[1] Modeled after but not affiliated with the Veteran Administration’s Million Veteran Program.
Provenance is critical to Research. The data flows from clinical care in translational Clinical Trials, and then through multiple paths for secondary research use. In a Learning Health System the secondary research findings should feed back into the initial clinical trial and should lead the patient to other beneficial clinical trials as part of precision medicine. Additionally, patient generated health data should be flowing into the research pipeline. These multiple data sources need to be tracked so that automated integration into research records can be done based on confidence metrics derived from provenance.