Cited by 1,107Electronic Health Records SystemsMedical Coding and Health InformationMachine Learning in Healthcare

Observational Health Data Sciences and Informatics (OHDSI): Opportunities for Observational Researchers

Open access
Hripcsak George, Duke Jon D., Shah Nigam H., Reich Christian G., Huser Vojtech, Schuemie Martijn J., Suchard Marc A., Park Rae Woong +9 more·2015·Studies in Health Technology and Informatics

Abstract

The vision of creating accessible, reliable clinical evidence by accessing the clincial experience of hundreds of millions of patients across the globe is a reality. Observational Health Data Sciences and Informatics (OHDSI) has built on learnings from the Observational Medical Outcomes Partnership to turn methods research and insights into a suite of applications and exploration tools that move the field closer to the ultimate goal of generating evidence about all aspects of healthcare to serve the needs of patients, clinicians and all other decision-makers around the world.

AI snapshot

Written from the paper’s full text.

TL;DR

OHDSI is an international open collaborative that builds on OMOP to create an open-source, federated network using the OMOP Common Data Model for large-scale observational health research. It reports that 58 existing OMOP databases had converted 682 million patient records and estimates over 200 million patients available in the OHDSI Research Forum.

Key findings

  • OHDSI grew out of the five-year Observational Medical Outcomes Partnership (OMOP) and adopted/maintains the OMOP Common Data Model (CDM), requiring data holders to map their data to the CDM so that a query can be executed at any site without modification.
  • A survey of current OMOP data model users found that 58 existing OMOP databases had collectively converted 682 million patient records to the OMOP CDM; this includes duplicated patients and sources and databases not currently participating in the OHDSI Research Forum. The paper estimates that the actual number of patients currently available in the OHDSI Research Forum is over 200 million.
  • OHDSI’s first annual meeting at Columbia University Medical Center on 16–17 October 2014 had 58 participants; over 90 participants from around the world have joined the collaborative, with a vision to access a network of one billion patients.
  • OHDSI tools include ACHILLES for data characterization and quality visualization, HERMES for vocabulary browsing, PLATO for patient-level prediction, HERACLES for cohort exploration, and HOMER for risk identification and comparative effectiveness studies. The first published OHDSI study used databases maintained by one site to carry out a medication-wide association study.

Methods

  • Descriptive program/vision paper, not an empirical study; it narrates OHDSI’s infrastructure, governance, software tools, and research network.
  • Data/sample: a survey of current OMOP data model users, reporting 58 databases and 682 million converted patient records; the first annual meeting had 58 participants.
  • Main analysis: narrative synthesis of a federated model in which data are retained locally, analyses are run locally, and de-identified aggregate results are transmitted centrally; standard terminologies include SNOMED for diagnoses, RxNorm for drug ingredients, and LOINC for laboratory results. Results may be reported without aggregation, summarized, or aggregated if sufficient homogeneity can be demonstrated.

Limitations

  • The paper does not present a formal limitations section. It acknowledges that the 682 million records include duplicated patients and sources and databases not currently participating in the OHDSI Research Forum, so the count is not a unique-patient count.
  • It notes that OMOP previously demonstrated databases from different sources can give vastly different answers, and that blind aggregation may increase variance due to heterogeneity instead of decreasing it due to sample size.
  • Evident from the text: no formal evaluation or outcome data for OHDSI tools or network performance are reported; the paper is descriptive and vision-oriented.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.3233/978-1-61499-564-7-574

Cites

6 of 6 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 7 cited sources checked · 0 supported · 0 flagged

  • Findingcitation

    The first published OHDSI study used databases maintained by one site to carry out a medication-wide association study, assessing whether drugs with similar function or structure cause similar side effects.

    “The first published OHDSI study used databases maintained by one site to carry out a medication-wide association study, assessing whether drugs with similar function or structure cause similar side effects [10]”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [10]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Findingown data

    The OHDSI team surveyed current users of the OMOP data model and found that 58 existing OMOP databases have collectively converted 682 million patient records to the OMOP CDM.

    “They found that 58 existing OMOP databases have collectively converted 682 million patient records to the OMOP CDM.”
    Quote in the paperSubstantial claim
  • Interpretationreasoning

    This enables multicenter, global analyses to be executed rapidly and efficiently using applications or programs developed at a single site.

    “This enables multicenter, global analyses to be executed rapidly and efficiently using applications or programs developed at a single site.”
    Quote in the paperSubstantial claim
  • Interpretationreasoning

    A blind aggregation of results may increase variance due to heterogeneity instead of decreasing it due to sample size.

    “A blind aggregation of the results may increase variance due to heterogeneity instead of decreasing it due to sample size.”
    Quote in the paperSubstantial claim
  • Premisecitation

    OMOP previously demonstrated that databases from different sources can give vastly different answers.

