{"id":1590,"date":"2022-02-22T10:53:53","date_gmt":"2022-02-22T15:53:53","guid":{"rendered":"https:\/\/labs.icahn.mssm.edu\/msdw\/?page_id=1590"},"modified":"2024-09-03T17:13:19","modified_gmt":"2024-09-03T21:13:19","slug":"protected-patient-categories","status":"publish","type":"page","link":"https:\/\/labs.icahn.mssm.edu\/msdw\/about-us\/protected-patient-categories\/","title":{"rendered":"Protected Patient Categories"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;section&#8221; _builder_version=&#8221;3.22&#8243;][et_pb_row admin_label=&#8221;row&#8221; _builder_version=&#8221;4.9.0&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; custom_padding=&#8221;||0px||false|false&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Breadcrumb&#8221; _builder_version=&#8221;4.9.0&#8243; _module_preset=&#8221;default&#8221;]<\/p>\n<p><a href=\"https:\/\/labs.icahn.mssm.edu\/minervalab\/scientific-computing-and-data\">Scientific Computing and Data<\/a>\u00a0\/\u00a0<a href=\"https:\/\/labs.icahn.mssm.edu\/msdw\">Mount Sinai Data Warehouse<\/a> \/ <a href=\"https:\/\/labs.icahn.mssm.edu\/msdw\/about-us\/\">About MSDW<\/a> \/ Protected Patient Categories<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Protected Patients Content&#8221; _builder_version=&#8221;4.9.0&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;|700|||||||&#8221; header_text_color=&#8221;#221f72&#8243; header_2_text_color=&#8221;#00aeef&#8221; header_2_font_size=&#8221;24px&#8221;]<\/p>\n<h1>Protected Patient Information<\/h1>\n<p>In compliance with HIPAA privacy and security, all data queries exclude the following protected patient categories:<\/p>\n<ul>\n<li><strong>Special Status Patients:<\/strong> these patients include celebrities and public figures, Mount Sinai employees, providers, board members, donors, VIPs, and the family members of these patients.<\/li>\n<li><strong>Substance Use Disorder Patients:<\/strong> these patients are individuals who have received substance use disorder treatment at a facility or clinic that receives federal funds under the <a href=\"https:\/\/www.law.cornell.edu\/cfr\/text\/42\/part-2\" target=\"_blank\" rel=\"noopener noreferrer\" data-auth=\"NotApplicable\" data-linkindex=\"0\">42 CFR Part 2<\/a> law.<\/li>\n<li><strong>Community Connect Patients:\u00a0<\/strong>these patients have seen Mount Sinai providers and also seen independent practices participating in the Mount Sinai Health Partners (MSHP) Clinically Integrated Network, but data from independent practices are excluded.<\/li>\n<\/ul>\n<p>These records are excluded from de-identified OMOP data sets and from PHI data sets unless explicitly approved by the investigator\u2019s IRB (42 CFR Part 46).<\/p>\n<p>&nbsp;<\/p>\n<h2>Data Exclusions<\/h2>\n<table width=\"1021\">\n<tbody>\n<tr style=\"background-color: #00aeef\">\n<td width=\"47\">\u00a0<\/td>\n<td width=\"388\">\u00a0<\/td>\n<td width=\"156\">\u00a0<\/td>\n<td colspan=\"2\" width=\"430\"><strong>Exclusion Authority<\/strong><\/td>\n<\/tr>\n<tr style=\"background-color: #00aeef\">\n<td>\u00a0<\/td>\n<td width=\"388\"><strong>Protected Category<\/strong><\/td>\n<td><strong>OMOP Tables<\/strong><\/td>\n<td><strong>Identified OMOP<\/strong><\/td>\n<td><strong>De-identified OMOP<\/strong><\/td>\n<\/tr>\n<tr>\n<td>1<\/td>\n<td width=\"388\">Special status patients (employees, providers, VIPs, etc.)