Compliance considerations in the geo-enrichment of an EHR data warehouse with social and environmental determinants of health

Maryam Abdallah; Neil Bahroos; Praveen Angyan; Beau MacDonald; Camilla Catignas; Daniella Garofalo; Amy Chuang; Hakob Abajian; John Wilson

doi:10.1017/cts.2024.521

Journal of Clinical and Translational Science (Jan 2024)

Compliance considerations in the geo-enrichment of an EHR data warehouse with social and environmental determinants of health

Maryam Abdallah,
Neil Bahroos,
Praveen Angyan,
Beau MacDonald,
Camilla Catignas,
Daniella Garofalo,
Amy Chuang,
Hakob Abajian,
John Wilson

Affiliations

Maryam Abdallah: ORCiD; Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA Southern California Clinical and Translational Science Institute, Los Angeles, CA, USA
Neil Bahroos: ORCiD; Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA Southern California Clinical and Translational Science Institute, Los Angeles, CA, USA Division of Bioinformatics, Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
Praveen Angyan: Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA Southern California Clinical and Translational Science Institute, Los Angeles, CA, USA
Beau MacDonald: Spatial Sciences Institute, University of Southern California, Los Angeles, CA, USA
Camilla Catignas: Southern California Clinical and Translational Science Institute, Los Angeles, CA, USA
Daniella Garofalo: Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA Southern California Clinical and Translational Science Institute, Los Angeles, CA, USA
Amy Chuang: Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA Southern California Clinical and Translational Science Institute, Los Angeles, CA, USA
Hakob Abajian: Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA Southern California Clinical and Translational Science Institute, Los Angeles, CA, USA
John Wilson: Spatial Sciences Institute, University of Southern California, Los Angeles, CA, USA

DOI: https://doi.org/10.1017/cts.2024.521
Journal volume & issue: Vol. 8

Abstract

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Social and environmental determinants of health (SEDoH) are crucial for achieving a holistic understanding of patient health. In fact, geographic factors may have more influence on health outcomes than patients’ genetics. Integrating SEDoH into the electronic health record (EHR), however, poses notable technical and compliance-related challenges. We evaluated barriers to the integration of SEDoH in the EHR and developed a privacy-preserving strategy to mitigate risk of protected health information exposure. Using coded identifiers for patient addresses, the strategy evaluates an alternative approach to ensure efficient, secure geocoding of data while preserving privacy throughout the data enrichment processes from numerous SEDoH data sources.

Published in Journal of Clinical and Translational Science

ISSN: 2059-8661 (Online)
Publisher: Cambridge University Press
Country of publisher: United Kingdom
LCC subjects: Medicine
Website: https://www.cambridge.org/core/journals/journal-of-clinical-and-translational-science

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Abstract

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