    “OMOP previously demonstrated that databases from different sources can give vastly different answers [9].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [9]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Classified as probably not a substantial claim. 8
  • May combine two claims. 10
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingnone given

    OHDSI held its first annual meeting at Columbia University Medical Center in New York City on 16 and 17 October 2014.

    “OHDSI held its first annual meeting at Columbia University Medical Center in New York City on 16 and 17 of October 2014.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Findingnone given

    The actual number of patients currently available in the OHDSI Research Forum is estimated to be over 200 million.

    “Furthermore, we estimate that the actual number of patients currently available in the OHDSI Research Forum is over 200 million.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingnone given

    Fifty-eight participants reviewed the vision and goals giving rise to the creation of OHDSI and formed working groups to address the common data model, vocabulary, knowledge bases, estimation methods, phenotype generation, clinical characterization, and cohort definition.

    “Fifty eight participants reviewed the vision and goals giving rise to the creation of OHDSI and formed working groups to address the common data model, vocabulary, knowledge bases, estimation methods, phenotype generation, clinical characterization, and cohort definition.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingnone given

    Other investigators have used ACHILLES to do an initial assessment of whether the database is likely to hold a sufficient number of cases of interest to be worth investigating further.

    “Other investigators have used ACHILLES to do an initial assessment of whether the database is likely to hold a sufficient number of cases of interest to be worth investigating further.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingnone given

    Data owners have used ACHILLES to assess the quality of their database, looking for gaps that may signify upload errors.

    “Data owners have used ACHILLES to assess the quality of their database, looking for gaps that may signify upload errors.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingnone given

    The 682 million patient record count includes both patients and sources that are duplicated across databases and also includes databases that are not currently participating in the OHDSI Research Forum.

    “This large number includes both patients and sources that are duplicated across databases and also includes databases that are not currently participating in the OHDSI Research Forum.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    The total count of 682 million patient records demonstrates the feasibility of imposing a strong information model and executing a CDM conversion on a number of records that would represent a significant fraction of the world's population.

    “Nevertheless, the total count demonstrates the feasibility of imposing a strong information model and executing a CDM conversion on a number of records that would represent a significant fraction of the world's population.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The 682 million patient records converted to the OMOP CDM represent a significant fraction of the world's population.
  • May combine two claims.

    Interpretationreasoning

    This approach creates a unique opportunity of implementing existing data exploration and evidence generation tools and participating in world-wide studies because any given query can be executed at any site without modification.

    “In return, this approach creates a unique opportunity of implementing a number of existing data exploration and evidence generation tools and participating in world-wide studies because any given query can be executed at any site without modification.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Any given query can be executed at any site without modification.
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationreasoning

    Previous success in algorithm development, software distribution, and evidence generation points to potential success in the overall evidence-generating OHDSI project.

    “Previous success in algorithm development, software distribution, and evidence generation points to potential success in the overall evidencegenerating OHDSI project.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    The five-year OMOP project developed new methods in observational research and established an observational research laboratory.

    “The fiveyear project developed new methods in observational research and established an observational research laboratory.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [4]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Interpretationnone given

    ACHILLES enables the characterization, quality assessment, and visualization of observational data and provides users with an interactive, exploratory framework to assess patient demographics and the prevalence of all conditions, drugs, procedures, and observations stored in the dataset.

    “ACHILLES enables the characterization, quality assessment, and visualization of observational data and provides users with an interactive, exploratory framework to assess patient demographics and the prevalence of all conditions, drugs, procedures, and observations stored in the dataset.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    OHDSI grew out of the Observational Medical Outcomes Partnership (OMOP), a public-private partnership established in the US to inform the appropriate use of observational healthcare databases for studying the effects of medical products.

    “OHDSI grew out of the Observational Medical Outcomes Partnership (OMOP) [4], which was a public-private partnership established in the US to inform the appropriate use of observational healthcare databases for studying the effects of medical products.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [4]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationreasoning

    OHDSI's choice of standard terminologies does not limit who may participate because mappings and tools are supplied to translate from other terminologies.

    “OHDSI's choice of standard terminologies does not limit who may participate because mappings and tools are supplied to translate from other terminologies.”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: Mappings and tools supplied by OHDSI are sufficient to translate from all other terminologies so that choice of standard terminologies does not limit participation.
  • May combine two claims.

    Premisecitation

    A centerpiece of the OMOP project was the development of the OMOP Common Data Model (CDM), which represents healthcare data from diverse sources in a consistent and standardized way.

    “A centerpiece of the OMOP project was the development of the OMOP Common Data Model (CDM) [4] which represents healthcare data from diverse sources in a consistent and standardized way (see Table 1).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [4]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Interpretationnone given

    Data are retained at the participant's site, simplifying patient and business privacy issues.

