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Validation of Multi-State EHR-Based Network for Disease Surveillance (MENDS) Data and Implications for Improving Data Quality and Representativeness

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A stacked bar chart shows the median time for the complete MENDS validation process was 15 months. Stage 0 (data confirmation validation) took 2.7 months, or 18% of total time; 1 site participated. Stage 1 (extract, transform, load [ETL] validation) took a median (range) of 1.9 (0.5–10.0) months, or 13% of total time; 5 sites participated. Stage 2 (data characterization validation) took a median (range) of 0.7 (0.4–1.4) months, or 5% of total time; 5 sites participated. Stage 3 (algorithm validation [hypertension only]) took a median (range) of 9.7 (0.3–13.0) months, or 65% of total time; 5 sites participated.

Figure.
Percentage of total time needed to complete each stage (stages 0–3) of the MENDS internal validation process. Abbreviation: MENDS, Multi-State EHR-Based Network for Disease Surveillance.

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