Biomedical Engineering

Secondary Analysis of Electronic Health Records

MIT Critical Data

An open textbook on turning electronic health records into reproducible research, from cohort definition and missing data to validation and interpretation.

Prerequisites

Introductory statistics and programming, including data tables, regression and basic database concepts. Familiarity with clinical terminology is helpful; readers from computing should work with domain explanations rather than infer the meaning of a variable from its label.

Edition
1
Publication Year
2016
Difficulty Level
Intermediate
Academic Level
Graduate
medical informaticselectronic health recordsobservational research

01 / Reading Guide

Reading Guide

Who this book is for

For graduate students and prepared researchers entering medical informatics and observational health-data analysis. The book connects the practical research workflow with the limitations of records created during routine care. It is particularly useful for interdisciplinary groups that need shared definitions of a cohort, outcome, exposure and valid comparison.

Prerequisites

Introductory statistics and programming, including data tables, regression and basic database concepts. Familiarity with clinical terminology is helpful; readers from computing should work with domain explanations rather than infer the meaning of a variable from its label.

What it covers

The chapters discuss clinical databases, research questions, cohort construction, data preparation, missingness, statistical methods and validation. Worked research perspectives expose confounding and measurement problems that are easy to overlook when a large dataset appears comprehensive. Ethical considerations and reproducibility accompany the analytical workflow.

How to use it

Write a study question and define its target population before extracting variables. Build a data dictionary that records units, timing and missing-value conventions. Draw a possible confounding structure, distinguish predictive performance from causal interpretation and test sensitivity to alternative cohort definitions. Reproduce a small example before expanding the model, keeping transformation decisions and validation procedures explicit.

Edition and sources

Springer publishes the complete open-access 2016 textbook, authored by MIT Critical Data, with ebook ISBN 9783319437422. PDF and EPUB access is free under the stated license. Dataset access has its own requirements; the book does not grant unrestricted access to patient records. Software interfaces may differ from the original examples.

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