Re: [openhealth] Suppressing Sensitive Info From Free Text
John, In this use case, the record is not held by the health care site where the patient's confidential information is secure and private, but in a community repository operated by a Regional Health Information Organization (RHIO). Operating edge proxies which host access to uploaded copies of patient records, the RHIO seeks an appropriate compromise between routine access to patient health data and protection of sensitive information. Unfortunately, the originating records combine both routine and sensitive patient information in a monolithic free text format, hence the search for an appropriate NLP scrubbing step prior to export. Did I answer your question? With best regards, [wr] - - - - - - - - On Mar 4, 2007, at 1:01 PM, JohnLeo Zimmer, MD wrote: Will Ross wrote: I'm looking for a tool to suppress sensitive information (e.g., HIV status, etc.) from free text clinical notes prior to allowing the notes to be published from a protected, physician-only area into general circulation patient records for the clinic. Will, Could you give a little more information on the structure of such a clinic? I am not aware of any practices with a protected, physician-only area more sheltered than general circulation. Once I produce my part of a record it is available to other physicians, nurses, scheduling and billing folk. Confidentiality requires the whole team to protect sensitive information. How will a general circulation patient record be used? Further: There are difficulties far beyond the obvious risk of something slipping through in free text. Take the HIV example: A medication list could contain medications used only for HIV. (Likewise an allergy list referring to any such a medication.) Diagnoses that herald underlying HIV infection would have to be caught. Likewise laboratory testing, such as CD4 counts, X-ray diagnoses, pathology reports. Specialty clinics that a patient may be referred to (and references to any reports from such sources). Unless the record is very impoverished to begin with, it will probably be leaky by its very nature. Effort might be better spent at educating the entire staff on their ethical responsibilities. Technology could be useful for detecting inappropriate patterns of use. jlz Yahoo! Groups Sponsor ~-- Yahoo! Groups gets a make over. See the new email design. http://us.click.yahoo.com/hOt0.A/lOaOAA/yQLSAA/W4wwlB/TM ~- Yahoo! Groups Links [wr] - - - - - - - - will ross chief information officer mendocino health records exchange 216 west perkins street, suite 206 ukiah, california 95482 usa 707.462.6369 [office] 707.462.5015 [fax] www.mendocinohre.org - - - - - - - - Getting people to adopt common standards is impeded by patents. Sir Tim Berners-Lee, BCS, 2006 - - - - - - - -
Re: [openhealth] Suppressing Sensitive Info From Free Text
Will Ross wrote: John, In this use case, the record is not held by the health care site where the patient's confidential information is secure and private, but in a community repository operated by a Regional Health Information Organization (RHIO). Operating edge proxies which host access to uploaded copies of patient records, the RHIO seeks an appropriate compromise between routine access to patient health data and protection of sensitive information. Unfortunately, the originating records combine both routine and sensitive patient information in a monolithic free text format, hence the search for an appropriate NLP scrubbing step prior to export. Did I answer your question? Thank you for your response, Will. I fear I am being intentionally obtuse. But I get stuck at this distinction between routine access and sensitive information. Perhaps the RHIO gets to define the distinction? I think others have pointed out that one person may consider information sensitive that another may regard as routine, or even public. I will withdraw to learn more about the RHIO. :-) regards, JohnLeoZ
Re: [openhealth] Suppressing Sensitive Info From Free Text