<\/td>\n<td>&lt;all tables&gt;<\/td>\n<td width=\"215\">Mount Sinai policy<\/td>\n<td width=\"215\">Mount Sinai policy<\/td>\n<\/tr>\n<tr>\n<td>2<\/td>\n<td width=\"388\">Patients treated at a clinic subject to 42 CFR Part 2<\/td>\n<td>&lt;all tables&gt;<\/td>\n<td width=\"215\"><a href=\"https:\/\/www.law.cornell.edu\/cfr\/text\/42\/part-2\">Federal 42 CFR Part 2<\/a><\/td>\n<td width=\"215\"><a href=\"https:\/\/www.law.cornell.edu\/cfr\/text\/42\/part-2\">Federal 42 CFR Part 2<\/a><\/td>\n<\/tr>\n<tr>\n<td>3<\/td>\n<td width=\"388\">Epic Community Connect (&#8220;VEMR&#8221;) patients not shared with Mount Sinai<\/td>\n<td>&lt;all tables&gt;<\/td>\n<td width=\"215\">Mount Sinai legal agreement<\/td>\n<td width=\"215\">Mount Sinai legal agreement<\/td>\n<\/tr>\n<tr>\n<td>4<\/td>\n<td width=\"388\">Epic Community Connect (&#8220;VEMR&#8221;) encounters and other records<\/td>\n<td>&lt;all tables&gt;<\/td>\n<td width=\"215\">Mount Sinai legal agreement<\/td>\n<td width=\"215\">Mount Sinai legal agreement<\/td>\n<\/tr>\n<tr>\n<td>5<\/td>\n<td width=\"388\">PHI data elements (including dates)<\/td>\n<td>&lt;all tables&gt;<\/td>\n<td>&lt;not excluded&gt;<\/td>\n<td><a href=\"https:\/\/www.law.cornell.edu\/cfr\/text\/45\/164.514\">HIPAA 45 CFR 164.514<\/a><\/td>\n<\/tr>\n<tr>\n<td>6<\/td>\n<td width=\"388\">Patient addresses<\/td>\n<td>location<\/td>\n<td>&lt;not excluded&gt;<\/td>\n<td><a href=\"https:\/\/www.law.cornell.edu\/cfr\/text\/45\/164.514\">HIPAA 45 CFR 164.514<\/a><\/td>\n<\/tr>\n<tr>\n<td>7<\/td>\n<td width=\"388\">Clinical notes (including lab, pathology &amp; imaging reports)<\/td>\n<td>note<\/td>\n<td>&lt;not excluded&gt;<\/td>\n<td><a href=\"https:\/\/www.law.cornell.edu\/cfr\/text\/45\/164.514\">HIPAA 45 CFR 164.514 **<\/a><\/td>\n<\/tr>\n<tr>\n<td>8<\/td>\n<td width=\"388\">Clinical notes marked as sensitive in Epic (e.g., some psychiatry notes)<\/td>\n<td>note<\/td>\n<td width=\"215\">Mount Sinai policy<\/td>\n<td width=\"215\">Mount Sinai policy<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>** Unable to de-identify text (i.e., &#8220;unstructured&#8221; or &#8220;free-text&#8221;) clinical notes<\/p>\n<p>&nbsp;<\/p>\n<h2>De-Identified OMOP Data<\/h2>\n<p>Our OMOP data has been de-identified using Hripcsak&#8217;s Shift-and-Truncate (SANT) method, which obscures date information by shifting and truncating all dates within a patient record. Read more: Hripcsak et al. \u201cPreserving temporal relations in clinical data while maintaining privacy,\u201d <a href=\"https:\/\/doi.org\/10.1093\/jamia\/ocw001\">doi:10.193\/jamia\/ocw001<\/a>.<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Scientific Computing and Data\u00a0\/\u00a0Mount Sinai Data Warehouse \/ About MSDW \/ Protected Patient CategoriesProtected Patient Information In compliance with HIPAA privacy and security, all data queries exclude the following protected patient categories: Special Status Patients: these patients include celebrities and public figures, Mount Sinai employees, providers, board members, donors, VIPs, and the family members of [&hellip;]<\/p>\n","protected":false},"author":600,"featured_media":0,"parent":441,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-1590","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/labs.icahn.mssm.edu\/msdw\/wp-json\/wp\/v2\/pages\/1590","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/labs.icahn.mssm.edu\/msdw\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/labs.icahn.mssm.edu\/msdw\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/labs.icahn.mssm.edu\/msdw\/wp-json\/wp\/v2\/users\/600"}],"replies":[{"embeddable":true,"href":"https:\/\/labs.icahn.mssm.edu\/msdw\/wp-json\/wp\/v2\/comments?post=1590"}],"version-history":[{"count":29,"href":"https:\/\/labs.icahn.mssm.edu\/msdw\/wp-json\/wp\/v2\/pages\/1590\/revisions"}],"predecessor-version":[{"id":3217,"href":"https:\/\/labs.icahn.mssm.edu\/msdw\/wp-json\/wp\/v2\/pages\/1590\/revisions\/3217"}],"up":[{"embeddable":true,"href":"https:\/\/labs.icahn.mssm.edu\/msdw\/wp-json\/wp\/v2\/pages\/441"}],"wp:attachment":[{"href":"https:\/\/labs.icahn.mssm.edu\/msdw\/wp-json\/wp\/v2\/media?parent=1590"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}