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Data

Databases

Population-level health databases used in AsPEN multi-national studies. The map is focused on East Asia; pan or zoom out to view partner sites.

AsPEN network

🇹🇼

Taiwan

Coverage: ~23M individuals · >99% of Taiwan population

Time period: 2000–present

Universal single-payer claims; 70+ billion records and 3.4 billion medical images as of 2024, now including structured laboratory and imaging data.

Coverage: ~1.5M individuals · ~6–10% of Taiwan population

Time period: 2011–present

Standardized electronic medical records from seven Chang Gung Memorial Hospitals; research data available since 2011 with ~1-month latency.

Coverage: ~200K community participants · target 1M

Time period: 2012–present

Population-based biomedical biobank linking genomic, lifestyle, and clinical data.

🇰🇷

South Korea

Health Insurance Review and Assessment Service (HIRA)

National Claims

Coverage: ~50M individuals · nationwide Korea (universal NHI)

Time period: 2009–present

Independent agency that reviews claims for reimbursement appropriateness; provides researchers a separate access pathway to Korean NHI claims since 2009 (open data initiative 2013).

National Health Insurance Service – National Health Information Database (NHIS-NHID)

National Claims

Coverage: ~50M individuals · nationwide Korea (compulsory NHI)

Time period: 2002–present

Population-level claims with periodic national health screening linkage; complementary to HIRA, with additional linkage to enrolment and health-check data.

🇯🇵

Japan

National Database of Health Insurance Claims and Specific Health Checkups (NDB)

National Claims

Coverage: ~120M individuals · effectively all of Japan

Time period: 2008–2026

Nationwide insurance claims and specific health checkup records used for medical-cost optimization research.

JMDC Claims Database

Claims

Coverage: Cumulative ~33.66M identifiers · annual ~18.30M (Apr 2025–Mar 2026; ~15% of Japan, working-age skew) · ~390 health insurance societies

Time period: 2005–2026

Receipts, health-checkup results, and enrolment records pooled from health insurance societies, with longitudinal traceability up to 20 years.

DeSC Database

Claims

Coverage: Cumulative ~20.04M individuals ever enrolled (no annual count reported) · employee / national / late-stage-elderly health insurers · database built 2020

Time period: 2014–2025

Commercial claims database built by DeSC Healthcare, pooling receipts, enrolment records, and specific health-checkup data across all three Japanese insurer types (employee, national, and late-stage-elderly), so it spans children to the very old. Coverage reaches ~2.2% of employee-insurance, ~16.3% of national-insurance, and ~23.2% of late-stage-elderly members (as of 31 July 2026).

Medical Data Vision (MDV) Database

Hospital-based administrative claims + DPC data

Coverage: Cumulative ~63.70M identifiers · annual ~18.71M (Apr 2025–Mar 2026; ~15.2% of Japan) · 949 hospitals · limited laboratory results

Time period: 2008–2026 (mainly from Apr 2010)

Inpatient and outpatient administrative claims plus DPC data; electronic medical chart data are not available, and laboratory results come from some hospitals only.

🇭🇰

Hong Kong

Clinical Data Analysis and Reporting System (CDARS)

Public-sector EHR

Coverage: ~7M individuals · Hong Kong Hospital Authority

Time period: 1995–present

Public-sector electronic medical records covering the great majority of Hong Kong residents.

🇹🇭

Thailand

Health Data Center (HDC)

National EHR

Coverage: ~79M individuals · MOPH-affiliated public facilities nationwide

Time period: 2016–present

Common data model maintained by the Ministry of Public Health (MOPH); the NHSO e-claim database is separate. Known as the 43 files, spanning ICD-10 diagnoses, dispensing, laboratory results, chronic-disease and antenatal follow-up, immunisation, and cause of death. In 2021 the platform received records from 947 MOPH and 55 non-MOPH public hospitals plus 9,760 subdistrict health promotion hospitals, uploaded at least monthly.

International partner sites

AsPEN collaborators draw on data partners outside East Asia for benchmarking and methodological comparison; including UK, US, European, and Australian sites linked through the NeuroGEN data initiative.

🇬🇧

United Kingdom

The Health Improvement Network (THIN)

Primary-care EHR

Coverage: ~17M patients · ~6% of UK

Time period: 1986–present

UK primary-care EHR drawn from contributing general practices; complementary to CPRD, mapped to international coding systems. Listed as a NeuroGEN partner database.

UK Biobank (UKB)

Biobank

Coverage: ~500K community participants · aged 40–69 at recruitment

Time period: 2005–present

Population-based biomedical biobank linking genomic, lifestyle, imaging, and electronic medical record data. NeuroGEN partner biomedical database.

Public Health Scotland (ISD)

National EHR

Coverage: ~5.4M individuals · entire Scottish population

Time period: 1950–present

National prescribing, hospital admissions, and death-records system covering all NHS Scotland; a NeuroGEN partner data source.

🇳🇱

Netherlands

PHARMO Database Network

Multi-source EHR

Coverage: ~7M patients · ~40% of Netherlands

Time period: 1999–present

Linked pharmacy, primary care, and hospital records across multiple regions of the Netherlands; NeuroGEN partner data source.

🇫🇮

Finland

Finnish healthcare registers (FinReg)

Claims + registries

Coverage: ~5.5M individuals · entire Finnish population

Time period: 1972–present

Nationwide population registries linking prescriptions, hospital discharges, special-reimbursement, and cause-of-death data; used in NeuroGEN.

🇦🇺

Australia

Pharmaceutical Benefits Scheme; 10% sample (PBS)

Claims

Coverage: ~2.5M beneficiaries · 10% random sample of Australia's PBS

Time period: 2005–present

Federal subsidised prescription medicine claims for Australia's national PBS; a NeuroGEN partner data source.

Victorian Linked Health Data (VLHD)

Claims + EHR linkages

Coverage: ~6.5M individuals · entire Victorian population

Time period: 2006–present

State-level Victorian admissions, deaths, and dispensing data linked into a single research dataset.

🇺🇸

United States

Medicare (20% sample)

Claims

Coverage: ~13M beneficiaries · 20% random sample of ~65M Medicare (aged 65+)

Time period: 2007–present

US federal insurance for those aged 65+ and selected disability groups; included in NeuroGEN multi-database studies.

Medicaid

Claims

Coverage: ~70M beneficiaries · US public insurance (low-income / disability)

Time period: 2001–present

Federal–state public insurance programme used as a partner data source in NeuroGEN multi-database collaborations.

Compare databases

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Also documented in the network

The 2015 AsPEN database survey also documented Singapore's National Electronic Health Record (NEHR) and two Thai sites, the Buddhachinaraj Hospital Database (BHD), a tertiary referral hospital EHR, and the Hospital Information network across 21 community hospitals in Ubon Ratchathani. They are listed here for reference.

Database descriptions adapted from the AsPEN paper (Lai ECC et al. Epidemiology. 2015 Nov;26(6):815-20. DOI: 10.1097/EDE.0000000000000325), the NeuroGEN data-infrastructure paper (Tsai DHT et al., Clinical Epidemiology 2023; DOI: 10.2147/CLEP.S426485), the Medical and Healthcare Database Utilization Committee, Japanese Society for Pharmacoepidemiology. Survey of Japanese databases in Japan available for clinical/pharmacoepidemiology (available at jspe.jp/committee/kenkou-iryou), and, for the Thai HDC facility counts, Yingyong T et al. BMJ Health Care Inform. 2022;29(1):e100601 (DOI: 10.1136/bmjhci-2022-100601). Access policies and coverage may have changed since publication. Please verify with each data custodian before study planning.