Will, It is not a good idea to have sensitive information in free text. If you do, it should not go to general circulation, right? How can one extract such info from free text? One way is to remove such words from free text files using a macro of some sort. FInd and replace can be used to remove words like HIV with a blank? There cannot be an automated solution to this, unless it is cutting edge! ( ..or so we like to think to cover our ignorance!) I wonder if we have adequate knowledge as to what constitutes sensitive information to patients. A good study is needed Nandalal --- Fred Trotter [EMAIL PROTECTED] wrote: Will, I am confused too. Wouldnt such a technology have to be turning test capable? Are you looking for something that can search Free Text make a determination if it is related to HIV, and then catagorize the whole text as related to HIV? Or are you looking for something that is capable of allowing the rest of the note to pass through, and only eliminate the portions relating to HIV. (which seems much harder). Could you give an example of how your application might work? -FT On 3/2/07, Will Ross [EMAIL PROTECTED] wrote: I'm looking for a tool to suppress sensitive information (e.g., HIV status, etc.) from free text clinical notes prior to allowing the notes to be published from a protected, physician-only area into general circulation patient records for the clinic. What existing FOSS solutions are available? With best regards, [wr] - - - - - - - - will ross chief information officer mendocino health records exchange 216 west perkins street, suite 206 ukiah, california 95482 usa 707.462.6369 [office] 707.462.5015 [fax] www.mendocinohre.org - - - - - - - - Getting people to adopt common standards is impeded by patents. Sir Tim Berners-Lee, BCS, 2006 - - - - - - - - Yahoo! Groups Links -- Fred Trotter http://www.fredtrotter.com [Non-text portions of this message have been removed] It's here! Your new message! Get new email alerts with the free Yahoo! Toolbar. http://tools.search.yahoo.com/toolbar/features/mail/
Re: [openhealth] Suppressing Sensitive Info From Free Text
Thanks Ross! Due to your question i have come to know the present state of text mining and NLP. These will give you your solution I guess. http://portal.acm.org/citation.cfm?id=1089824dl=acmcoll=CFID=15151515CFTOKEN=6184618 nandalal --- Will Ross [EMAIL PROTECTED] wrote: Dear 80n, This is, in fact, the use case in discussion. Assume the patient has agreed to suppress detail x from circulation beyond his/her physician's eyes in the local free text based records system. What are the best FOSS tools to publish to the general circulation records environment a correctly edited version of a text file? With best regards, [wr] - - - - - - - - On Mar 2, 2007, at 4:08 PM, 80n wrote: Will The only acceptable answer would be Maury's option 3. The patient decides. Anything else would be be inappropriate. And not just HIV status. The patient, and only the patient, should have the right to determine who has access to anything that the patient might consider sensitive. And only the patient can determine what is or is not sensitive. 80n On 3/2/07, Will Ross [EMAIL PROTECTED] wrote: I'm looking for a tool to suppress sensitive information (e.g., HIV status, etc.) from free text clinical notes prior to allowing the notes to be published from a protected, physician-only area into general circulation patient records for the clinic. What existing FOSS solutions are available? With best regards, [wr] - - - - - - - - will ross chief information officer mendocino health records exchange 216 west perkins street, suite 206 ukiah, california 95482 usa 707.462.6369 [office] 707.462.5015 [fax] www.mendocinohre.org - - - - - - - - Getting people to adopt common standards is impeded by patents. Sir Tim Berners-Lee, BCS, 2006 - - - - - - - - [Non-text portions of this message have been removed] Yahoo! Groups Sponsor ~-- Yahoo! Groups gets a make over. See the new email design. http://us.click.yahoo.com/hOt0.A/lOaOAA/yQLSAA/W4wwlB/TM ~- Yahoo! Groups Links [wr] - - - - - - - - will ross chief information officer mendocino health records exchange 216 west perkins street, suite 206 ukiah, california 95482 usa 707.462.6369 [office] 707.462.5015 [fax] www.mendocinohre.org - - - - - - - - Getting people to adopt common standards is impeded by patents. Sir Tim Berners-Lee, BCS, 2006 - - - - - - - - The fish are biting. Get more visitors on your site using Yahoo! Search Marketing. http://searchmarketing.yahoo.com/arp/sponsoredsearch_v2.php
