1. Michael Hewett National Centre for Geographic & Resource Analysis in Primary Health Care (GRAPHC), Australian Primary Health Care Research Institute (APHCRI), Australian National University (ANU) National Centre for GRAPHC G eographic & R esource A nalysis in P rimary H ealth C are GRAPHC (GRAPHC) 1

2. Primary Health Care Research GIS Resource Spatially enabling data Providing spatial linking mechanisms Improving availability of tools & processes GIS skills resource Web based mapping Michael Hewett, GRAPHC (http://graphc.aphcri.anu.edu.au)2

3. Primary Health Care Research & Privacy Especially important in Health Care Research context Legal and Ethical Protections –Researchers –Doctors/Data Originators Trust Researchers need to Share Data –Research Validation –New research Involves more than just the research data Michael Hewett, GRAPHC (http://graphc.aphcri.anu.edu.au)3

4. Cartophobia Michael Hewett, GRAPHC (http://graphc.aphcri.anu.edu.au)4

5. Privacy: De-identification Replace name with patient ID. Remove Location Use coordinate Use Suburb or Postcode Replace location with ID NameGeorge Somebody Address48 Alder Close, North Adelaide, 5006, SA Age92 ConditionCartophobia Michael Hewett, GRAPHC (http://graphc.aphcri.anu.edu.au)5 Patient ID1234 Address48 Alder Close, North Adelaide, 5006, SA Age92 ConditionCartophobia

6. Privacy: Coordinates?....... Michael Hewett, GRAPHC (http://graphc.aphcri.anu.edu.au)6 Patient ID1234 Coordinates34.907S 138.588E Age92 ConditionCartophobia

7. Privacy: Suburb or Postcode?....... Michael Hewett, GRAPHC (http://graphc.aphcri.anu.edu.au)7 Patient ID1234 Postcode5006 Age92 ConditionCartophobia

8. Privacy: Location ID? Location ID –Cross Linking –Must link to location for processing GeoHash –Decodable To Location Encryption –Decryptable –Must be decrypted before Analysis –Cross linking even without decoding Michael Hewett, GRAPHC (http://graphc.aphcri.anu.edu.au)8

9. Other Options Ethical/Legal clearance to use addresses and coordinates Pre-aggregation Third party secure data environments Michael Hewett, GRAPHC (http://graphc.aphcri.anu.edu.au)9

10. So where next? Michael Hewett, GRAPHC (http://graphc.aphcri.anu.edu.au) 10

11. - Location without Context - Context without Location GRAPHC - Location GTAG Address/Location Name Point location User - Context GTAG Patient details Michael Hewett, GRAPHC (http://graphc.aphcri.anu.edu.au)11 GTAGee940ffb-d1ce-442f-9511-51ea2ae09f59 Location Name48 Alder Close, North Adelaide, 5006, SA Location34.907S 138.588E Patient ID1234 GTAGee940ffb-d1ce-442f-9511-51ea2ae09f59 Age92 ConditionCartophobia

12. Point Locations High Resolution Analysis And Resampling Michael Hewett, GRAPHC (http://graphc.aphcri.anu.edu.au)12

13. Address Registration Michael Hewett, GRAPHC (http://graphc.aphcri.anu.edu.au)13 GTAGee940ffb-d1ce-442f-9511-51ea2ae09f59 Location Name48 Alder Close, North Adelaide, 5006, SA Location34.907S 138.588E Patient ID1234 Address48 Alder Close, North Adelaide, 5006, SA Age92 ConditionCartophobia Patient ID1234 GTAGee940ffb-d1ce-442f-9511-51ea2ae09f59 Age92 ConditionCartophobia Address GTAG

14. Authorisation And Geocoding Michael Hewett, GRAPHC (http://graphc.aphcri.anu.edu.au)14

15. Analysis/Geoattribution Michael Hewett, GRAPHC (http://graphc.aphcri.anu.edu.au) 15 GTAGS d0827f07-1ae4-470b-a181-71fbbf45c703 a76c5f8b-eab9-4d33-b4c8-df5277a42082 49da96f4-8f76-4234-a5f3-190bac12d812 43d4543d-8332-4c30-9447-8bf989a1c7b5 784fc98f-ee89-4ee5-8ac4-0e627c87d3a6 666632b8-3b61-468d-bae9-f6f5c5dd7012 b9b474a6-99ad-4b0a-9b6d-8b91f0fc3266 65c00240-6567-4dad-8cb3-72a8b14a8f7b 60660490-5711-4d80-ac56-0f500d9937cf 589aff37-5fc6-451b-a50b-916598c1133d 94934e0e-f1cc-4610-9c8e-2c26ad08b873 5b1bfee9-884c-4069-85be-d46f35965f5b 76605729-bfc5-4b23-a45b-e53860c72c98 da306438-22fa-4b21-a18a-fdd222529587 GTAGs Analysis Result GTAGLGA_CODEScoreNRankNDecile d0827f07-1ae4-470b-a181-71fbbf45c703100509792886 a76c5f8b-eab9-4d33-b4c8-df5277a42082103009461603 49da96f4-8f76-4234-a5f3-190bac12d8121015010154278 43d4543d-8332-4c30-9447-8bf989a1c7b5100509792886 784fc98f-ee89-4ee5-8ac4-0e627c87d3a6100509792886 666632b8-3b61-468d-bae9-f6f5c5dd7012100509792886 b9b474a6-99ad-4b0a-9b6d-8b91f0fc32661015010154278 65c00240-6567-4dad-8cb3-72a8b14a8f7b106509541974 60660490-5711-4d80-ac56-0f500d9937cf103009461603 589aff37-5fc6-451b-a50b-916598c1133d100509792886 94934e0e-f1cc-4610-9c8e-2c26ad08b873107509682495 5b1bfee9-884c-4069-85be-d46f35965f5b100509792886 76605729-bfc5-4b23-a45b-e53860c72c98107509682495 da306438-22fa-4b21-a18a-fdd222529587106509541974

16. Leveraging ESRI Technology Michael Hewett, GRAPHC (http://graphc.aphcri.anu.edu.au)16 GRAPHC Databases & Geodatabases ArcGIS Desktop - Map And Data Layers Model Builder – Geoprocessing Models Independent Custom Code External ESRI users - Desktop, Online, Explorer, etc ArcGIS Server GRAPHC Custom Tools & Apps Custom Web APIs Custom Code and Scripts leveraging ESRI APIs & libraries 3 rd Party Custom Tools & Apps Health Landscapes GRAPHC ArcGIS Online Maps & Apps

17. Accessing GRAPHC Data Michael Hewett, GRAPHC (http://graphc.aphcri.anu.edu.au)17

18. Indirect Engagement Michael Hewett, GRAPHC (http://graphc.aphcri.anu.edu.au)18 GTAGs are already being engaged by: –A major data extraction company –A secure data service environment –Several Medicare Locals –Other Universities –Research Projects Under Review for use by: –CSIRO, CRCSI, Potential for anywhere that location privacy is important

19. How Much does this cost???? Free location registration and administration. Cost Recovery Model Community Cost Sharing Commercial Use – Contact GRAPHC Michael Hewett, GRAPHC (http://graphc.aphcri.anu.edu.au)19

20. Live Demo Michael Hewett, GRAPHC (http://graphc.aphcri.anu.edu.au)20

21. http://graphc.aphcri.anu.edu.au graphc@anu.edu.au Michael Hewett, GRAPHC (http://graphc.aphcri.anu.edu.au)21