Enterprise-wide data services are available to help Partners investigators and research groups expedite the process of obtaining data for analysis or to gauge study feasibility. Repositories of clinical samples and data, as well as public data sets, are accessible to researchers through the tools and processes outlined below.
A new initiative, the Partners wide Big Data Commons, enables Big Data to be integrated with the RPDR and tighter integration of the RPDR with Epic. The specific areas of focus of the Big Data Commons are to create a Research Patient Portal for direct patient engagement in Epic, creating a distributed query system to allow more types of Partners Big Data to be integrated and become discoverable by researchers, and specific integration platforms such as the Biobank Portal which serve to researchers new forms of Big Data in easily consumable forms.
Overview of the RPDR
The Research Patient Data Registry (RPDR) is a centralized clinical data registry, or data warehouse, that gathers clinical information from various Partners hospital systems. An online Query Tool allows researchers to explore clinical data through a self-service system in order to:
- Assess clinical study feasibility
- Identify patients for clinical trials
- Investigate hospital operations and patient care
- Provide identified patient data with approved IRB protocol
- Find control patients for previously defined populations
- Search clinical notes for specific text terms and phrases in order to identify patient cohorts who have notes/reports that contain the searched text.
- Query for patients with blood samples in the Partners Biobank
- Supply a workbench that allows viewing and download access for MGH and BWH Radiology images
The RPDR ensures the security of patient information by controlling and auditing the distribution of patient data within the guidelines of the IRB and with the use of several built-in, automated security measures. The online search in real time results in a faster data turnaround with extensive specificity of patient criteria.
Functions of the RPDR
The RPDR has two related but separate functions:
- The online query tool provides users with aggregate numbers of patients that meet user-defined characteristics and criteria such as diagnoses, procedures, medications and/or laboratory results.
- The Data Request Wizards allow the user to ask for more detailed medical record information on the identified patient population. This process requires an approved IRB protocol.
Obtaining access to the RPDR
In order to use the RPDR, a person must first become registered in the RPDR system. Registration is handled differently for faculty vs. non-faculty members.
- A faculty member is defined as an attending physician or other research staff (such as a PhD or nurse researcher) who has a title of Instructor, Associate Professor, Assistant Professor, Professor, or Lecturer at the Harvard Medical School (HMS). Additionally, in order to become an RPDR user, the HMS user must be affiliated with a Partners institution. Faculty members can self-register to become a Faculty Sponsor from the RPDR homepage at (http://RPDR).
- A non-faculty member is eligible to use the RPDR as a workgroup member. The Faculty Sponsor (Workgroup Leader) can add non-faculty members to their RPDR workgroup. Access will then be granted to the RPDR for the non faculty member. Faculty Sponsors can add workgroup members from the RPDR homepage at (http://rpdr.partners.org).
*Note: http://RPDR (this link is internal only and requires Internet Explorer; you must be logged on to a Partners workstation or connected to the Partners network via VPN)*
Getting to the RPDR query tool
The RPDR query tool can be accessed through various entrance points once a user has been granted access.
- RPDR home page, click on the “Launch RPDR Web Query Tool” link
- Partners workstation, click on Start menu, hover over Partners Applications and select Research Patient Database Enhanced Query Tool
- Partners Portal page via VPN, select ‘Partners Applications’ ->’MY CITRIX APPS’ and then ‘RPDR Web’. Citrix will need to be installed before launching the Portal Page.
Tools Available in the RPDR - locked page
*To query data and notes that are updated daily, visit the RPDR Daily Query tool. This can be found from the RPDR homepage (http://rpdr) or your Partners Application menu.*
This new functionality, allows users to query source systems which are updated in the RPDR on a daily basis. These include Encounter Detail, Demographic Detail, Laboratory Tests, Radiology Tests, Providers, Specimens, Transfusion Services, Biobank Patient Consents and perhaps the most powerful is the Notes Search (EPIC + LMR Ambulatory notes and Clinical Reports). Using the Notes Search in the Daily Query tool allows users to search for terms contained in notes without having to wait for delayed coded information.
In addition to having more patients available, the daily query tool is helpful for finding time-sensitive patients for enrollment in studies and clinical trials.
Identified detailed data (Demographic and Identifying Patient Information) can be requested through the Daily Query Tool.
