1. The document discusses open science approaches to addressing big research questions through multiple analysts studying the same dataset and research question, as well as data and analysis sharing initiatives.
2. It describes challenges in open science including variation in analyses and interpretations due to heterogeneity across datasets and studies.
3. Initiatives like OHDSI are highlighted as bridging data sharing and analyses while keeping data local, but heterogeneity across data sources and their impact on predictions is still a challenge.