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ref #3
regression testing comes to mind... though... what tools would be using DECOY as source data in such a way that it would work for regression testing?
One group is ETL from DE-SynPUF CMS data to PCORnet CDM. Meanwhile, the OMOP/OHDSI community has developed a conversion from DE-SynPUF to OMOP CDM and are working on OMOP to PCORNet CDM. Do they produce the same thing?

DECOY should supplement DESynPuf with labs and such.