Introduction to VINCI data services to VINCI data services HSR&D Cyber Seminar October 11, 2011 VA Informatics and C tid Computing Infrastructure

Introduction to VINCI data services

HSR&D Cyber SeminarOctober 11, 2011

VA Informaticsd C tiand Computing

Infrastructure

AgendaAgenda

What is VINCI (review)What is VINCI (review)Available dataVINCI data servicesVINCI data access/analysis toolsVINCI data access/analysis toolsPlanned enhancements/new featuresQ ti ?Questions?

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What is VINCI?What is VINCI?

Secure analytical workspaceSecure analytical workspaceProtect PHI/PIIRegulated data access for researchAccess to data analysis software toolsAccess to data analysis software toolsAccess to high performance serversL hi h d d t tLarge high speed data storageCustom softwareRDP connection – Cloud computingStaff to assist youStaff to assist you

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VINCI OrganizationVINCI Organization

Veterans Affairs

VHA OI&T

ORDBISL/CDW

HSR&D

VINCI

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What is VINCIWhat is VINCI

Data Center in AITC (Austin Texas)Data Center in AITC (Austin, Texas)Staff mostly in Salt Lake City field officeVINCI works closely with NDS for data access approvalServing both research and operations usersCDW as data provider VINCI providing CDW as data provider, VINCI providing analysis service – working in partnershipVINCI includes custom software development work for research use

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Poll QuestionPoll Question

Have you already used VINCI Have you already used VINCI data/services?

YesNoDid not know about VINCIDid not know about VINCI

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Available DataAvailable Data

CDW Production DataCDW Production DataCDW Raw DataSAS Datasets

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CDW Production DataCDW Production Data

Data warehouse modeled dataData warehouse modeled dataHosted in SQL Server 2008-R2Fact and dimension tablesExtracted through CDW’s journaling Extracted through CDW s journaling process from shadow serversUnique CDW identifiersUnique CDW identifiersIndexed for fast queriesUpdated nightly

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Patient DemographicsPatient DemographicsVital SignsOutpatient PharmacyConsultsConsultsHealth FactorsO t ti t E tOutpatient EncountersImmunizationLab ChemistryPCMMPCMM

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OrdersOrdersAppointmentsMore domains coming soon

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For updated production domain For updated production domain information see:

http://vaww.vinci.med.va.gov/vincicentral/data.aspx

http://vaww.dwh.cdw.portal.va.gov/Pages/welcome.aspx

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CDW Raw DataCDW Raw Data

Extracted directly from Vista Cache Extracted directly from Vista Cache databasesS h t d tSnapshot dataSame structure as source, not modeledData types and column names standardized by VINCI – indexes addedstandardized by VINCI indexes addedUpdated weekly, monthly, as neededCan be joined with prod. and other dataAdditional data domains can be requestedq

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Bill ClaimsBill ClaimsFee BasisNon-VA MedsMyHealtheVetMyHealtheVetPatient Treatment FileP th ti SProsthetic SurgeryInventoryyTravel

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Intravenous MedsIntravenous MedsTIUAllergies/Adverse EventsRadiologyRadiology

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Text Integration Utilities (TIU)Text Integration Utilities (TIU)

Medical document information such as Medical document information such as clinical notes and nurses notesA il bl f ll i ( ki l t 7 Available for all regions (working on last 7 stations)Full Text Indexed – Very fast searchesContains real SSN–access regulated by NDSContains real SSN access regulated by NDSUpdated as neededDoes not include radiology and pathology report

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Allergies/Adverse Event (Raw)Allergies/Adverse Event (Raw)

Contains patient allergies records and Contains patient allergies records and adverse reaction eventsI l d ll i d d d t Includes: allergies recorded dates, locations, allergy reactant, such as food, d d hdrug, and othersIncludes all stationsUpdate monthly

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Radiology (Raw)Radiology (Raw)Include report notes, impression text and clude epo t otes, p ess o te t a d additional clinical historyRadiology procedures includes: MRI CT Radiology procedures includes: MRI, CT scan, bone scan, ultrasound,

h di gechocardiogramIncludes all stationsUpdated monthly

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SAS DatasetsSAS Datasets

Uploaded from AITC mainframeUploaded from AITC mainframeRegularly updated with mainframe dataAvailable in both SAS and SQL Server formatCombined in VINCI for faster & easier accessaccess

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DSS NDE (SAS)DSS NDE (SAS)

All NDEs include LAB LAR OUT DISCH All NDEs, include LAB, LAR, OUT, DISCH, PHA, and RADFY 2005 t bi d d id d FY 2005-current combined and provided by DSS teamData prior to FY 2005 was transformed, combined and loaded to SQL Server by Q yVINCI staff Monthly or quarterly updateMonthly or quarterly update

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MedSAS (SAS)MedSAS (SAS)

Available in VINCI in both SAS and SQL Available in VINCI in both SAS and SQL Server table format

