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Glossary and resources

Every acronym and specialized term the book uses, with a plain definition. Definitions follow the source named where one is given, and the works cited are on the references page. Both tables are folded to keep the page short; open either one to read it, and both print in full.

Acronyms

Acronyms, from ALS to VUS
Acronym Stands for and means
ALS Amyotrophic lateral sclerosis, a progressive neurodegenerative disease of the motor neurons
CC BY Creative Commons Attribution, a license that lets others share and adapt a work with credit
CDC Centers for Disease Control and Prevention, the U.S. public health agency
ClinRO Clinician-reported outcome: a clinical outcome assessment reported by a trained health care professional
COA Clinical outcome assessment: a measure of how a person feels, functions, or survives; patient-reported, clinician-reported, observer-reported, and performance outcomes are the main types
COPD Chronic obstructive pulmonary disease
CSV Comma-separated values, a plain-text file format for tables that any spreadsheet program can open
DDT Drug development tool, the FDA's term for a biomarker, clinical outcome assessment, or animal model that can be qualified for a context of use
DEE Developmental and epileptic encephalopathy, a group of epilepsies in which seizures and developmental impairment occur together
DOI Digital object identifier, a permanent link to a publication
DUA Data use agreement
EIS Epidemic Intelligence Service, the CDC's applied epidemiology program, whose emblem is a worn shoe sole
FAIR Findable, accessible, interoperable, reusable: principles for managing data so that people and machines can find and use them
FDA U.S. Food and Drug Administration
FHIR Fast Healthcare Interoperability Resources, a standard for exchanging health record data
GTC Generalized tonic-clonic, a seizure type
GUID Global unique identifier
HIPAA Health Insurance Portability and Accountability Act, whose Privacy Rule governs how covered entities use and disclose protected health information
HPO Human Phenotype Ontology, a standard vocabulary for describing phenotypic features
IRB Institutional review board: the committee that reviews and approves research involving people, to protect participants. Study personnel described as "on the IRB" are the people the IRB has approved to work on the study and see its data, not members of the board
ISO 8601 The international standard date format, year-month-day
JAMIA Journal of the American Medical Informatics Association; JAMIA Open is its open-access companion journal
LinkML Linked Data Modeling Language, an open framework for writing schemas that describe data so that people and machines can interpret them
LOINC Logical Observation Identifiers Names and Codes, a coding system for laboratory tests and clinical observations, including many scored instruments
Mondo Mondo Disease Ontology, which harmonizes disease definitions across sources
MS Multiple sclerosis
NAION Nonarteritic anterior ischemic optic neuropathy, a condition affecting the optic nerve
ObsRO Observer-reported outcome: a clinical outcome assessment reported by someone who observes the person in daily life, such as a parent
OHDSI Observational Health Data Sciences and Informatics, an open-science community for observational health research
OMOP Observational Medical Outcomes Partnership common data model, used across the OHDSI network
PerfO Performance outcome: a clinical outcome assessment based on standardized tasks the person performs
PHI Protected health information
PI Principal investigator
PRO Patient-reported outcome: a clinical outcome assessment reported directly by the patient, without interpretation by a clinician or anyone else
REDCap Research Electronic Data Capture, a web platform widely used to build and manage research surveys and databases
RxNorm A standard naming system for clinical drugs, from the U.S. National Library of Medicine
STROBE Strengthening the Reporting of Observational Studies in Epidemiology, a reporting guideline
VUS Variant of uncertain significance