Re: [openhealth] Suppressing Sensitive Info From Free Text
Will Ross wrote: I'm looking for a tool to suppress sensitive information (e.g., HIV status, etc.) from free text clinical notes prior to allowing the notes to be published from a protected, physician-only area into general circulation patient records for the clinic. What existing FOSS solutions are available? As automation ... I think this is regarded everywhere as a hard problem. In the UK I believe it would be generally regarded as if not actually impossible, at least unfeasibly hard by a very large margin. As semi-automation, presenting line after line to a human, and offering hints I suppose there is scope. If HIV status is held as a code or information in a field, then this would just be a reporting problem, but one can't rely on it not being repeated in the free text, clinical info echoed back in lab results etc. Difficult. On the question of patients and confidentiality, the (Ross) Anderson Guidelines as published in the BMJ some years ago are probably good. -- A
Re: [openhealth] Suppressing Sensitive Info From Free Text
If one uses a structured report along the lines of the ASTM CCR, then I think it would be relatively easy to remove the sensitive information, since all of the data would be tagged. Dave Nandalal Gunaratne wrote: Will, It is not a good idea to have sensitive information in free text. If you do, it should not go to general circulation, right? How can one extract such info from free text? One way is to remove such words from free text files using a macro of some sort. FInd and replace can be used to remove words like HIV with a blank? There cannot be an automated solution to this, unless it is cutting edge! ( ..or so we like to think to cover our ignorance!) I wonder if we have adequate knowledge as to what constitutes sensitive information to patients. A good study is needed Nandalal --- Fred Trotter [EMAIL PROTECTED] wrote: Will, I am confused too. Wouldnt such a technology have to be turning test capable? Are you looking for something that can search Free Text make a determination if it is related to HIV, and then catagorize the whole text as related to HIV? Or are you looking for something that is capable of allowing the rest of the note to pass through, and only eliminate the portions relating to HIV. (which seems much harder). Could you give an example of how your application might work? -FT On 3/2/07, Will Ross [EMAIL PROTECTED] wrote: I'm looking for a tool to suppress sensitive information (e.g., HIV status, etc.) from free text clinical notes prior to allowing the notes to be published from a protected, physician-only area into general circulation patient records for the clinic. What existing FOSS solutions are available? With best regards, [wr] - - - - - - - - will ross chief information officer mendocino health records exchange 216 west perkins street, suite 206 ukiah, california 95482 usa 707.462.6369 [office] 707.462.5015 [fax] www.mendocinohre.org - - - - - - - - Getting people to adopt common standards is impeded by patents. Sir Tim Berners-Lee, BCS, 2006 - - - - - - - - Yahoo! Groups Links -- Fred Trotter http://www.fredtrotter.com
Re: [openhealth] Suppressing Sensitive Info From Free Text
Nandalal, I believe you are exactly right. In the case of this interesting problem the key issue is to identify the appropriate middleware services to safely expose legacy patient data. This is a different problem from the opportunity to create structured and coded data as new systems with rich onboard permissions and are brought on line. With best regards, [wr] - - - - - - - - On Mar 3, 2007, at 2:02 AM, Nandalal Gunaratne wrote: Thanks Ross! Due to your question i have come to know the present state of text mining and NLP. These will give you your solution I guess. http://portal.acm.org/citation.cfm? id=1089824dl=acmcoll=CFID=15151515CFTOKEN=6184618 nandalal --- Will Ross [EMAIL PROTECTED] wrote: Dear 80n, This is, in fact, the use case in discussion. Assume the patient has agreed to suppress detail x from circulation beyond his/her physician's eyes in the local free text based records system. What are the best FOSS tools to publish to the general circulation records environment a correctly edited version of a text file? With best regards, [wr] - - - - - - - - On Mar 2, 2007, at 4:08 PM, 80n wrote: Will The only acceptable answer would be Maury's option 3. The patient decides. Anything else would be be inappropriate. And not just HIV status. The patient, and only the patient, should have the right to determine who has access to anything that the patient might consider sensitive. And only the patient can determine what is or is not sensitive. 