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Background/Aims Family relationship data in the Scott & White Virtual Data Warehouse (VDW) gathered from multiple sources across the institution is a rich resource that provides an opportunity to study patterns of inherited disease and the ability to evaluate the efficacy of targeted screening strategies. In an integrated healthcare delivery system, linkage of the parent and child (family) electronic health records (EHR) provides an opportunity to improve outcomes by implementing proactive/preventative screening and/ or treatment in offspring. Our study focuses on how linkage of the parent/ child EHR can be used to identifying youth at risk for a number of autosomal dominant inherited diseases.

Background/Aims This presentation will focus on challenges faced by new HMO Research Network (HMORN) sites and their experiences with the Virtual Data Warehouse (VDW) tables for version 3 specifications. The step-by-step procedure developed by Scott and White will be showcased to provide a head start for new incoming sites. Sharing lessons learned during our one year in the HMORN VDW, our objective is to provide best practices regarding resources, time allocation, priorities, schedules, financing, backups, and possible available alternatives.