Terms

Terms, from Adjudication to Version control
Term Meaning
Adjudication Review of evidence, such as a genetic report, by a qualified person who records a conclusion
Athena OHDSI's free online browser for the OMOP standardized vocabularies
Analysis plan The document, agreed before the analysis, that states the question, the cohort, the methods, and how missing data will be handled
ATLAS OHDSI's free web tool for defining cohorts and running analyses on OMOP data
Basic, clinical, and translational research Basic research studies mechanisms in cells, tissues, or models; clinical research studies people; translational research connects the two
Biomarker A defined characteristic measured as an indicator of normal biological processes, disease processes, or responses to an exposure or intervention
Case definition The evidence that qualifies a person as having the condition, often in tiers
Chain of custody The record of who collected a sample, when, where it is stored, where it went, and which participant it belongs to
Clinical research coordinator The person who screens, consents, follows up with, and supports participants, and keeps the study's records
Clinician-scientist A physician who conducts research and also sees patients
Cohort definition A set of rules, run against a database, that identifies the people who meet given criteria
Common data element A standard question with defined response options, designed to be asked the same way across studies
Common data model A shared structure for organizing data so that the same query runs at every site; OMOP is one
Complete-case analysis An analysis that uses only participants with no missing values for the variables involved
Computable phenotype A definition of a condition or trait expressed as rules that can be run against data
Concept set A list of standard concepts, often a concept with its descendants and explicit exclusions, used to define a cohort or a variable
Consent, broad and specific Broad consent covers future research not yet defined; specific consent covers named uses only
Contact registry A registry that records who people are and how to reach them, with consent to be contacted about news and other studies
Context of use In FDA qualification, "the manner and purpose of use" for a drug development tool
Covered entity Under HIPAA, a health plan, health care clearinghouse, or health care provider that conducts certain electronic transactions
Crosswalk A table that maps one identifier to another, such as a registry identifier to each lab's or health system's identifier
Data access committee The group that reviews requests for a registry's data and decides whether, and on what terms, to grant them
Data custodian The person or organization legally responsible for a data set
Data dictionary The document that defines every variable: its name, meaning, type, allowed values, and source
Data use agreement A contract setting the terms under which data are shared
Decentralized participation Taking part in research without traveling to a study site
Descendants In a vocabulary hierarchy, the concepts below a given concept
Enrolled, confirmed, evaluable Enrolled: consented and baseline entered. Confirmed: meets the case definition at a stated tier. Evaluable: has the data a given analysis needs
Fit for purpose Data collected and documented to the standard their intended use requires
Harmonize Map values that mean the same thing, such as "Yes," "1," and "TRUE," to one coded value, keeping the source value and recording the rule
Lantern Registry The book's hypothetical practice registry, with synthetic data for an invented condition, Epilepsy Syndrome X, caused by variants in an invented gene, GENEX; its dates are set in the 2040s
Likert scale A rating scale of ordered responses, such as strongly disagree to strongly agree
Missing completely at random, at random, not at random Assumptions about why data are missing: unrelated to any data; related only to data that were observed; or related to the missing values themselves
Multiple imputation Replacing each missing value with several plausible values, analyzing each completed data set, and combining the results
Natural history study A study that follows people with a condition over time to describe how it progresses
Network study A study in which several sites run the same protocol against their own data in a common data model and share results rather than records
Phenotype The observable characteristics of a condition in a person
Placeholder value A value such as 999 or -1 entered to stand for missing or unknown, which a tool treats as a real number unless told otherwise
Provenance The documented history of where a value came from and every change made to it
Qualification In FDA usage, "a conclusion that within the stated context of use, the DDT can be relied upon"
Query A question about a value that may be wrong or unclear, sent to the person who can answer it; the value is not changed until the answer comes back
Real world data and real world evidence Data on health status or health care collected routinely outside clinical trials, and the evidence derived from analyzing them
Reference range The range of values a laboratory considers typical for a test, specific to the lab and assay
Reverse coding Flipping the scale of an item worded in the opposite direction so that all items score the same way
Secure research environment An access-controlled computing environment where approved researchers analyze data without downloading it
Semi-structured interview A conversation guided by set topics, from which answers can be coded
Standard concept In the OMOP vocabularies, the concept chosen to represent a meaning, to which other codes map
Stratification Dividing participants into subgroups, such as by progression or symptom, for analysis or trial enrollment
Sub-study An additional study within a registry, usually with its own questions or population
Table 1 The first table in most clinical papers, describing the people in the study
Tier A level of diagnostic evidence within a case definition, such as a genetic report, a clinician letter, or self-report
Validated instrument A tested measure with a known scoring rule, administered as its developers intended
Variant of uncertain significance A genetic variant whose effect on health is not yet known; its classification may change
Version control Keeping every change to code or documents with a history of who changed what and when