80n On 3/2/07, Will Ross [EMAIL PROTECTED] wrote: I'm looking for a tool to suppress sensitive information (e.g., HIV status, etc.) from free text clinical notes prior to allowing the notes to be published from a protected, physician-only area into general circulation patient records for the clinic. What existing FOSS solutions are available? With best regards, [wr] - - - - - - - - will ross chief information officer mendocino health records exchange 216 west perkins street, suite 206 ukiah, california 95482 usa 707.462.6369 [office] 707.462.5015 [fax] www.mendocinohre.org - - - - - - - - Getting people to adopt common standards is impeded by patents. Sir Tim Berners-Lee, BCS, 2006 - - - - - - - - [Non-text portions of this message have been removed] Yahoo! Groups Sponsor ~-- Yahoo! Groups gets a make over. See the new email design. http://us.click.yahoo.com/hOt0.A/lOaOAA/yQLSAA/W4wwlB/TM ~- Yahoo! Groups Links [wr] - - - - - - - - will ross chief information officer mendocino health records exchange 216 west perkins street, suite 206 ukiah, california 95482 usa 707.462.6369 [office] 707.462.5015 [fax] www.mendocinohre.org - - - - - - - - Getting people to adopt common standards is impeded by patents. Sir Tim Berners-Lee, BCS, 2006 - - - - - - - - __ __ The fish are biting. Get more visitors on your site using Yahoo! Search Marketing. http://searchmarketing.yahoo.com/arp/sponsoredsearch_v2.php Yahoo! Groups Sponsor ~-- Something is new at Yahoo! Groups. Check out the enhanced email design. http://us.click.yahoo.com/kOt0.A/gOaOAA/yQLSAA/W4wwlB/TM ~- Yahoo! Groups Links [wr] - - - - - - - - will ross chief information officer mendocino health records exchange 216 west perkins street, suite 206 ukiah, california 95482 usa 707.462.6369 [office] 707.462.5015 [fax] www.mendocinohre.org - - - - - - - - Getting people to adopt common standards is impeded by patents. Sir Tim Berners-Lee, BCS, 2006 - - - - - - - -
Re: [openhealth] Suppressing Sensitive Info From Free Text
You may find the patient de-identifcation features of this project interesting: http://www.mii.ucla.edu/index.php/MainSite:NLPHome -Original Message- From: [EMAIL PROTECTED] To: openhealth@yahoogroups.com Sent: Sat, 3 Mar 2007 11:31 AM Subject: Re: [openhealth] Suppressing Sensitive Info From Free Text Nandalal, I believe you are exactly right. In the case of this interesting problem the key issue is to identify the appropriate middleware services to safely expose legacy patient data. This is a different problem from the opportunity to create structured and coded data as new systems with rich onboard permissions and are brought on line. With best regards, [wr] - - - - - - - - On Mar 3, 2007, at 2:02 AM, Nandalal Gunaratne wrote: Thanks Ross! Due to your question i have come to know the present state of text mining and NLP. These will give you your solution I guess. http://portal.acm.org/citation.cfm? id=1089824dl=acmcoll=CFID=15151515CFTOKEN=6184618 nandalal --- Will Ross [EMAIL PROTECTED] wrote: Dear 80n, This is, in fact, the use case in discussion. Assume the patient has agreed to suppress detail x from circulation beyond his/her physician's eyes in the local free text based records system. What are the best FOSS tools to publish to the general circulation records environment a correctly edited version of a text file? With best regards, [wr] - - - - - - - - On Mar 2, 2007, at 4:08 PM, 80n wrote: Will The only acceptable answer would be Maury's option 3. The patient decides. Anything else would be be inappropriate. And not just HIV status. The patient, and only the patient, should have the right to determine who has access to anything that the patient might consider sensitive. And only the patient can determine what is or is not sensitive. 