Coping with interoperability in the development of a federated research infrastructure: achievements, challenges and recommendations from the JA-InfAct.

Background: Information for Action! is a Joint Action (JA-InfAct) on Health Information promoted by the EU Member States and funded by the European Commission within the Third EU Health Programme (2014-2020) to create and develop solid sustainable infrastructure on EU health information. The main ob...

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Publicado en:Archives of Public Health Vol. 79; no. 1; pp. 1 - 19
Autores principales: González-García, Juan, Estupiñán-Romero, Francisco, Tellería-Orriols, Carlos, González-Galindo, Javier, Palmieri, Luigi, Fagaralli, Andrea, Pristās, Ivan, Vuković, Jakov, Misinš, Janis, Zile, Irisa, Bernal-Delgado, Enrique, on behalf of the InfAct Joint Action consortium, Unim, Brigid, Carle, Flavia, Gesuita, Rosaria, Ivanković, Damir, Brkić, Marko, Dimnjaković, Jelena, Lyons, Jane, Lyons, Ronan
Formato: Journal Article
Publicado: BioMed Central 12/8/2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 12/8/2021
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        atl: Coping with interoperability in the development of a federated research infrastructure: achievements, challenges and recommendations from the JA-InfAct.
      aug:
        au:
          González-García, Juan
          Estupiñán-Romero, Francisco
          Tellería-Orriols, Carlos
          González-Galindo, Javier
          Palmieri, Luigi
          Fagaralli, Andrea
          Pristās, Ivan
          Vuković, Jakov
          Misinš, Janis
          Zile, Irisa
          Bernal-Delgado, Enrique
          on behalf of the InfAct Joint Action consortium
          Unim, Brigid
          Carle, Flavia
          Gesuita, Rosaria
          Ivanković, Damir
          Brkić, Marko
          Dimnjaković, Jelena
          Lyons, Jane
          Lyons, Ronan
        affil: Biocomputing Unit, Institute for Health Sciences in Aragon (IACS), Zaragoza, Spain
      sug:
      ab: Background: Information for Action! is a Joint Action (JA-InfAct) on Health Information promoted by the EU Member States and funded by the European Commission within the Third EU Health Programme (2014-2020) to create and develop solid sustainable infrastructure on EU health information. The main objective of this the JA-InfAct is to build an EU health information system infrastructure and strengthen its core elements by a) establishing a sustainable research infrastructure to support population health and health system performance assessment, b) enhancing the European health information and knowledge bases, as well as health information research capacities to reduce health information inequalities, and c) supporting health information interoperability and innovative health information tools and data sources.Methods: Following a federated analysis approach, JA-InfAct developed an ad hoc federated infrastructure based on distributing a well-defined process-mining analysis methodology to be deployed at each participating partners' systems to reproduce the analysis and pool the aggregated results from the analyses. To overcome the legal interoperability issues on international data sharing, data linkage and management, partners (EU regions) participating in the case studies worked coordinately to query their real-world healthcare data sources complying with a common data model, executed the process-mining analysis pipeline on their premises, and shared the results enabling international comparison and the identification of best practices on stroke care.Results: The ad hoc federated infrastructure was designed and built upon open source technologies, providing partners with the capacity to exploit their data and generate dashboards exploring the stroke care pathways. These dashboards can be shared among the participating partners or to a coordination hub without legal issues, enabling the comparative evaluation of the caregiving activities for acute stroke across regions. Nonetheless, the approach is not free of a number of challenges that have been solved, and new challenges that should be addressed in the eventual case of scaling up. For that eventual case, 12 recommendations considering the different layers of interoperability have been provided.Conclusion: The proposed approach, when successfully deployed as a federated analysis infrastructure, such as the one developed within the JA-InfAct, can concisely tackle all levels of the interoperability requirements from organisational to technical interoperability, supported by the close collaboration of the partners participating in the study. Any proposal for extension, should require further thinking on how to deal with new challenges on interoperability.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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