*Note: http://rpdr.partners.org (this link is internal only and requires Internet Explorer; you must be logged on to a Partners workstation or connected to the Partners network via VPN)*
The Partners Biobank Portal is a tool that links consented subjects from the Partners Biobank with their healthcare data from the electronic medical record (EMR) and allows researchers to request clinical samples for these subjects. Users must have a valid Partners logon and be a registered Research Patient Data Registry (RPDR) user to use the Portal.
In addition to comprehensive electronic medical record data, the Biobank Portal includes:
- Biobank Health Information Survey, patient-reported lifestyle, environment and family history information.
- Curated Disease Populations sets of subjects within the Biobank population who have been statistically determined to have a particular disease such as Type 2 diabetes, rheumatoid arthritis, congestive heart failure and others. These cohorts are often called disease phenotypes.
- Healthy Populations, an index that statistically groups patients by co-morbidities (using the Charlson Index) in order to help select relatively healthy controls from the Biobank population.
- Biobank Sample Types, including DNA, plasma and serum. Both de-identified and identified samples may be requested from the Portal. Requesting identified samples requires a valid Partners IRB protocol.
- Biobank Genomic Data, genotyped and imputed genomic data are available for a subset of the Biobank population and may be requested via the Portal. Both de-identified and identified samples may be requested from the Portal. Requesting identified samples requires a valid Partners IRB protocol.
- Querying by Genomic Data, single nucleotide polymorphism (SNP) and insertion and deletion (indel) variants and their related annotations are available on a subset of genotyped subjects in the Biobank Portal and may be used to query for subjects within the Portal.
Researchers can use the Biobank Portal to identify eligible case and control subjects, request samples, and perform analyses related to using consented samples for research.
Please contact the Biobankportalhelp@partners.org mailbox with any questions or support.
mi2b2 - Medical Image Access Tool
The Medical Imaging Informatics Bench to Bedside (mi2b2) workbench serves as a secure bridge between a researcher and the Partners PACS systems, which aims to:
- Facilitate searching for, previewing, and accessing clinically acquired images that are stored in several PACS (Picture Archive and Communication System) systems that serve the Partners institutions
- Enable researchers to extend the use of the Research Patient Data Registry (RPDR) to access clinical images on patients of interest for enhanced research studies, with proper IRB approval
- Enable efficient retrieval of medical images (DICOM format) for lists of patients generated from research, teaching and clinical activities in keeping with all regulatory guidelines
- Provide access to only patient images authorized by approved IRBs and provide audit trails for HIPAA compliance.
If using the RPDR Query tool and the RPDR Data Acquisition Engine (Image Request Wizard), a user can obtain aggregate numbers of patients with user-defined characteristics based on a query or upload a pre-defined list of Medical Record Numbers and then receive more detailed medical information about the queried patient cohort. Either way, the user is provided with a personalized mi2b2 workbench, directly configured to include the queried cohort information. It is delivered in an folder along with the encrypted RPDR data results. For instructions on how to use the RPDR to request mi2b2 workbench, please visit: (http://rpdr.partners.org) ->Help -> Request Images Help.
Detailed tutorial support for new users of the mi2b2 software is found at http://mi2b2help.partners.org.
The IDEA Platform hosts public data sets that research teams at Partners can access using standard data analysis tools. Many public data sets take researchers days to locate, download, and convert into a format suitable for further analysis. Now researchers can access these data sets directly in the IDEA repository, without needing to perform any further data movement, loading, or transformation.
Public Data Sets Available on IDEA
ClinicalTrials.gov is a registry and results database of publicly and privately supported clinical studies of human participants conducted around the world.
dbSNP is a database of single nucleotide polymorphisms (SNPs) and multiple small-scale variations that include insertions/deletions, microsatellites, and non-polymorphic variants. The IDEA platform hosts the human, mouse, and fruit fly genomes.
Read-only access to these data sets is available to all Partners researchers.
As part of the service, the ERIS team will update local copies of the data as new versions of datasets are published. Prior versions of data sets will be archived and kept available for a limited period.
How it Works
The data sets are stored on the IDEA platform and are available to researchers using either standard SQL tools or the MapReduce programming model.
To access a data set a user will need to request authorization to access the IDEA repository for that data set. The public data sets are freely available with no restrictions on the use of the data.
