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

A DHS-affiliated Investigator or co-investigator is required on your study staff and as the requestor of the research data set.

This person will be responsible for compliance with DHS policies, including data transfer and access policies. For all data request types,
the DHS Investigator must have a county ID number that begins with E or C. If the researcher does not have an E or C number, they must
enlist the partnership or a DHS investigator with DHS affiliation, even for aggregate patient counts.

Scheduling a Navigation Consultation

If you're not sure where to get started, schedule a navigation consultation to learn more about DHS Informatics Resources by sending an email to the helpdesk:  helpdesk@dhs.lacounty.gov with the subject line "Research Data Consultation".  Please include details of your data requirements, any relevant data sets in the DHS Reports Library, your data dictionary, or i2b2 queries, and invite your data analyst to join. Our team can help identify and learn how to use DHS self-service tools, scope your data request, project budget, and IRB materials, as needed. 

DHS DATA ACCESS REQUIREMENTS

IRB Approval

DHS Categorization Score

DHS ID # Beginning with E or C

Aggregate Counts

X

De-Identified Data Sets

X

X

X

Identified Data

X

X

X

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

You must obtain IRB approval (or determination of exemption) and a DHS, Research Oversight Board (ROB) 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

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

-If an alignment score was not provided and you are a LAC+USC Investigator, please file an amendment and be sure to indicate 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 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) For i2b2 Data Requests

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

- 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 
- The name of your i2b2 query or DHS Report (If relevant)
- A copy of the i2b2 query dragged into your personal i2b2 workspace, if relevant (you may use "Print Query")

*If you wish to use data from DHS's i2b2 (i2b2 is for simple patient MRN lists only), please fill out this form to request your i2b2 dataset, serviced courtesy of UCLA CTSI: h https://redcap.link/i2b2request

*If you have a prospective study and are requesting access to an existing Orchid or ELM report, 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. 

TIP

MFMT - for locations master facility mapping file

B) Submitting a request that is NOT 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 Data Request”

  • 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/exclusion criteria and a data dictionary with the associated concepts you are seeking 

  • 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 ticketing system), you will be contacted by the informatics core for a phone consultation to review the following:

  • Discuss Sourcing

  • DHS Categorization

  • Potential Costs

  • Timeline

4. Accessing DHS Remote Virtual Desktops

Your DHS-affiliated team member should have access to a DHS computer. If remote access is desired, please review the instructions for Accessing DHS Remote Desktops.


5a. Mapping the Shared Drive Folder


The Informatics Core will create a shared folder on the DHS intranet for file transfer. This 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:

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


Incoming Data Folder

As we collaborate on the data extraction, we will use the "Incoming" folder to make updates to the logic and data specifications you submitted with your original 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 folder on the informatics shared drive.

  • 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 needs to have ELM account (not ORCHID account, because it is different) and it’s a requirement to complete the web-based training to get  ELM account.

  1. Login to Learning Net – with your hosted name & password

  2. On Catalog Search Widget, click on Advanced Search

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

  4. On ID field enter 00454442

  5. Click on Search Learning Catalog

  6. Click Launch 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 open a ticket with the completion certificate attach, or send us an email with the certificate attached

7. Requesting access to an existing  DHS report

Prospective studies in Category 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 using 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 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


Important

When you download data from the reports to the virtual desktop, you must remove all data from the report that is not in your IRB- and ROB-approved data specification. This includes removing patient records that are not relevant to your request and removing PHI that has not been approved by the IRB. After the data has been edited, proceed with your IRB-approved data management plan. If your study needs assistance from an analyst to comply with this security requirement, you may procure the services of DHS IT (Category 1 projects) or the DHS Informatics Core. 

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. 

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

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