Transformed & loaded to SQL Server by VINCITransformed & loaded to SQL Server by VINCIFY 2000 – 2010Combined over multiple years in SQL Server

Includes:Outpatient SE/SF filesInpatient Encounter (SE)Inpatient Encounter (SE)Inpatient datasetsInpatient census datasetsInpatient census datasets

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Vital StatusVital Status

includes date of death Medicare yearly includes date of death, Medicare yearly enrollment indicators, date of last activity and Veteran status flags etcactivity, and Veteran status flags, etc.Transformed and loaded from SAS to SQL

bl bServer tables by VINCIUpdated quarterlyp q y

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Other Research DataOther Research Data

PBMPBMCMSHERCActive duty personnel dataActive duty personnel dataRegistry dataBi th/d th tifi t d t f Birth/death certificate data, or cause of death.

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Which data analysis tools do you use?Which data analysis tools do you use?SQL ServerSASSTATASTATAPASW (SPSS)RROthers

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VINCI Data ServicesVINCI Data Services

Data description documentsData description documentsPreparatory consultingCohort selectionData extractionData extractionData formatsD t d itData access and securityExternal data

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Data Description DocumentsData Description Documents

http://vaww.vinci.med.va.gov/vincicentral/data.aspx

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Preparatory ConsultingPreparatory Consulting

Data needs assessmentData needs assessmentWork with VINCI prior to NDS approval to

lidif i tsolidify requirementsContact: [email protected]

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Cohort SelectionCohort Selection

If the study does not have a cohort we If the study does not have a cohort, we will help to create one

Research Study Team provides specific Research Study Team provides specific criteriaVINCI pro ides data necessar for VINCI provides data necessary for calculations (if any)R h St d T l t h t Research Study Team completes cohort calculations (if any)

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Data ExtractionData Extraction

Research Study Team receives project Research Study Team receives project approval from NDSD t A G C t d i l di Data Access Group Created including Research Study Team participants

Used for granting access to data & workspace

Research Study Team receives alerts that ythe Correspondence Site has been created

All communication takes place on the SiteAll communication takes place on the SiteCorrespondence Site is easy to use

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Correspondence SiteCorrespondence Site

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Data ExtractionData Extraction

Research Study Team uploads cohort to a Research Study Team uploads cohort to a secure site or VINCI creates cohort per requirementsrequirementsResearch Study Team completes the Data

l dSelection Forms on correspondence siteNDS approved data domains are extracted ppand providedAnalysis performed by research project Analysis performed by research project team staff

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Data FormatsData Formats

SQL Server databaseSQL Server databaseSAS filesPASW (SPSS)STATASTATAExcelFl t filFlat filesOthersTools available for data conversion

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Data Access & SecurityData Access & Security

Access groups created based on IRB and Access groups created based on IRB and NDS approved research teamO l h t b h Only research team members have access to the dataData stored on secure VINCI serversRegular data backup and archivingRegular data backup and archivingWorkspace vs. collaboration siteProject work can be performed in VINCIExport final result & publicationp p

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External DataExternal Data

Research Study Team may upload other Research Study Team may upload other data for analysis into project database or workspaceworkspaceSecure data upload processOptional direct database uploadVINCI data managers work on behalf of VINCI data managers work on behalf of research team to upload data from other data providersdata providers

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Data Processing/Analysis toolsData Processing/Analysis tools

SQL Server as primary data storeSQL Server as primary data storeMultiple high performance serversMost data queries performed in SQL ServerAccessible by all analysis softwareAccessible by all analysis softwareSSIS, SSRS, SSASHi h d i t t k ill ll High speed intra-server network will allow distributed queries

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SASSAS

High performance SAS serverHigh performance SAS server2 TB of RAM, 64 cores, 2 TB SSDL h g id j bLaunch grid jobs

SAS grid – very large data analysis work10 high performance serversMost advanced SAS implementation in VApDedicated SANAdditional SAS modulesAdditional SAS modulesSAS knowledge base SharePoint site

D di t d SAS d i i t tDedicated SAS administrator35

Other Data Analysis ToolsOther Data Analysis Tools

STATASTATASPSSRAnnotation & NLP toolsAnnotation & NLP toolsTerminology databasesOth ft b h d Other software can be purchased as needed

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Enhancements/New FeaturesEnhancements/New Features

New CDW data domainsNew CDW data domainsAdditional Raw data & standardizationMetadata & data profile reportsCubesCubesAggregate reportsK l d bKnowledge baseDOD research data sharinggCohort selection toolsI2B2 pilot projectI2B2 pilot project

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Do you plan on using VINCI data/services Do you plan on using VINCI data/services in the next:

6 monthsYearNot sureNot sureNot planning on using VINCI

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Questions?Questions?

Contact Information:Contact Information:[email protected]

http://vaww.vinci.med.va.gov/vincicentralp g

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