How to get Access
For access to a data set or questions on a data set, please complete the Shared Data Set Service Request Form.
The ERIS Collaboration Site provides additional information on hosted public data sets, including how to request access, data dictionaries, schemas and links to the websites of the sources of the public data. You will be prompted to login with your Partners username and password to access this documentation.
Additional Data Sets
We are collecting information about other public data sets that might be of interest to researchers.
Public data sets currently under consideration for hosting on IDEA include PubMed, ExAC, ClinVar, GTEx, GDAC and TCGA.
Requests for additional public data sets will be considered based on demand and availability of ERIS resources to support. Please send an email to email@example.com with your request.
Use of the Epic/Partners eCare Reporting Workbench for research is medical records research.
REMINDER: The Epic/Partners eCare Reporting Workbench tool is for use in clinical care.
For research data queries, Investigators should use the Research Patient Data Registry (RPDR); the Epic/Partners eCare Reporting Workbench tool should not be used.
If RPDR is insufficient for your research, you may use the Epic/Partners eCare Reporting Workbench if:
- you have IRB approval AND
- use is in accordance with specific restrictions as outlined in the FAQs.
Use of medical records and protected health information (PHI) for research must be compliant with the HIPAA Privacy Rule, the Common Rule, and other laws that regulate patient and study subject privacy, in addition to Partners policies on encryption and Information Security.
Paul J. Anderson, MD, PhD, Chief Academic Officer, Brigham and Women’s Hospital
O’Neil Britton, MD, CHIO, Partners HealthCare
Shelly Greenfield, MD, MPH, Chief Academic Officer, McLean Hospital
Jigar Kadakia, Chief Information Security and Privacy Officer, Partners HealthCare
Anne Klibanski, MD, Chief Academic Officer, Partners HealthCare
Janet (Jodi) Larson, MD, Acting Associate Chief Medical Officer, Newton Wellesley Hospital
Gregg S. Meyer, MD, Chief Clinical Officer, Partners HealthCare
Harry W. Orf, PhD, Senior Vice President for Research, Massachusetts General Hospital
Kerry Ressler, MD, PhD, Chief Scientific Officer, McLean Hospital
Ross Zafonte, DO, Senior Vice President of Medical Affairs, Research and Education, Spaulding Rehabilitation Network
Standard Services Offered
Researchers may use built-in standard Epic research tools to, for example, enroll subjects, associate visits to studies, place research orders, route research billing, receive notifications about subjects, and run basic reports (For more info, go to: https://rc.partners.org/support-training/faq-library/partners-ecare-research-faqs)
Enhanced Services Offered
For researchers who need additional tools for recruiting candidates, Partners Healthcare has recently established the Partners eCare Research Core, to provide “enhanced” IT services for a fee. The 4 services offered are:
- Real-time notification of eligible subjects
This service enables researchers to recruit patients in real-time. The programmed notification system will automatically notify the study team—via Epic In-basket, PHS email tickler and/or pager—with information about subjects meeting pre-established criteria when their record Is opened (i.e. age, gender, diagnosis, appointment).
Estimated hours: 20 @ $150/hour
- Customized screening reports
This service enables you to run reports when you need them. These reports will identify new patients (in Epic within the past 30 days) based on your pre-established criteria.
Estimated hours: 10 – 20 @ $150/hour
- Prospective patient identification
This service enables you to have the system automatically create a registry of potential subjects from Services #1 or #2 for up to 3 years. You can then generate reports of potential subjects. All reports can be exported to external tools such as Excel.
Estimated hours: 20 - 80 @ $150/hour
- Patient Recruitment through Partners Patient Gateway
You may recruit patients to your study by sending them a Patient Gateway Inbox message with clinician co-signature. Targeted research announcements may also be displayed to Patient Gateway users who have agreed to be contacted directly by researchers. Eligible patients may be identified real-time using Services #1 or #2 or lists of eligible patients may be imported from data sources such as RPDR where they have been previously identified.
Estimated hours: 20 to 40 hours based on report complexity @ $150 per hour
Please keep in mind that patients identified with the above services still require IRB review and approval. Which recruitment approach is optimal for your study depends on your actual use case. If you want to learn more about these options, please contact the PeCResearchTeam@Partners.org mailbox and we will set up a free consultation with you to see if some of this functionality will work for your study.