Health Center Case Examples in Coding and Documenting Social Risks

Immigration Case Example | Privacy and Data Sharing Considerations | HITEQ Learning Collaborative

Are you documenting patient information like immigration or refugee status, intimate partner violence, human trafficking, risk of acquiring HIV through sexual contact or substance use disorder, or other information that brings up questions about how to document or code while respecting the patient’s privacy?

This health center learning collaborative series presented health center case examples that explore the privacy and data sharing considerations of EHR documentation of sensitive patient information, such as social history and social risk, and encourage participants to discuss the implications for health centers and their patients. 

The Migrant Clinicians Network will present a case example involving patient immigration status for group discussion on the cross-cutting sensitive information and documentation considerations that present. The case example will be followed by a facilitated discussion about related documentation, coding, privacy, and data sharing.