Toolbox | MDEpiNet Site

Tools

A collection of tools and resources for the MDEpiNet community.

Cardiology

Integrating the Healthcare Enterprise (IHE) Cardiology Profiles
National Cardiovascular Data Registry® (NCDR) Implantable Cardioverter Defibrillator (ICD) Registry™ V2.1 Coder’s Data Dictionary
ACC/AHA/SCAI 2014 Health Policy Statement on Structured Reporting for the Cardiac Catheterization Laboratory: A Report of the American College of Cardiology Clinical Quality Committee
ACCF/AHA 2011 Key Data Elements and Definitions of a Base Cardiovascular Vocabulary for Electronic Health Records: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Clinical Data Standards
Most Frequent Operating Room Procedures Performed in U.S. Hospitals, 2003-2012

Orthopedic

Kaiser Permanente National Total Joint Replacement Registry: Aligning Operations With Information Technology

UDI

Device Data Capture Efforts

Promoting the capture of unique device identification in health care data sources
Using automated methods and electronic systems for capturing detailed information on medical devices through the Unique Device Identifier
Acquiring and analyzing data collected and stored within medical devices.
Developing and implementing databases of clinical attributes for a deeper understanding of medical device design characteristics
Communicating lessons learned/best practices to inform National Medical Device Evaluation System

FAQs

Can the device identifier (DI) portion of a Unique Device Identifier (UDI) be part of a limited or de-identified data set as defined under HIPAA? Yes. Please find additional information at https://www.hhs.gov/hipaa/for-professionals/faq/2071/can-device-identifier-di-portion-unique-device-identifier-udi-be-part-limited-or-de-identified/index.html

Informatics

Evidence Synthesis

Evaluating selected medical devices based on public health importance/need and availability of existing data sources
Obtaining safety and effectiveness estimates throughout the total product life cycle
Developing and applying modeling techniques to enhance understanding and context of medical device benefit/risk balance
Translating the results of modeling for regulators, physicians and patients and disseminate the results
Communicating lessons learned/best practices to inform National Medical Device Evaluation System

Comparative Effectiveness/Safety

Adapting existing patient centered total product life cycle framework to evaluate selected medical devices
Accounting for comparator selection, device characteristics, operator characteristics, procedure/intervention characteristics, intervention setting characteristics, patient characteristics and appropriate outcome measures selection
Communicating lessons learned/best practices to inform National Medical Device Evaluation System

Analytical Methodologies

Developing scientifically valid analytical methods for evaluating medical device exposure and clinical outcome characteristics across multiple data sets across different types of data systems
Utilizing appropriate statistical techniques to compare performance and clinical outcomes between comparator or exposure groups and translate the modeling results for regulators, physicians and patients and publicize the results
Evaluating existing gaps in approaches to medical device studies of approved medical devices by developing innovative methodologies using existing data sources and infrastructure
Identifying and describing unique challenges and gaps in studying various classes of medical devices
Identifying sustainable data and methods for evaluation of selected classes of medical devices
Validating endpoints/outcomes using variety of data sources
Communicating lessons learned/best practices to inform National Medical Device Evaluation System

HIGH-PERFORMANCE INTEGRATED VIRTUAL ENVIRONMENT (HIVE)

MDEpiNet- HIVE is a technology that provides a secure healthcare biomedical data archival ecosystem. MDEpiNet- HIVE maintains a standardization and harmonization framework, high performance analytics, and an integrator platform.

The recent implementation of HIVE hardware and software at the FDA presents a great opportunity for exploring new ways of analyzing vast amounts of data and deriving evidence that is more comprehensive to characterize a medical product. HIVE is a distributed storage and computation environment and a multicomponent cloud infrastructure, which provides secure web access for authorized users to deposit, retrieve, annotate, and compute on biomedical big data. Importantly, it also allows users to analyze the outcomes using web interface visual environments appropriately built in collaboration with internal and external end users.

In addition to the initial HIVE applications to next generation sequencing, the current universe of HIVE projects covers tailor-made applications involving dimensionality analysis, federated and integrated data mapping, modeling and simulations that are applicable to basic research, biostatistics, epidemiology, clinical studies, post-market evaluation, manufacturing consistency, environmental metagenomics, outbreak detection, etc.

MDEpiNet Coordinating Center currently supports various HIVE pilot projects in women’s health technologies and cancer settings. Patient and physician registry platforms are being developed as well as infrastructure for hosting registry and claims data and conducting data linkages that are distributed and centralized to support national and international collaborations.

Pilot approaches are set to develop a customized FHIR app for projects such as pelvic organ prolapse and stress urinary incontinence. These are being tested on mobile and connected devices through work with clinical teams to finalize the data elements for terminology and refine the app with feedback on usability.

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