellen D BennettSection of Informatics and Data Science, Department of Pediatrics, University of Colorado School of Medicine, University of Colorado, Aurora, Colorado, USA.
David A EichmannSchool of Library and Information Science, The University of Iowa, Iowa City, Iowa, USA.
Justin GuinneySage Bionetworks, Seattle, Washington, USA.
Warren A KibbeDuke University, Durham,North Carolina, USA.
Philip R O PayneInstitute for Informatics, Washington University in St. Louis, Saint Louis,Missouri, USA.
Emily R PfaffNorth Carolina Translational and Clinical Sciences Institute (NC TraCS), University of North Carolina at Chapel Hill, Chapel Hill,North Carolina, USA.
Peter N RobinsonJackson Laboratory, Bar Harbor, Maine, USA.
Joel H SaltzDepartment of Biomedical Informatics, Stony Brook University, Stony Brook, New York, USA.
Heidi SprattUniversity of Texas Medical Branch, Galveston, Texas, USA.
Christine SuverSage Bionetworks, Seattle, Washington, USA.
John WilbanksSage Bionetworks, Seattle, Washington, USA.
Adam B WilcoxUniversity of Washington, Seattle, Washington, USA.
Andrew E WilliamsTufts Medical Center Clinical and Translational Science Institute, Tufts Medical Center, Boston,Massachusetts, USA.
Chunlei WuDepartment of Integrative Structural and Computational Biology, The Scripps Research Institute, La Jolla, California, USA.
Clair BlacketerJanssen Research and Development, LLC, Raritan, New Jersey, USA.
Robert L BradfordNorth Carolina Translational and Clinical Sciences Institute (NC TraCS), University of North Carolina at Chapel Hill, Chapel Hill,North Carolina, USA.
James J CiminoUniversity of Alabama-Birmingham, Birmingham, Alabama, USA.
Marshall ClarkNorth Carolina Translational and Clinical Sciences Institute (NC TraCS), University of North Carolina at Chapel Hill, Chapel Hill,North Carolina, USA.
Evan W ColmenaresDepartment of Pharmaceutical Outcomes and Policy, University of North Carolina at Chapel Hill, Chapel Hill,North Carolina, USA.
Patricia A FrancisJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Davera GabrielJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Alexis GravesUniversity of Iowa Institute for Clinical and Translational Science, The University of Iowa, Iowa City, Iowa, USA.
Raju HemadriNational Center for Advancing Translational Science, Bethesda, Maryland, USA.
Stephanie S HongJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
George HripscakDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.
Dazhi JiaoJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Jeffrey G KlannHarvard Medical School, Boston,Massachusetts, USA.
Kristin KostkaIQVIA, Durham, North Carolina, USA.
Adam M LeeUniversity of North Carolina at Chapel Hill, Chapel Hill,North Carolina, USA.
Harold P LehmannJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Lora LingreyTriNetX, Cambridge,Massachusetts, USA.
Robert T MillerTufts Clinical and Translational Science Institute, Tufts University, Boston,Massachusetts, USA.
Michele MorrisDepartment of Biomedical Informatics, University of Pittsburgh, Pittsburgh,Pennsylvania, USA.
Shawn N MurphyMass General Brigham, Boston,Massachusetts, USA.
Karthik NatarajanIrving Medical Center, Columbia University, New York, New York, USA.
Matvey B PalchukTriNetX, Cambridge,Massachusetts, USA.
Usman SheikhNational Center for Advancing Translational Science, Bethesda, Maryland, USA.
Harold SolbrigJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Shyam VisweswaranDepartment of Biomedical Informatics, University of Pittsburgh, Pittsburgh,Pennsylvania, USA.
Anita WaldenOregon Clinical and Translational Research Institute, Oregon Health and Science University, Portland, Oregon, USA.
Kellie M WaltersNorth Carolina Translational and Clinical Sciences Institute (NC TraCS), University of North Carolina at Chapel Hill, Chapel Hill,North Carolina, USA.
Griffin M WeberDepartment of Biomedical Informatics, Harvard Medical School, Boston,Massachusetts, USA.
Xiaohan Tanner ZhangJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Richard L ZhuJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Benjamin AmorPalantir Technologies, Palo Alto, California, USA.
Andrew T GirvinPalantir Technologies, Palo Alto, California, USA.
Amin MannaPalantir Technologies, Palo Alto, California, USA.
Nabeel QureshiPalantir Technologies, Palo Alto, California, USA.
Michael G KurillaDivision of Clinical Innovation, National Center for Advancing Translational Science, Bethesda, Maryland, USA.
Sam G MichaelNational Center for Advancing Translational Sciences, National Institutes of Health, Bethesda, Maryland, USA.
Lili M PortillaOffice of Strategic Alliances, National Center for Advancing Translational Sciences, National Institutes of Health, Bethesda, Maryland, USA.
Joni L RutterOffice of the Director, National Center for Advancing Translational Science, Bethesda, Maryland, USA.
Christopher P AustinNational Center for Advancing Translational Sciences, National Institutes of Health, Bethesda, Maryland, USA.
Ken R GersingNational Center for Advancing Translational Science, Bethesda, Maryland, USA.
N3C Consortium
Johns Hopkins University · USUniversity of North Carolina at Chapel Hill · USNational Center for Advancing Translational Sciences · USSage Bionetworks · USNational Institutes of Health · USHarvard University · USTriNetX (United States) · USUniversity of Iowa · USUniversity of Pittsburgh · USColumbia University · USColumbia University Irving Medical Center · USDuke University · USIQVIA (United States) · USJackson Laboratory · USJanssen (United States) · USMass General Brigham · USOffice of the Director · USOregon State University · USScripps Research Institute · USStony Brook University · US

