title: Postmarketing Safety Study Tool: A Web Based, Dynamic, and Interoperable System for Postmarketing Drug Surveillance Studies.
abstract: Postmarketing drug surveillance is a crucial aspect of the clinical research activities in pharmacovigilance and pharmacoepidemiology. Successful utilization of available Electronic Health Record (EHR) data can complement and strengthen postmarketing safety studies. In terms of the secondary use of EHRs, access and analysis of patient data across different domains are a critical factor; we address this data interoperability problem between EHR systems and clinical research systems in this paper. We demonstrate that this problem can be solved in an upper level with the use of common data elements in a standardized fashion so that clinical researchers can work with different EHR systems independently of the underlying information model. Postmarketing Safety Study Tool lets the clinical researchers extract data from different EHR systems by designing data collection set schemas through common data elements. The tool interacts with a semantic metadata registry through IHE data element exchange profile. Postmarketing Safety Study Tool and its supporting components have been implemented and deployed on the central data warehouse of the Lombardy region, Italy, which contains anonymized records of about 16 million patients with over 10-year longitudinal data on average. Clinical researchers in Roche validate the tool with real life use cases.
authors.affiliation: SRDC Software Research & Development and Consultancy Ltd., ODTU Teknokent Silikon Blok No. 14, 06800 Ankara, Turkey.
authors.forename: A Anil
authors.initials: AA
authors.lastname: Sinaci
authors.affiliation: SRDC Software Research & Development and Consultancy Ltd., ODTU Teknokent Silikon Blok No. 14, 06800 Ankara, Turkey.
authors.forename: Gokce B
authors.initials: GB
authors.lastname: Laleci Erturkmen
authors.affiliation: SRDC Software Research & Development and Consultancy Ltd., ODTU Teknokent Silikon Blok No. 14, 06800 Ankara, Turkey ; Department of Computer Engineering, Middle East Technical University, 06800 Ankara, Turkey.
authors.forename: Suat
authors.initials: S
authors.lastname: Gonul
authors.affiliation: SRDC Software Research & Development and Consultancy Ltd., ODTU Teknokent Silikon Blok No. 14, 06800 Ankara, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Yuksel
authors.affiliation: Lombardia Informatica S.p.A., Via Torquato Taramelli 26, 20124 Milano, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Invernizzi
authors.affiliation: F. Hoffmann-La Roche, 4070 Basel, Switzerland.
authors.forename: Bharat
authors.initials: B
authors.lastname: Thakrar
authors.affiliation: SRDC Software Research & Development and Consultancy Ltd., ODTU Teknokent Silikon Blok No. 14, 06800 Ankara, Turkey ; Department of Computer Engineering, Middle East Technical University, 06800 Ankara, Turkey.
authors.forename: Anil
authors.initials: A
authors.lastname: Pacaci
authors.affiliation: Department of Computer Engineering, Middle East Technical University, 06800 Ankara, Turkey.
authors.forename: H Alper
authors.initials: HA
authors.lastname: Cinar
authors.affiliation: Department of Computer Engineering, Middle East Technical University, 06800 Ankara, Turkey.
authors.forename: Nihan Kesim
authors.initials: NK
authors.lastname: Cicekli
mesh_terms: D057286:Electronic Health Records; D006801:Humans; D020407:Internet; D007558:Italy; D011358:Product Surveillance, Postmarketing