为欧洲健康数据空间(EHDS)做好准备:IDERHA 为符合 EHDS 对健康数据二次使用的最新要求而制定的计划。

Open research Europe Pub Date : 2024-07-30 eCollection Date: 2024-01-01 DOI:10.12688/openreseurope.18179.1
Rada Hussein, Irina Balaur, Anja Burmann, Hanna Ćwiek-Kupczyńska, Yojana Gadiya, Soumyabrata Ghosh, Prabath Jayathissa, Florian Katsch, Andreas Kremer, Jaakko Lähteenmäki, Zhaoling Meng, Kathrin Morasek, Rebecca C Rancourt, Venkata Satagopam, Stefan Sauermann, Simon Scheider, Tanja Stamm, Christian Muehlendyck, Philip Gribbon
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引用次数: 0

摘要

目标:欧洲健康数据空间(EHDS)塑造了欧洲医疗保健的数字化转型。EHDS 法规还将加速健康数据在研究、创新、政策制定和数据二次使用监管活动(称为 EHDS2)中的使用。整合异构数据和证据以实现监管和 HTA 验收(IDERHA)项目根据 EHDS2 的要求建立了首批泛欧健康数据空间之一,并将肺癌作为试点:在本研究中,我们对 EHDS 法规、EHDS2 技术要求和相关项目进行了全面审查。我们还探讨了欧洲健康数据空间联合行动(TEHDAS)的成果,以确定 IDERHA 与 EHDS2 的一致性框架。我们还举办了一次内部网络研讨会和一次外部研讨会,与 EHDS 专家分享有关 EHDS 要求和挑战的专业知识:我们确定了从现有项目中吸取的经验教训,以及将 IDERHA 基础设施与 EHDS2 相结合的最低要求,包括用户旅程、概念、术语和标准。IDERHA 框架(即平台架构、标准化方法、文档等)正在相应开发中:IDERHA 与 EHDS2 的协调计划需要实施三类标准化,以实现数据的可发现性:数据目录词汇(DCAT-AP),实现语义互操作性:观察性医疗结果合作组织 (OMOP),以及健康数据交换(DICOM 和 FHIR)。主要的挑战在于一些标准仍在完善之中,例如 DCAT-AP 的扩展(HealthDCAT-AP)。此外,还需要对观察性健康数据科学与信息学(OHDSI)OMOP 通用数据模型(CDM)进行扩展,以表示患者生成的健康数据。最后,标准(FHIR/OMOP)之间的正确映射是正确进行数据交换的先决条件:IDERHA 的计划以及我们与其他 EHDS 计划/项目的合作对于推进 EHDS2 的实施至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Getting ready for the European Health Data Space (EHDS): IDERHA's plan to align with the latest EHDS requirements for the secondary use of health data.

Objective: The European Health Data Space (EHDS) shapes the digital transformation of healthcare in Europe. The EHDS regulation will also accelerate the use of health data for research, innovation, policy-making, and regulatory activities for secondary use of data (known as EHDS2). The Integration of heterogeneous Data and Evidence towards Regulatory and HTA Acceptance (IDERHA) project builds one of the first pan-European health data spaces in alignment with the EHDS2 requirements, addressing lung cancer as a pilot.

Methods: In this study, we conducted a comprehensive review of the EHDS regulation, technical requirements for EHDS2, and related projects. We also explored the results of the Joint Action Towards the European Health Data Space (TEHDAS) to identify the framework of IDERHA's alignment with EHDS2. We also conducted an internal webinar and an external workshop with EHDS experts to share expertise on the EHDS requirements and challenges.

Results: We identified the lessons learned from the existing projects and the minimum-set of requirements for aligning IDERHA infrastructure with EHDS2, including user journey, concepts, terminologies, and standards. The IDERHA framework (i.e., platform architecture, standardization approaches, documentation, etc.) is being developed accordingly.

Discussion: The IDERHA's alignment plan with EHDS2 necessitates the implementation of three categories of standardization for: data discoverability: Data Catalog Vocabulary (DCAT-AP), enabling semantics interoperability: Observational Medical Outcomes Partnership (OMOP), and health data exchange (DICOM and FHIR). The main challenge is that some standards are still being refined, e.g., the extension of the DCAT-AP (HealthDCAT-AP). Additionally, extensions to the Observational Health Data Sciences and Informatics (OHDSI) OMOP Common Data Model (CDM) to represent the patient-generated health data are still needed. Finally, proper mapping between standards (FHIR/OMOP) is a prerequisite for proper data exchange.

Conclusions: The IDERHA's plan and our collaboration with other EHDS initiatives/projects are critical in advancing the implementation of EHDS2.

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