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Critical to the successful implementation of an integrated EHR-public health immunization system is the standardization of data content and exchange, unique identifiers, data flow, and privacy and security requirements [ 13]; it would be prudent for these standards to be considered now as the development of many EHRs across the country is still in its infancy and the architecture is malleable.
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In the absence of a unique identifier, data linkage is carried out using demographic information such as name, date of birth and address.
In addition, stripping data of unique identifiers and data control procedures are practices that help maintain confidentiality and should be adopted universally [ 22].
When devices connect, stingrays can harvest MAC addresses and other unique identifiers and data, as well as location information.
Each person in the study area has a unique identifier and data from hospital admissions is individually linked to the census data.
A gold-standard dataset was created through deterministic linkage of unique identifiers in admission data from two hospitals and infection data recorded at the hospital laboratories (original data).
Specifically, patients were identified in the physicians' claims and hospital discharge summary databases using scrambled Medicare numbers as a unique identifier, while data on infant deaths and stillbirths were delivered to us in the form of annual and monthly statistics rounded to a multiple of five.
At this point, other than the unique identifiers from both data sources (hand search and on-line data), none of the other matching information (journal name, journal issue, etc) was relevant to the computations.
The imported data are stored with the provider's original unique identifiers to enable data synchronization.
Unique identifiers and biometric data may help trace patients, but confidentiality must be safeguarded.
Individual patient identifiers were replaced with study-specific, encrypted unique identifiers before the data were made available for analysis.
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