80n On 3/2/07, Will Ross [EMAIL PROTECTED] wrote: I'm looking for a tool to suppress sensitive information (e.g., HIV status, etc.) from free text clinical notes prior to allowing the notes to be published from a protected, physician-only area into general circulation patient records for the clinic. What existing FOSS solutions are available? With best regards, [wr] - - - - - - - - will ross chief information officer mendocino health records exchange 216 west perkins street, suite 206 ukiah, california 95482 usa 707.462.6369 [office] 707.462.5015 [fax] www.mendocinohre.org - - - - - - - - Getting people to adopt common standards is impeded by patents. Sir Tim Berners-Lee, BCS, 2006 - - - - - - - - [Non-text portions of this message have been removed] Yahoo! Groups Sponsor ~-- Yahoo! Groups gets a make over. See the new email design. http://us.click.yahoo.com/hOt0.A/lOaOAA/yQLSAA/W4wwlB/TM -- ~- Yahoo! Groups Links [wr] - - - - - - - - will ross chief information officer mendocino health records exchange 216 west perkins street, suite 206 ukiah, california 95482 usa 707.462.6369 [office] 707.462.5015 [fax] www.mendocinohre.org - - - - - - - - Getting people to adopt common standards is impeded by patents. Sir Tim Berners-Lee, BCS, 2006 - - - - - - - - __ __ The fish are biting. Get more visitors on your site using Yahoo! Search Marketing. http://searchmarketing.yahoo.com/arp/sponsoredsearch_v2.php Yahoo! Groups Sponsor ~-- Something is new at Yahoo! Groups. Check out the enhanced email design. http://us.click.yahoo.com/kOt0.A/gOaOAA/yQLSAA/W4wwlB/TM -- ~- Yahoo! Groups Links [wr] - - - - - - - - will ross chief information officer mendocino health records exchange 216 west perkins street, suite 206 ukiah, california 95482 usa 707.462.6369 [office] 707.462.5015 [fax] www.mendocinohre.org - - - - - - - - Getting people to adopt common standards is impeded by patents. Sir Tim Berners-Lee, BCS, 2006 - - - - - - - - Check Out the new free AIM(R) Mail -- 2 GB of storage and industry-leading spam and email virus protection. [Non-text portions of this message have been removed]
Re: [openhealth] Suppressing Sensitive Info From Free Text
can-of-worms 1. How good does it have to be? Is 5% leakage of sensitive information OK? 2. Another view: ALL of the information is sensitive. 3. Another view: The patient MUST have input as to who can see what. /can-of-worms - Original Message - From: Will Ross To: openhealth@yahoogroups.com Sent: Friday, March 02, 2007 10:58 AM Subject: [openhealth] Suppressing Sensitive Info From Free Text I'm looking for a tool to suppress sensitive information (e.g., HIV status, etc.) from free text clinical notes prior to allowing the notes to be published from a protected, physician-only area into general circulation patient records for the clinic. What existing FOSS solutions are available? With best regards, [wr] - - - - - - - - will ross chief information officer mendocino health records exchange 216 west perkins street, suite 206 ukiah, california 95482 usa 707.462.6369 [office] 707.462.5015 [fax] www.mendocinohre.org - - - - - - - - Getting people to adopt common standards is impeded by patents. Sir Tim Berners-Lee, BCS, 2006 - - - - - - - - [Non-text portions of this message have been removed]
Re: [openhealth] Suppressing Sensitive Info From Free Text
Will, I am confused too. Wouldnt such a technology have to be turning test capable? Are you looking for something that can search Free Text make a determination if it is related to HIV, and then catagorize the whole text as related to HIV? Or are you looking for something that is capable of allowing the rest of the note to pass through, and only eliminate the portions relating to HIV. (which seems much harder). Could you give an example of how your application might work? -FT On 3/2/07, Will Ross [EMAIL PROTECTED] wrote: I'm looking for a tool to suppress sensitive information (e.g., HIV status, etc.) from free text clinical notes prior to allowing the notes to be published from a protected, physician-only area into general circulation patient records for the clinic. What existing FOSS solutions are available? With best regards, [wr] - - - - - - - - will ross chief information officer mendocino health records exchange 216 west perkins street, suite 206 ukiah, california 95482 usa 707.462.6369 [office] 707.462.5015 [fax] www.mendocinohre.org - - - - - - - - Getting people to adopt common standards is impeded by patents. Sir Tim Berners-Lee, BCS, 2006 - - - - - - - - Yahoo! Groups Links -- Fred Trotter http://www.fredtrotter.com [Non-text portions of this message have been removed]
