A scalable method for supporting multiple patient cohort discovery projects using i2b2.

J Biomed Inform

Information Technologies & Services Department, Weill Cornell Medicine, New York, NY, USA; Department of Healthcare Policy & Research, Weill Cornell Medicine, New York, NY, USA; Department of Pediatrics, Weill Cornell Medicine, New York, NY, USA; Clinical and Translational Science Center, Weill Cornell Medicine, New York, NY, USA. Electronic address:

Published: August 2018

Although i2b2, a popular platform for patient cohort discovery using electronic health record (EHR) data, can support multiple projects specific to individual disease areas or research interests, the standard approach for doing so duplicates data across projects, requiring additional disk space and processing time, which limits scalability. To address this deficiency, we developed a novel approach that stored data in a single i2b2 fact table and used structured query language (SQL) views to access data for specific projects. Compared to the standard approach, the view-based approach reduced required disk space by 59% and extract-transfer-load (ETL) time by 46%, without substantially impacting query performance. The view-based approach has enabled scalability of multiple i2b2 projects and generalized to another data model at our institution. Other institutions may benefit from this approach, code of which is available on GitHub (https://github.com/wcmc-research-informatics/super-i2b2).

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http://dx.doi.org/10.1016/j.jbi.2018.07.010DOI Listing

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