Real-world-data Enabled Assessment for heaLth regulatory decision-Making

REALM项目的总体目标是为监管机构、应用程序开发人员、医疗保健专业人员和政策官员创建一个协作框架，以共同创建和评估用于医疗和医疗保健的软件。我们建议创建一个包容性的平台，为医疗保健软件的评估和认证提供一个透明的生态系统，在这个生态系统中，开发人员和监管机构（以及健康技术评估机构）都可以访问一组标准化的技术堆栈和数据。这将通过首先绘制和分析欧盟、国家机构和世界各地关于医疗保健实践中的软件的法规、立法努力和指导方针来实现。这将指导路线图建设一个包容、公平和多利益攸关方的生态系统。将与DARWIN合作开发用于集成架构的支架，该支架基于标准化数据模型和优化的数据驱动方法，以便在医疗保健监管实践中有效使用实际数据（RWD）。该建筑将由四个部分组成：两个技术基础设施，一个生活实验室和一个上市后监控模块。i)建立基于云的联邦数据资源目录，汇集现有的RWD数据和合成数据，以满足平台的数据需求。ii)将建立监管工具箱，汇集标准化工具，以培训、测试、评估和监测医疗/保健软件。iii)将人-软件交互作为系统的一部分，用于试点医疗/保健软件技术评估的生活实验室环境。iv)与RWD进行上市后监督，以确保认证软件在实践中的质量标准。最后，基于提议的架构，五个真正的医疗设备软件（MDSW）项目将在3个国家（荷兰、比利时和希腊）实施。

The overall aim of the REALM project is to create a collaborative framework for regulatory authorities, application developers, healthcare professionals and policy officers to co-create and evaluate software for medical and healthcare use. We propose to create an inclusive platform leading to a transparent ecosystem for evaluation and certification of software in healthcare where both the developers and the regulatory (and Health Technology Assessment) bodies have access to a standardized set of technology stack and data. This will be achieved by first mapping and analyzing regulations, legislative efforts and guidelines from EU, national bodies and around the world on software in healthcare practice. These will guide the roadmap towards building an inclusive, fair and multi-stakeholder ecosystem. The scaffold for an integrated architecture will be developed in collaboration with DARWIN, based on standardized data models and optimized data driven methodologies for the effective use of real-world data (RWD) in healthcare regulatory practice. The architecture will consist of four components: two technological infrastructures, a living lab and a post-marketing surveillance module. i) a federated cloud-based data resources catalog will be established, to bring together currently available RWD data and synthetic data to facilitate the data needs of the platform. ii) Regulatory Toolbox will be established to bring together standardized tools to train, test, evaluate and monitor medical/healthcare software. iii) Living lab environment for piloting medical/healthcare software technology assessment taking into account human-software interactions as part of the system. iv) Post-marketing surveillance with RWD for ensuring quality standards of the certified software in practice. Finally, building on the proposed architecture, five real Medical Device Software (MDSW) projects are going to be implemented across 3 countries (Netherlands, Belgium and Greece).