Establishing a Cochrane roadmap to data models for asking relevant clinical questions and finding the best answers individually for each patient

Article type
Authors
Kunnamo I1, Mavergames C2, Brandt L3, Rada G4, Moja L5, Vander Stichele R6, Becker L7
1Duodecim Medical Publications Ltd., Finland
2Cochrane Collaboration Web Team, Germany
3Department of Medicine, Inlandet Hospital Trust, GjØvik, Norway., Norway
4Department of Internal Medicine and Evidence Based Health Care Program, Faculty of Medicine, Pontificia Universidad Catolica de Chile., Chile
5Mario Negri Institute, Italy
6EBMPracticeNET, Belgium
7Cochrane Innovations, USA
Abstract
Objectives:

Inform the attendants of the following developments and invite them to participate: The Cochrane Collaboration web development and Cochrane Innovations teams, the GRADE group, the DECIDE Collaboration, the MAGIC group, publishers of guidelines, point-of-care tools and clinical decision support have identified the need for continuity in data models and structures across all steps of knowledge management. A controlled PICO taxonomy, agreed structures for clinical data, evidence, recommendations, guidelines and decision support rules would allow authoring and sharing of knowledge from international repositories maintained and accessed by various tools and apps.

Description:

The ongoing work is described in brief presentations. The data model consists of gathering data from electronic health records (EHRs) and making it suitable for individual patient meta-analyses and ‘big data’ repositories, searching for high-quality evidence, authoring systematic reviews, evidence summaries, summary of findings tables, and recommendations in guidelines, publishing them in various formats, platforms and languages for different users in a semantic web, and integrating them with EHRs and personal health records (PHRs) to assist in individualized decisions. The participants discuss in small groups the role of the Cochrane collaborators and other stakeholders in this framework to identify resources, set priorities, and plan the next steps.