Judith C. Maro, MS; Richard Platt, MD, MSc; John H. Holmes, PhD; Brian L. Strom, MD, MPH; Sean Hennessy, PharmD, PhD; Ross Lazarus, MBBS, MPH; Jeffrey S. Brown, PhD
The Distributed Ambulatory Research in Therapeutics Network (DARTNet) is a federated network of electronic health data from 8 organizations representing more than 500 clinicians and more than 400Â 000 patients. DARTNet was designed to increase knowledge of the comparative effectiveness of prescription medications and medical devices. Traditional observational comparative effectiveness research is conducted using large data sets, such as claims databases. Such databases do not provide important clinical information that is critical to understanding comparative effectiveness. By linking electronic health records, laboratory and imaging data, and administrative data from diverse and geographically disparate patients, DARTNet provides important new insight into the comparative effectiveness of oral diabetes medications, and it is ready for expansion to further enable effectiveness research.
Supports both observational and intervention studies.
Local data holder control over access and uses of data.
Mitigates need to share or exchange protected health information.
Singular, multipurpose, multi-institutional infrastructure.
An authorized user accesses the secure network Web site to submit queries (computer programs) to run against data in the network datamarts. The boxes at the far right depict areas under control of the data holder (data holders A through D are shown). Authorization to execute a query is under control of the data holder and can be limited to specific users and uses. Data holders retrieve queries for execution, which eliminates the need for data holders to monitor incoming requests. Query results are encrypted and returned to the central Web site, where they are processed and presented to the requester. Details of each step are recorded for auditing.
The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.
Maro JC, Platt R, Holmes JH, Strom BL, Hennessy S, Lazarus R, et al. Design of a National Distributed Health Data Network. Ann Intern Med. ;151:341–344. doi: 10.7326/0003-4819-151-5-200909010-00139
Download citation file:
Published: Ann Intern Med. 2009;151(5):341-344.
Education and Training, Healthcare Delivery and Policy, Prevention/Screening.
Results provided by:
Copyright © 2019 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use