Methods

Methods

To ensure the Research Hub collects the highest quality data possible, the All of Us Research Program employs a comprehensive data methodology to curate data for registered and approved researchers. Read more about the program protocol

Data Curation Process

DATA SOURCES

DATA
HARMONIZATION

DATA REFINEMENTS

CURATED DATA REPOSITORY

DATA DICTIONARY

Data Sources

Beyond recruiting a diverse participant community, the All of Us Research Program collects data from a wide variety of sources, including surveys, electronic health records (EHRs), biosamples, physical measurements, and mobile health devices.

Data Harmonization

The All of Us Research Program uses the OMOP CDM to ensure EHR data is standardized for all researchers.

Data Refinements

After harmonizing the data to meet the specifications of the OMOP CDM, we process the data to ensure participant privacy is protected. We also take steps to conform and clean the data to deliver high quality data. See the All of Us Registered Tier Data Dictionary for more information.

Curated Datasets

All of Us Research Program data in its final format, after harmonization and refinement, is referred to as a curated dataset. Two separate datasets are available:

The Public Tier curated dataset may be accessed through the interactive Data Browser application.

The Registered Tier curated dataset may be accessed by approved researchers in the Researcher Workbench. Registered Tier data includes data from survey answers, physical measurements taken at the time of participant enrollment, and longitudinal EHRs. This individual-level data can be analyzed within the Researcher Workbench.

Data Dictionary

The All of Us Data Dictionary documents what data are available from participants and what modifications the program makes to protect participant privacy. It provides a description for each data field, noting whether it is a standard OMOP field or a custom field created to help capture data unique to the program. The Data Dictionary also provides information on whether the data in each field come from participant health records or from information the participants provide themselves, like survey data.

Check out the Data Dictionary.

OMOP Common Data Model

The OMOP CDM is maintained by an international collaborative called the Observational Health Data Sciences and Informatics (OHDSI) program. The All of Us Data and Research Center leverages the OMOP CDM to empower researchers by using existing, standardized vocabularies and a harmonized data representation. These factors enable connection to other ontologies, datasets, and tools that use the same codes or data model. Learn more about OHDSI’s OMOP CDM initiative.

As a researcher, here’s what you should know about OMOP:

OMOP is a relational database. A relational database is a set of formally described tables with defined relationships allowing data to be accessed in many different ways. For researchers, it may be helpful to get familiar with the curated dataset’s OMOP tables.

OMOP is standardized. Standard vocabularies mean that, despite differences in how each data element may be captured (e.g., variation among the many electronic health records), all of the data is represented consistently in the data model. For each broad category of data, or “domain,” OMOP incorporates important existing vocabularies so that everyone using the data can speak the same language.

OMOP is where metadata rules. The use of these vocabularies and “concept IDs” allows flexibility in extracting data. Instead of just the source data, which is often highly specific to individual institutions, OMOP provides concept IDs, this ensures that the data are represented in a standardized way, are common across many institutions, and are easily retrievable using standardized search methodologies. The vocabulary tables are available to provide the names and relationships among these different representations.

Resources can help. Don’t know what the standardized vocabulary is for your search term? Check out Athena, a platform that maps OMOP standardized vocabularies to other nonstandard vocabularies. Want to take a deep dive into OMOP? Discover more on the Github Wiki.

Which OMOP Tables Does All of Us Use?

The All of Us dataset includes EHR data found in the following OMOP tables:

Person

Contains basic demographic information describing a person including biological sex, birth date, race, and ethnicity. Although it is common to get this information from EHR data, the All of Us Program uses data provided directly by participants through surveys when this information is available.


Visit_occurrence

Visits capture encounters with health care providers or similar events. Contains the type of visit a person has (outpatient care, inpatient confinement, emergency room, or long-term care), as well as date and duration information. Rows in other tables can reference this table, e.g., condition occurrences related to a specific visit.


Condition_occurrence

Conditions are records of a person indicating the presence of a disease or medical condition stated as a diagnosis, a sign, or a symptom, which is either observed by a provider or reported by the patient.


Drug_exposure

Captures records about the utilization of a medication. Drug exposures include prescription and over-the-counter medicines, vaccines, and large-molecule biologic therapies. Radiological devices ingested or applied locally do not count as drugs. Drug exposure is inferred from clinical events associated with orders, prescriptions written, pharmacy dispensings, procedural administrations, and other patient-reported information.


Measurement

Contains both orders and results of a systematic and standardized examination or testing of a person or person’s sample, including laboratory tests, vital signs, and quantitative findings from pathology reports. Physical measurements collected by All of Us are also stored in this table.


Procedure_occurrence

Contains records of activities or processes ordered or carried out by a health care provider for a diagnostic or therapeutic purpose.


Observation

Captures clinical facts about a person obtained in the context of examination, questioning, or a procedure. Any data that cannot be represented by any other domains, such as social and lifestyle facts, medical history, family history, etc. are recorded here. Survey information is also located in this table.


Device_exposure

Captures information about a person’s exposure to a foreign physical object or instrument used for diagnostic or therapeutic purposes. Devices include implantable objects (e.g., pacemakers, stents, artificial joints), blood transfusions, medical equipment and supplies (e.g., bandages, crutches, syringes), other instruments used in medical procedures (e.g., sutures, defibrillators), and material used in clinical care (e.g., adhesives, body material, dental material, surgical material).


Death

Contains the clinical events surrounding how and when a person dies.


Fact_relationship

Contains records about the relationships between facts stored as records in any table of the CDM. Relationships can be defined between facts from the same domain or different domains. Examples of fact relationships include person relationships (parent–child), care site relationships (hierarchical organizational structure of facilities within a health system), etc.


Specimen

Contains the records identifying biological samples from a person.

> Visit the OMOP wiki page for more detailed information