With the expanding use of real-world data in post-marketing drug safety evaluation, comparative effectiveness research, drug utilization studies, and regulatory decision-making, differences in data structures, terminology mappings, data quality, and analytic workflows across heterogeneous data sources have become major challenges affecting the reproducibility of research and the credibility of evidence. The common data model (CDM) provides foundational support for real-world studies across institutions, regions, and countries by harmonizing data structures, standard terminology, and analytic interfaces. In recent years, tool ecosystems represented by OHDSI/HADES and the FDA Sentinel Initiative have promoted CDM-based data analysis from traditional single databases statistical modeling toward a standardized, reproducible, diagnosable, and distributable model of networked evidence generation. Based on the requirements for real-world data quality, study design, bias control, and statistical analysis plans outlined in the Guidelines for Pharmacoepidemiologic Research
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