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These instructions have been created to provide general guidance to researchers seeking services from the DHS Informatics &

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Analytics Core Facility.

1. Request IRB Approval and Receive a DHS Categorization Score (See Data Access Requirements Table)

You will need to must obtain IRB approval (or determination of exemption) and a DHS, Research Oversight Board (ROB) Categorization Score, or DHS Level of Support. IRB approval is required for all datasets requesting protected health information, including contact information. 
You may need to contact the IRB to obtain your score if your IRB approval letter does not show a "DHS Alignment" score.  
Note that DHS requires a DHS-affilaited co-investigator on your study staff. This person will be responsible for compliance with DHS policies, including data transfer and access policies. Helpful Articles
IRB Help
DHS Categorization FrameworkIf the DHS Investigator(s) is a clinician at another DHS facility that is not LA General Hospital and a categorization score was not provided on the iStar IRB letter of approval, then the DHS Investigator must submit a request to the DHS Research Oversight Board for a categorization score.

IRB approval

• Required for all DHS data sets and patient counts.

• The investigator must be named and approved on the IRB protocol if an approved IRB protocol is necessary for data receipt.
  

DHS Categorization Score (also known as DHS Level of Support)

• Investigators requiring data for an IRB-approved protocol at LA General Hospital must also submit a request to the DHS Research Oversight Board for a categorization score if the score was not
  provided on the iStar IRB letter of approval.

• If an alignment score was not provided and you are a LA General Hospital Investigator, please file an amendment and be sure to indicate that you plan to view data from LA General Hospital Associated Locations (other DHS facilities) in iStar. This will trigger the ROB
  Categorization Score Process.
  

2. Submit a Request for Data to the DHS Helpdesk

Requests that leverage existing DHS data assets like i2b2 or DHS Reports can often be fast-tracked through navigation services that is supported by SC-CTSI. The Informatics Core facility also offers at-cost data services to research teams that do not already have an analyst that can write DHS reports or data extracts on their staff. 

A)

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The Investigator or Co-I with a county ID# should submit a request for access to an existing DHS data

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asset (Not i2b2) to helpdesk@dhs.lacounty.gov. The email to the county helpdesk should include the following information

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:

• The DHS "E" or "C" numbers of all IRB-approved study personnel in need of access to the data

• IRB Approval Documentation or IRB determination of exemption

• A written description of your study inclusions/exclusion criteria (for example: All DHS patients 18 and up with ICD-10 codes xx and xx AND have had xx procedure code from June 2018 to June 2019 at LA General Hospital only. Exclude minors and deceased patients)

• The name of your i2b2 query or DHS Report

  A copy of the i2b2 query dragged into your personal i2b2 workspace (if

  (If relevant)

If you wish to use data from i2b2, please fill out this form to request your i2b2 dataset, provided courtesy of UCLA CTSI: https://is.gd/sagei2b2. 

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If you **If you have a prospective study and are requesting access to an existing ORCHID report or ELM report, please  please include the information above in a ticket to the DHS helpdesk (helpdesk@dhs.lacounty.gov) - see below for details and how to complete forms.

***If you have already been in contact with the Informatics Core Team, please update your existing Cherwell ticket notifying us when the form is complete, so we can continue to ensure your dataset is delivered to your DHS Shared Folder. 

B) Submitting a request that

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is NOT

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based on an existing DHS data asset (new project)

Please submit an email request to the county help desk helpdesk@dhs.lacounty.gov and include the following:

• The subject line

  “Research

  “Enterprise Research Data Team - Data Request” and the IRB number

• DHS P.I. Name and Email

• The E or C numbers of all IRB approved study personnel in need of access to the data

• IRB Approval Documentation

• A written description of your study

  inclusions

  inclusion/exclusion criteria and a data dictionary document with the associated concepts you are seeking (i.e. MRNs, zip codes, vaccination data, etc.)

• If available, references to any existing reports in the DHS report library that are similar to your request

  . 

  • Please see step 7. Requesting access to an existing DHS report

• Complete and attach the Report Request Form found below 

3. Intake Consultation with the Informatics Team

Once your request is entered into Cherwell ( the DHS Helpdesk ticketing system), you will be contacted by the informatics DHS Informatics core for a phone data consultation to review the following:

• Discuss Data Sourcing

• DHS Categorization Score and IRB approval

• Potential Costs

• Timeline

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• (depending on the complexity of the data request)

• Timeline

4. Accessing DHS Remote Virtual Desktops

Your DHS-affiliated team member investigator should already have access to a DHS computer and/or Intranet in order to view DHS research data. If remote access is desired, please review the instructions for Accessing DHS Remote Desktops.

