# Kineret: Israel’s Largest Hospital Network Transformed into the OMOP common data model for collaborative research

**Authors:** Nadav Rappoport, Guy Livne, Naama Perry Cohen, Nir Makover, Hadas Eshel-Geva, Hadar Kapach, Tomer Hadad, Yarin Alon, Robyn Rubin, Segev Chai, Shirell da Villa, Ohad Hochman, Ágnes Vathy-Fogarassy, Michal Rosen-Zvi, Michal Rosen-Zvi

PMC · DOI: 10.1371/journal.pone.0334848 · 2025-10-30

## TL;DR

Israel's Kineret initiative standardizes clinical data across hospitals using the OMOP model to support research and collaboration.

## Contribution

The novel contribution is the implementation of a national healthcare data infrastructure using OMOP for multi-center and international research.

## Key findings

- Six medical centers have been integrated into the Kineret data infrastructure with harmonized clinical data.
- A secure cloud-based platform using ATLAS enables efficient data analysis and research collaboration.
- The initiative supports both national and international healthcare research through standardized data access.

## Abstract

Background In 2021, the Directorate of Government Medical Centers at the Israeli Ministry of Health launched the Kineret initiative to standardize clinical data across its network of public medical centers and facilitate its secondary use for research and innovation. The primary goals were to streamline data extraction, cleaning, and sharing processes, thereby enabling efficient reuse of clinical data for translational and collaborative research. The Directorate oversees a national network of 25 government healthcare institutions, including 11 general medical centers, 9 mental health centers, and 5 geriatric care facilities.

Methods Following an evaluation of existing data models, the Observational Medical Outcomes Partnership Common Data Model (OMOP CDM) was selected as the standard framework for semantic harmonization across institutions. A dedicated instance of ATLAS, the OHDSI open-source platform for observational research, was deployed on a secure cloud environment accessible to authorized researchers within the network. This infrastructure enables efficient feasibility assessment and exploratory data analysis buy the end users. Approved research projects are conducted within a secure, cloud-based virtual environment that supports diverse computational needs.

Results As of 2025, six medical centers have been successfully integrated into the Kineret data infrastructure, with full harmonization of their clinical data into the OMOP CDM. A seventh center is currently in the final stages of integration and is expected to join the network by the end of the year.

Conclusion
Kineret initiative provides a scalable, secure, and standardized data infrastructure that supports both intra-national multi-center research and international collaborative studies. By enabling streamlined access to high-quality, harmonized clinical data, Kineret holds significant potential to advance both local and global healthcare research. A detailed description of the data and platform is available at https://kineret.health.gov.il/.

## Full-text entities

- **Genes:** ADGRL4 (adhesion G protein-coupled receptor L4) [NCBI Gene 64123] {aka ELTD1, ETL, KPG_003}, GNPTAB (N-acetylglucosamine-1-phosphate transferase subunits alpha and beta) [NCBI Gene 79158] {aka GNPTA, ICD}
- **Diseases:** Death (MESH:D003643), MINOR (MESH:D004832), GENERAL (MESH:D004829), OMOP (MESH:D011248), OHDSI (OMIM:603663), Psychiatric (MESH:D001523), MAJOR COMMENTS (MESH:D004830), ICD-9-CM (OMIM:252500)
- **Chemicals:** OMOP (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

11 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12574879/full.md

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Source: https://tomesphere.com/paper/PMC12574879