CODE-EHR best practice framework for the use of structured electronic healthcare records in clinical research
European Heart Journal

Abstract
Big data is central to new developments in global clinical science aiming to improve the lives of patients. Technological advances have led to the routine use of structured electronic healthcare records with the potential to address key gaps in clinical evidence. The covid-19 pandemic has demonstrated the potential of big data and related analytics, but also important pitfalls. Verification, validation, and data privacy, as well as the social mandate to undertake research are key challenges. The European Society of Cardiology and the BigData@Heart consortium have brought together a range of international stakeholders, including patient representatives, clinicians, scientists, regulators, journal editors and industry. We propose the CODE-EHR Minimum Standards Framework as a means to improve the design of studies, enhance transparency and develop a roadmap towards more robust and effective utilisation of healthcare data for research purposes.
Contributors

Dipak Kotecha
Author
University of Birmingham Birmingham , United Kingdom of Great Britain & Northern Ireland

Folkert W Asselbergs
Author

Stephan Achenbach
Author

Stefan D Anker
Author

Dan Atar
Author

Colin Baigent
Author

Amitava Banerjee
Author

Birgit Beger
Author

Gunnar Brobert
Author

Barbara Casadei
Author

Cinzia Ceccarelli
Author

Martin R Cowie
Author

Filippo Crea
Author

Maureen Cronin
Author

Spiros Denaxas
Author

Andrea Derix
Author

Donna Fitzsimons
Author

Martin Fredriksson
Author

Chris P Gale
Author

Georgios V Gkoutos
Author

Wim Goettsch
Author

Harry Hemingway
Author

Martin Ingvar
Author

Adrian Jonas
Author

Robert Kazmierski
Author

Susanne Løgstrup
Author

R Thomas Lumbers
Author

Thomas F Lüscher
Author

Paul McGreavy
Author

Ileana L Piña
Author

Lothar Roessig
Author

Carl Steinbeisser
Author

Mats Sundgren
Author

Benoît Tyl
Author

Ghislaine van Thiel
Author

Kees van Bochove
Author

Panos E Vardas
Author

Tiago Villanueva
Author

Marilena Vrana
Author

Wim Weber
Author

Franz Weidinger
Author

Stephan Windecker
Author

Angela Wood
Author

Diederick E Grobbee
Author

Xavier Kurz
Author

John Concato
Author

Robert Kazmierski
Author

Jose Pablo Morales
Author

Ileana Piña
Author

Wim Goettsch
Author

Adrian Jonas
Author

Niklas Hedberg
Author

Filippo Crea
Author

Thomas F Lüscher
Author

Wim Weber
Author

Tiago Villanueva
Author

Stuart Spencer
Author

Rupa Sarkar
Author

Martin Fredriksson
Author

Mats Sundgren
Author

Andrea Derix
Author

Gunnar Brobert
Author

Lothar Roessig
Author

Benoit Tyl
Author

Kees van Bochove
Author

Maureen Cronin
Author

Colm Carroll
Author

Ceri Thompson
Author

Birgit Beger
Author

Susanne Løgstrup
Author

Marilena Vrana
Author

Paul McGreavy
Author

Barbara Casadei
Author

Stephan Achenbach
Author

Valentina Tursini
Author

Panos E Vardas
Author

Dan Atar
Author

Colin Baigent
Author

Chris P Gale
Author

Donna Fitzsimons
Author

Stephan Windecker
Author

Stefan D Anker
Author

Martin Cowie
Author

Amitava Banerjee
Author

Harry Hemingway
Author

R Tom Lumbers
Author

Spiros Denaxas
Author

Folkert W Asselbergs
Author

Rick Grobbee
Author

Ghislaine Van Thiel
Author

Dipak Kotecha
Author

George V Gkoutos
Author

Angela Wood
Author

Martin Ingvar
Author

Carl Steinbeisser
Author

Ana Petrova
Author

Cinzia Ceccarelli
Author

Katija Baljevic
Author

Polyxeni Vairami
Author

Jennifer Taylor
Author
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