Funding

Tufts Clinical and Translational Science Institute (Pilot Supplement)UL1TR002544 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2018 to 2022
$50.2M
Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
CD2H - The National COVID Cohort Collaborative (N3C) IDeA CTR CollaborationU24TR002306 · NCATS · UNIVERSITY OF COLORADO DENVER · PI CHUTE, CHRISTOPHER G, EICHMANN, DAVID A. · 2017 to 2021
$28.9M
Quality Assurance and Quality Control Project Management: Improving Submissions and Study Conduct in the Human Subjects Research Prior Approval ProcessUL1TR002529 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI MOE, SHARON M, WIEHE, SARAH ELIZABETH · 2018 to 2022
$27.2M
Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
NCATS NIH HHS U24 TR002306
6 · The paper itself

Abstract

objectiveCoronavirus disease 2019 (COVID-19) poses societal challenges that require expeditious data and knowledge sharing. Though organizational clinical data are abundant, these are largely inaccessible to outside researchers. Statistical, machine learning, and causal analyses are most successful with large-scale data beyond what is available in any given organization. Here, we introduce the National COVID Cohort Collaborative (N3C), an open science community focused on analyzing patient-level data from many centers. MATERIALS AND

methodsThe Clinical and Translational Science Award Program and scientific community created N3C to overcome technical, regulatory, policy, and governance barriers to sharing and harmonizing individual-level clinical data. We developed solutions to extract, aggregate, and harmonize data across organizations and data models, and created a secure data enclave to enable efficient, transparent, and reproducible collaborative analytics.

resultsOrganized in inclusive workstreams, we created legal agreements and governance for organizations and researchers; data extraction scripts to identify and ingest positive, negative, and possible COVID-19 cases; a data quality assurance and harmonization pipeline to create a single harmonized dataset; population of the secure data enclave with data, machine learning, and statistical analytics tools; dissemination mechanisms; and a synthetic data pilot to democratize data access.

conclusionsThe N3C has demonstrated that a multisite collaborative learning health network can overcome barriers to rapidly build a scalable infrastructure incorporating multiorganizational clinical data for COVID-19 analytics. We expect this effort to save lives by enabling rapid collaboration among clinicians, researchers, and data scientists to identify treatments and specialized care and thereby reduce the immediate and long-term impacts of COVID-19.

Indexed as

COVID-19Information DisseminationIntersectoral CollaborationComputer SecurityData AnalysisData ScienceEthics Committees, ResearchGovernment RegulationHumansNational Institutes of Health (U.S.)United Statesclinical data model harmonizationcollaborative analyticsCOVID-19EHR dataopen scienceSARS-CoV-2

Identifiers

PMID32805036
PMCPMC7454687
OpenAlexW3049452588

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.