Re: [openhealth] Suppressing Sensitive Info From Free Text
On 3/2/07, Will Ross [EMAIL PROTECTED] wrote: I'm looking for a tool to suppress sensitive information (e.g., HIV status, etc.) from free text clinical notes Will: In general, this falls under a number of natural language processing tools and specific steps toward tokenizing, chunking, part-of-speech tagging, classifying (e.g. to vocabularies or concept identifiers), matching, anonymizing/de-identifying, etc. The two tools I've worked with a little in the past are: 1) GATE - General Architecture for Text Engineering, developed at the University of Sheffield NLP group in the UK http://gate.ac.uk/ 2) Project DIAsDEM and the DIAsDEM workbench developed by a great group, including Karsten Winkler, in Germany http://wwwiti.cs.uni-magdeburg.de/~graubitz/diasdem/ These more are less are a suite of tools containing a number of individual components to perform the various NLP tasks, in some sequence (steps can be recorded and set as a macro or batch) and with customization for using language specific knowledge bases (e.g. names derived from a US Census database) or UMLS concept identifiers. A couple of example projects using these kinds of tools is the caTIES application (http://caties.cabig.upmc.edu/index.html) for extraction and classification of free text pathology reports and the RODS biosurveillance application, also from the Univ of Pittsburgh (http://openrods.sourceforge.net/), that takes free text and ICD-9 data for syndromic classification. A specific NLP approach to HIV/AIDS notes performed at Columbia is here (the MedLEE or Medical Language Processing): http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1480114 ~ Stuart -- Dr. Stuart Turner Health Informatics Graduate Program and Biomedical Informatics Research Consulting Service University of California Davis Health System http://www.ucdmc.ucdavis.edu/informatics http://www.ucdmc.ucdavis.edu/bircs UCDHS-ASB 2450 48th St, Suite 2685 Sacramento, CA 95817 916.734.3857 (voice) | 916.734.3975 (fax) 916.873.4325 (cell) | stuart.turner.ucdavis (Skype)
Re: [openhealth] Suppressing Sensitive Info From Free Text
Will The only acceptable answer would be Maury's option 3. The patient decides. Anything else would be be inappropriate. And not just HIV status. The patient, and only the patient, should have the right to determine who has access to anything that the patient might consider sensitive. And only the patient can determine what is or is not sensitive. 80n On 3/2/07, Will Ross [EMAIL PROTECTED] wrote: I'm looking for a tool to suppress sensitive information (e.g., HIV status, etc.) from free text clinical notes prior to allowing the notes to be published from a protected, physician-only area into general circulation patient records for the clinic. What existing FOSS solutions are available? With best regards, [wr] - - - - - - - - will ross chief information officer mendocino health records exchange 216 west perkins street, suite 206 ukiah, california 95482 usa 707.462.6369 [office] 707.462.5015 [fax] www.mendocinohre.org - - - - - - - - Getting people to adopt common standards is impeded by patents. Sir Tim Berners-Lee, BCS, 2006 - - - - - - - - [Non-text portions of this message have been removed]
Re: [openhealth] Suppressing Sensitive Info From Free Text
Agreed. Such an action would at least have to have approval of a local HIPAA board. How would one prove it is reliable at removing protected information? If it is an algorithm, the algorithm would need local approval. Dave Maury Pepper wrote: can-of-worms 1. How good does it have to be? Is 5% leakage of sensitive information OK? 2. Another view: ALL of the information is sensitive. 3. Another view: The patient MUST have input as to who can see what. /can-of-worms - Original Message - From: Will Ross To: openhealth@yahoogroups.com Sent: Friday, March 02, 2007 10:58 AM Subject: [openhealth] Suppressing Sensitive Info From Free Text I'm looking for a tool to suppress sensitive information (e.g., HIV status, etc.) from free text clinical notes prior to allowing the notes to be published from a protected, physician-only area into general circulation patient records for the clinic. What existing FOSS solutions are available? With best regards, [wr] - - - - - - - - will ross chief information officer mendocino health records exchange 216 west perkins street, suite 206 ukiah, california 95482 usa 707.462.6369 [office] 707.462.5015 [fax] www.mendocinohre.org - - - - - - - - Getting people to adopt common standards is impeded by patents. Sir Tim Berners-Lee, BCS, 2006 - - - - - - - -