    “Data are retained at the participant's site, simplifying patient and business privacy issues.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    At the conclusion of the five-year OMOP project, OMOP research investigators initiated the OHDSI effort, and the research laboratory moved to the Reagan-Udall Foundation for the FDA under the IMEDS Program.

    “At the conclusion of this five-year project, the OMOP research investigators initiated the OHDSI effort, and the research laboratory moved to the Reagan-Udall Foundation for the FDA under the Innovation in Medical Evidence Development and Surveillance (IMEDS) Program [5].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [5]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

16 of 16
  • The paper relies on this without support.

    The OMOP CDM is a 'strong' information model, in which the encoding and relationships among concepts are explicitly and formally specified.

    “This CDM is a”
  • The paper relies on this without support.

    The 682 million patient records converted to the OMOP CDM represent a significant fraction of the world's population.

    “a number of records that would represent a significant fraction of the world's population”
  • The paper relies on this without support.

    The existing OMOP databases and conversion experience are sufficient to make the OHDSI vision of accessing a network of one billion patients feasible today.

    “In other words, OHDSI vision is, in fact, feasible today.”
  • The paper relies on this without support.

    Mappings and tools supplied by OHDSI are sufficient to translate from all other terminologies so that choice of standard terminologies does not limit participation.

    “mappings and tools are supplied to translate from other terminologies”
  • The paper relies on this without support.

    Any given query can be executed at any site without modification.

    “because any given query can be executed at any site without modification”
5 of 5

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • The OHDSI network and its open-source analytic tools have been previously used to generate reliable evidence in medicine, including ophthalmology.

    “The OHDSI network and its open-source analytic tools have been previously used to generate reliable evidence in medicine, including ophthalmology.”

    From Semaglutide and Nonarteritic Anterior Ischemic Optic Neuropathy (2025) · cites this paper as [12]

    The Introduction describes OHDSI as a network developing open-source analytics to create reliable medical evidence, and the Discussion and Conclusion mentions previous success in evidence generation. Neither passage documents a prior OHDSI study in ophthalmology; the paper also frames much of the network’s evidence-generating work as a goal rather than an established use. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • The study followed the STROBE guideline.

    “The Strengthening the Reporting of Observational Studies in Epidemiology guideline was followed.11”

    From Trends in glucagon-like peptide 1 receptor agonist use, 2014 to 2022. (2024) · cites this paper as [11]

    The Methods and Research Network sections describe OHDSI’s research tools and study-development process, but do not say that this paper or a study followed STROBE. Searches for “STROBE,” the guideline’s full name, and reporting-guideline adherence found no supporting passage in our copy. (LLM, conf=0.72)

    Experimental — accuracy not yet measured

Cites

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Cited by

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Authors
George, H., Duke Jon, D., Shah Nigam, H., Reich Christian, G., Vojtech, H., Schuemie Martijn, J., Suchard Marc, A., Woong, P. R., Kei, W. I. C., Rijnbeek Peter, R., Johan, V. D. L., Nicole, P., Niklas, N. G., Yu-Chuan, L., Stang Paul, E., David, M., & Ryan Patrick, B.
Affiliations
  • Ajou University (KR)
  • Erasmus MC (NL)
Venue
Studies in Health Technology and Informatics
Publisher
IOS Press
Published
2015
Volume
216
Pages
574-8
ISSN
0926-9630 (ISSN-L)
OpenAlex
W1126991912
Cited by
1,107
References
6
Citations by year
2026: 40 · 2025: 111 · 2024: 138 · 2023: 136 · 2022: 179 · 2021: 149 · 2020: 123 · 2019: 85 · 2018: 70 · 2017: 40 · 2016: 27 · 2015: 7 · 2013: 1
FWCI
143.57
Type
book chapter
Language
en
Open access
Licence
public-domain
Locations
  • Studies in health technology and informatics (publishedVersion)
  • PubMed (publishedVersion)
  • AJOU Open Repository (Ajou University) (submittedVersion, public-domain)
  • Europe PMC (PubMed Central) (submittedVersion)
  • PubMed Central (submittedVersion)
  • Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion, other-oa)
  • UCL Discovery (University College London) (submittedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
  • UniSA Research Outputs Repository (University of South Australia) (submittedVersion)
  • PubMed
Funders
  • National Science Foundation (1251151)
  • U.S. National Library of Medicine (R01LM006910)
Topics
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
  • Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
  • Physical Sciences › Computer Science › Artificial Intelligence › Machine Learning in Healthcare
Keywords
OHDSI, OMOP, observational studies, real-world data, research infrastructure
MeSH terms
Health Services Research, Medical Informatics, Databases, Factual, Models, Organizational, Internationality, Observational Studies as Topic

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