Evidence map›Paper›PMID 33076938›Full record

ArticleJournal of translational medicine2020

Designing and piloting a generic research architecture and workflows to unlock German primary care data for secondary use.

Thomas Bahls, Johannes Pung, Stephanie Heinemann, Johannes Hauswaldt, Iris Demmer, Arne Blumentritt, Henriette Rau, Johannes Drepper, Philipp Wieder, Roland Groh and 2 more

Abstract read
In one paragraph

Article in Journal of translational medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. [Anonymization of general practitioners' electronic medical records in two research datasets].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. eHealth implementationFrontiers in digital health · 2024
    Article
  8. Review
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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

12 authors.

Thomas BahlsInstitute for Community Medicine, Section Epidemiology of Health Care and Community Health, University Medicine Greifswald, Ellernholzstr. 1-2, Greifswald, 17475, Germany. thomas.bahls@uni-greifswald.de.ORCID http://orcid.org/0000-0001-9150-5589
Johannes PungDepartment of Medical Informatics, University Medical Center Göttingen, Robert-Koch-Str. 40, Göttingen, 37075, Germany.
Stephanie HeinemannDepartment of General Practice, University Medical Center Göttingen, Humboldtallee 38, Göttingen, 37073, Germany.
Johannes HauswaldtDepartment of General Practice, University Medical Center Göttingen, Humboldtallee 38, Göttingen, 37073, Germany.
Iris DemmerDepartment of General Practice, University Medical Center Göttingen, Humboldtallee 38, Göttingen, 37073, Germany.
Arne BlumentrittTrusted Third Party of the University Medicine Greifswald, Ellernholzstr. 1-2, Greifswald, 17475, Germany.
Henriette RauTrusted Third Party of the University Medicine Greifswald, Ellernholzstr. 1-2, Greifswald, 17475, Germany.
Johannes DrepperTMF - Technology, Methods, and Infrastructure for Networked Medical Research (TMF e.V.), Charlottenstraße 42, Berlin, 10117, Germany.
Philipp WiederGesellschaft für wissenschaftliche Datenverarbeitung mbH, Am Faßberg 11, Göttingen, 37077, Germany.
Roland GrohGesellschaft für wissenschaftliche Datenverarbeitung mbH, Am Faßberg 11, Göttingen, 37077, Germany.
Eva HummersDepartment of General Practice, University Medical Center Göttingen, Humboldtallee 38, Göttingen, 37073, Germany.
Falk SchlegelmilchDepartment of General Practice, University Medical Center Göttingen, Humboldtallee 38, Göttingen, 37073, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical data from family doctors are of great importance to health care researchers but seem to be locked in German practices and, thus, are underused in research. The RADAR project (Routine Anonymized Data for Advanced Health Services Research) aims at designing, implementing and piloting a generic research architecture, technical software solutions as well as procedures and workflows to unlock data from family doctor's practices. A long-term medical data repository for research taking legal requirements into account is established. Thereby, RADAR helps closing the gap between the European countries and to contribute data from primary care in Germany.

methodsThe RADAR project comprises three phases: (1) analysis phase, (2) design phase, and (3) pilot. First, interdisciplinary workshops were held to list prerequisites and requirements. Second, an architecture diagram with building blocks and functions, and an ordered list of process steps (workflow) for data capture and storage were designed. Third, technical components and workflows were piloted. The pilot was extended by a data integration workflow using patient-reported outcomes (paper-based questionnaires).

resultsThe analysis phase resulted in listing 17 essential prerequisites and guiding requirements for data management compliant with the General Data Protection Regulation (GDPR). Based on this list existing approaches to fulfil the RADAR tasks were evaluated-for example, re-using BDT interface for data exchange and Trusted Third Party-approach for consent management and record linkage. Consented data sets of 100 patients were successfully exported, separated into person-identifying and medical data, pseudonymised and saved. Record linkage and data integration workflows for patient-reported outcomes in the RADAR research database were successfully piloted for 63 responders.

conclusionThe RADAR project successfully developed a generic architecture together with a technical framework of tools, interfaces, and workflows for a complete infrastructure for practicable and secure processing of patient data from family doctors. All technical components and workflows can be reused for further research projects. Additionally, a Trusted Third Party-approach can be used as core element to implement data privacy protection in such heterogeneous family doctor's settings. Optimisations identified comprise a fully-electronic consent recording using tablet computers, which is part of the project's extension phase.

Indexed as

Primary Health CareSoftwareEuropeGermanyHumansWorkflowData management architectureElectronic health recordsGDPRHealth information exchangeInformed consentMedical record linkagePrimary health careSecondary useTrusted third party

Identifiers

PMID33076938
PMCPMC7574413

What OpenQuestion holds

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LicenceCC BY
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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.