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5a. Mapping the Shared Drive Folder

The Informatics Core will create a shared drive folder on the DHS intranet for secure file transfer. The DHS Investigator will need to map this folder. This shared drive folder will be used for the transfer of incoming data and the delivery of outgoing data. If you have already provided your C# or E#, and have received notification from our staff that your folder is ready to be mapped, please follow these steps:

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5b. Incoming Data and Approval Documentation for the Informatics Team

Incoming Data Folder

As we collaborate on the data extraction, we the DHS Informatics Core will use the "Incoming" subfolder in the shared drive folder to make updates to the logic and data specifications you that was submitted with your original Helpdesk ticket. 

• If this is a new report, please include sample data (at least three patient records manually abstracted for validation) for your request.

• Updates to the data dictionary and any data collection/specification sheets that will help our team better understand and source your data request

  • Example of excel sheet with deliverable data elements here 

• When applicable, a list of the consented participants that define authorized patients.

• A sample extract of three patients

Approval Documentation Folder

Please drop the following items into your approval documentation Approval Documentation folder on the informatics shared drive subfolder.

• IRB Letter of Approval

• IRB Full Application

• Any Data Specification Sheets attached to your IRB Application

• Any amendment approval letters

• A Full copy of the approved amendment

6. Requesting access to an ELM data asset

If your project includes and ELM report, you will need to access the EAMO/Orchid Management advised that all request for ELM access for ELM access needs to have  ELM account an ELM account (not ORCHID account, coz its because it is different) and it’s a requirement to complete the  web-based training to get  ELM account. You must complete the web-based training to get an ELM account.

1. Login to Learning Net – with your hosted

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1. DHS username & password

2. On Catalog Search Widget, click on Advanced Search

3. Knowledge Base opens, for Delivery Type, click drop down and select Web

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1. -Based Training

2. On ID field enter 00454442

3. Click on Search Learning Catalog

4. Click Launch

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1. on ELM Analytic Training for Non-ORCHID Users.

The WBT does have a Proficiency Test, so please read all that pertains to the quiz. Also once completed with ELM Training either Once completed with ELM Training, you must open a ticket with completion certificate attach  or send us an email with certificate attach.

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the completion certificate attached and requesting access to the Data Discovery Tool.

7. Requesting access to an existing DHS report

Prospective studies with a DHS category score of 3 can leverage existing reports in the Report Library (follow instructions on searching, COVID projects may wish to sort by the most recent items to review for relevance if search terms do not surface what is needed) 

Please see the instructions below while using the DHS Intranet. Your DHS PI is responsible for compliance with DHS and HIPAA policy, including minimum necessary and IRB authorized PHI disclosure.  

Step 1 - go to the reports library or copy and paste link to the browser: https://lacounty.sharepoint.com/sites/dhs-orchid/SitePages/Reports-Library.aspx

Step 2: follow instructions on how to search (see an example for COVID report search and results) here

Step 3a: Review documentation, if it is a PowerInsight Report find the correct Report Category for the report(s) you would like (you will need this in the request form). Go to Step 4.

Step 3b: Review documentation, if it is a Discern report, you should be able to access the report with your DHS login from the Discern Portal link on the

• DHS Virtual Desktop "p0278 Discern Reporting Portal"

• ORCHID Icon → Reports Folder → Discern Reporting Portal → Login → Categories→ Published → <Report Category> →  <Report Name>

  • E.g. ORCHID Icon → Reports Folder → Discern Reporting Portal → Login → Categories→ Published → ED Urgent Care → Firstnet Times Log Report

Step 4: Attach the completed report access request form to your DHS helpdesk ticket. 

Step 5: We will route the request to the correct access control team.

Step 6: Access the report and verify the information is sufficient for chart review. 

Category 3 projects in need of new or enhanced reports may enlist services from the DHS Informatics Core using the recharge service as described in section 2

8. Requesting an i2b2 Account (Optional) 

Data requests are often structured first in i2b2. We will discuss if this is the right path during our consultation process. , depending on what specific data elements (i.e. medications) are requested for your data request. Please note that the DHS i2b2 is currently unable to add new users as of July 2022.

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For further assistance, please email cri@usc.edu.