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big data
extremely large and complex databases that aggregate information of different types and scales from multiple sources and require data processing applications
volume
the amount of data; quantity of generated and stored data
variety
the different forms of data; the type and nature of the data such as text, images, audio, video, etc.
velocity
the speed that new data is generated and moves around; often available in real-time
veracity
the trustworthiness of the data; extended definition for big data that refers to the data quality and value
EHR, insurance claims, smartphone applications, wearable devices, social media, and population genomics data
big data in healthcare may include ______ (6)
text messages, videos, audios, and images
list the four types of data typically sent from a cell phone
structured data
refer to information that is stored in a consistent, organized manner and is typically reported using standard units and ranges like lab results, vital signs, and ICD-based diagnosis
unstructured data
data that is devoid of a clear organization and precision
free-text boxes
the inclusion of _______ in EHR poses a significant challenge for structuring data
NLP and machine learning techniques
used to extract written text from EHRs
natural language processing
borrows concepts and techniques from linguistics, computer science, and engineering to process naturally occurring language
machine learning models
enable computers to extract patterns in datasets and draw conclusions on their own
pharmacovigilance
EhR has already provided valuable insights into ______ such as identification of drug-related adverse events, discrepancies in patient's meds and errors in prescriptions based on comorbidities and risk factors
financial burden of patients
EHRs contain drug cost data to help palliate the ______ and lead to large-scale analyses to allow prescribers to offer the most cost-effective meds to patients
real world data
TriNetX provides access to de-identified EHR data, offering _______
federated data network
TriNetX operates a _______, meaning it connects various healthcare organizations and their data while maintaining data privacy and security
true
T/F: TriNetX is HIPAA (USA) and GDPR (Europe) compliant
notes, raw diagnostic reports, DICOM image objects, providers, departments/clinics, patient level data, and publication guidelines
what information is unavailable in TriNetX?
250 million
approximately how may patients are included in TriNetX?
prevalence and incidence
epidemiology and disease burden studies estimate the ________ of diseases across diverse populations
drug safety and pharmacogivilance
conduct signal detection for adverse drug events, compare incidence of side effects between treatment groups, and identify potential drug-drug interactions
clinical trial feasibility and recruitment
responsible for identifying eligible patient populations for prospective clinical trials, forecast recruitment rates based on historical patient flows, and locate clinical sites with enough patients meeting trial inclusion/exclusion criteria
spurious correlation
describes the phenomenon of important variables being highly correlated with variables with which they have no actual relations when a large number of variabels are evaluated
type 1
spurious correlation is an example of _______ error (false positive)
type 1
error examples include a compound has no effect but FDA approves it, an innocent person goes to jail, and a normal email was recognized as spam by a spam filter
alpha
probability of incorrectly rejecting the Ho
p
general consensus in scientific literature is an alpha level at ______
type 2
error examples include a compound has effect but FDA rejects it, a guilty person goes free, and a spam email was recognized as normal by a spam filter
false negative
a type 2 error is also known as a ______
beta
probability of making a type 2 error
noise accumulation
accumulation of estimation errors when prediction is based on a large number of parameters, leading to poor classification or prediction
true
T/F: when the number of predictors is large, the addition of more predictors improves the predictive power and reduces noise of the model
predictive analytics
a new method of analysis developed to overcome the challenges
predictive modeling, machine learning, and data mining
three statistical techniques used in predictive analytics
construct patient-level data set, reduce dimensionality, and build model with validation and selection
process of predictive analytics
cleansing and normalization of data, aggregation of multiple data sources, de-identification, and validation
steps involved in the construction of a patient-level data set
input
reducing the number of _____ (input/output) dimensions can improve the performance of predictive analytic models
univariate selection
selection acting on one trait in order to reduce dimensionality of predictive model
multivariable regression
statistical modeling that only uses variables strongly associated with the outcome to reduce dimensionality
training set
used for model building

validation set
used for model selection

test set
used to assess the performance of the model selected

overfitting
occurs when a model is excessively complex and describes random error and noise rather than the underlying relationship; represents the data rather than predicting it
randomly splitting the data set
used to mitigate the overfitting problem of the original data set
logistic regression
categorical continuous data uses ________
linear regression
continuous continuous data uses ________
artificial neuron networks, support vector machines, discriminant analysis, and classification trees
models commonly used in big data analytics include ______
binary
specificity, sensitivity, and ROC curve area under the curve are used for _____ (binary/continuous) outcomes
continuous
mean absolute error, mean squared error, and medical absolute error are used for _____ (binary/continuous) outcomes
sensitivity
measures the proportion of actual positive which are correctly identified and is complementary to the false negative rate
specificity
measures the proportion of negatives which are correctly identified and is complementary to the false positive rate
AUROC (area under the curve receiver operating characteristics curve)
one of the most important evaluation metrics for checking any classification model's performance

method 1
which method performed better?

data analyst, pharmacoepidemiologist or outcomes researcher, computer scientist, and system administrator
required resources for big data predictive analytics
computing machines, large storage space, and security protection
infrastructure requirements for predictive analytics