Re: [openhealth] Suppressing Sensitive Info From Free Text
Dear 80n, This is, in fact, the use case in discussion. Assume the patient has agreed to suppress detail x from circulation beyond his/her physician's eyes in the local free text based records system. What are the best FOSS tools to publish to the general circulation records environment a correctly edited version of a text file? With best regards, [wr] - - - - - - - - On Mar 2, 2007, at 4:08 PM, 80n wrote: Will The only acceptable answer would be Maury's option 3. The patient decides. Anything else would be be inappropriate. And not just HIV status. The patient, and only the patient, should have the right to determine who has access to anything that the patient might consider sensitive. And only the patient can determine what is or is not sensitive. 80n On 3/2/07, Will Ross [EMAIL PROTECTED] wrote: I'm looking for a tool to suppress sensitive information (e.g., HIV status, etc.) from free text clinical notes prior to allowing the notes to be published from a protected, physician-only area into general circulation patient records for the clinic. What existing FOSS solutions are available? With best regards, [wr] - - - - - - - - will ross chief information officer mendocino health records exchange 216 west perkins street, suite 206 ukiah, california 95482 usa 707.462.6369 [office] 707.462.5015 [fax] www.mendocinohre.org - - - - - - - - Getting people to adopt common standards is impeded by patents. Sir Tim Berners-Lee, BCS, 2006 - - - - - - - - [Non-text portions of this message have been removed] Yahoo! Groups Sponsor ~-- Yahoo! Groups gets a make over. See the new email design. http://us.click.yahoo.com/hOt0.A/lOaOAA/yQLSAA/W4wwlB/TM ~- Yahoo! Groups Links [wr] - - - - - - - - will ross chief information officer mendocino health records exchange 216 west perkins street, suite 206 ukiah, california 95482 usa 707.462.6369 [office] 707.462.5015 [fax] www.mendocinohre.org - - - - - - - - Getting people to adopt common standards is impeded by patents. Sir Tim Berners-Lee, BCS, 2006 - - - - - - - -
Re: [openhealth] Suppressing Sensitive Info From Free Text
That is the reason for the patient consent in the HIPAA regulations. In my opinion, the patient would need to review the data to approve its release. The usual escape clause is for the data to be used in the normal care of the patient But if it is for some other purpose, then it needs specific patient consent. But a local HIPAA board should be able to provide more precise guidance. The general accurate suppression of sensitive information would seem to me to be impossible. Dave 80n wrote: Will The only acceptable answer would be Maury's option 3. The patient decides. Anything else would be be inappropriate. And not just HIV status. The patient, and only the patient, should have the right to determine who has access to anything that the patient might consider sensitive. And only the patient can determine what is or is not sensitive. 80n On 3/2/07, Will Ross [EMAIL PROTECTED] wrote: I'm looking for a tool to suppress sensitive information (e.g., HIV status, etc.) from free text clinical notes prior to allowing the notes to be published from a protected, physician-only area into general circulation patient records for the clinic. What existing FOSS solutions are available? With best regards, [wr] - - - - - - - - will ross chief information officer mendocino health records exchange 216 west perkins street, suite 206 ukiah, california 95482 usa 707.462.6369 [office] 707.462.5015 [fax] www.mendocinohre.org - - - - - - - - Getting people to adopt common standards is impeded by patents. Sir Tim Berners-Lee, BCS, 2006 - - - - - - - -
