Evidence map›Paper›PMID 39143600›Full record

ArticleOrphanet journal of rare diseases2024

How to customize common data models for rare diseases: an OMOP-based implementation and lessons learned.

Najia Ahmadi, Michele Zoch, Oya Guengoeze, Carlo Facchinello, Antonia Mondorf, Katharina Stratmann, Khader Musleh, Hans-Peter Erasmus, Jana Tchertov, Richard Gebler and 13 more

Abstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
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  9. Enhancing diagnostic precision for rare diseases using case-based reasoning.Journal of the American Medical Informatics Association : JAMIA · 2026
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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

23 authors.

Najia AhmadiInstitute for Medical Informatics and Biometry, Carl Gustav Carus Faculty of Medicine, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany. najia.ahmadi@tu-dresden.de.ORCID 0000-0001-9769-5109
Michele ZochInstitute for Medical Informatics and Biometry, Carl Gustav Carus Faculty of Medicine, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany.
Oya GuengoezeDepartment of Internal Medicine I, University Hospital Frankfurt, Goethe University, Frankfurt, Germany.
Carlo FacchinelloDepartment of Internal Medicine I, University Hospital Frankfurt, Goethe University, Frankfurt, Germany.
Antonia MondorfDepartment of Internal Medicine I, University Hospital Frankfurt, Goethe University, Frankfurt, Germany.
Katharina StratmannDepartment of Internal Medicine I, University Hospital Frankfurt, Goethe University, Frankfurt, Germany.
Khader MuslehDepartment of Internal Medicine I, University Hospital Frankfurt, Goethe University, Frankfurt, Germany.
Hans-Peter ErasmusDepartment of Internal Medicine I, University Hospital Frankfurt, Goethe University, Frankfurt, Germany.
Jana TchertovInstitute for Medical Informatics and Biometry, Carl Gustav Carus Faculty of Medicine, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany.
Richard GeblerInstitute for Medical Informatics and Biometry, Carl Gustav Carus Faculty of Medicine, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany.
Jannik SchaafGoethe University Frankfurt, University Hospital, Institute of Medical Informatics, Frankfurt, Germany.
Lena S FrischenUniversity Hospital Frankfurt, Goethe University, Executive Department for Medical IT-Systems and Digitalization, Frankfurt, Germany.
Azadeh NasirianCenter of Medical Informatics, University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.
Jiabin DaiInstitute for Medical Informatics and Biometry, Carl Gustav Carus Faculty of Medicine, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany.
Elisa HenkeInstitute for Medical Informatics and Biometry, Carl Gustav Carus Faculty of Medicine, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany.
Douglas TremblayTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Andrew SrisuwananukornOhio State Comprehensive Cancer Center, Columbus, OH, USA.
Martin BornhäuserDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.
Christoph RölligDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.
Jan-Niklas EckardtDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.
Jan Moritz MiddekeDepartment of Internal Medicine I, University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.
Markus WolfienInstitute for Medical Informatics and Biometry, Carl Gustav Carus Faculty of Medicine, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany.
Martin SedlmayrInstitute for Medical Informatics and Biometry, Carl Gustav Carus Faculty of Medicine, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany.

Funding

Bundesministerium für Gesundheit (BMG) FKZ: ZMI1-2520DAT02C
6 · The paper itself

Abstract

backgroundGiven the geographical sparsity of Rare Diseases (RDs), assembling a cohort is often a challenging task. Common data models (CDM) can harmonize disparate sources of data that can be the basis of decision support systems and artificial intelligence-based studies, leading to new insights in the field. This work is sought to support the design of large-scale multi-center studies for rare diseases.

methodsIn an interdisciplinary group, we derived a list of elements of RDs in three medical domains (endocrinology, gastroenterology, and pneumonology) according to specialist knowledge and clinical guidelines in an iterative process. We then defined a RDs data structure that matched all our data elements and built Extract, Transform, Load (ETL) processes to transfer the structure to a joint CDM. To ensure interoperability of our developed CDM and its subsequent usage for further RDs domains, we ultimately mapped it to Observational Medical Outcomes Partnership (OMOP) CDM. We then included a fourth domain, hematology, as a proof-of-concept and mapped an acute myeloid leukemia (AML) dataset to the developed CDM.

resultsWe have developed an OMOP-based rare diseases common data model (RD-CDM) using data elements from the three domains (endocrinology, gastroenterology, and pneumonology) and tested the CDM using data from the hematology domain. The total study cohort included 61,697 patients. After aligning our modules with those of Medical Informatics Initiative (MII) Core Dataset (CDS) modules, we leveraged its ETL process. This facilitated the seamless transfer of demographic information, diagnoses, procedures, laboratory results, and medication modules from our RD-CDM to the OMOP. For the phenotypes and genotypes, we developed a second ETL process. We finally derived lessons learned for customizing our RD-CDM for different RDs. DISCUSSION: This work can serve as a blueprint for other domains as its modularized structure could be extended towards novel data types. An interdisciplinary group of stakeholders that are actively supporting the project's progress is necessary to reach a comprehensive CDM.

conclusionThe customized data structure related to our RD-CDM can be used to perform multi-center studies to test data-driven hypotheses on a larger scale and take advantage of the analytical tools offered by the OHDSI community.

Indexed as

Rare DiseasesHumansArtificial intelligenceCommon data modelData standardizationGenotypes and phenotypesInteroperabilityMulti-center studiesOHDSIOMOPRare disease

Identifiers

PMID39143600
PMCPMC11325822

What OpenQuestion holds

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Registered trials

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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.