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      Delivering on NIH data sharing requirements: avoiding Open Data in Appearance Only

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          Abstract

          Introduction In January, the National Institutes of Health (NIH) implemented a Data Management and Sharing Policy aiming to leverage data collected during NIH-funded research. The COVID-19 pandemic illustrated that this practice is equally vital for augmenting patient research. In addition, data sharing acts as a necessary safeguard against the introduction of analytical biases. While the pandemic provided an opportunity to curtail critical research issues such as reproducibility and validity through data sharing, this did not materialise in practice and became an example of ‘Open Data in Appearance Only’ (ODIAO). Here, we define ODIAO as the intent of data sharing without the occurrence of actual data sharing (eg, material or digital data transfers).

          Objective Propose a framework that states the main risks associated with data sharing, systematically present risk mitigation strategies and provide examples through a healthcare lens.

          Methods This framework was informed by critical aspects of both the Open Data Institute and the NIH’s 2023 Data Management and Sharing Policy plan guidelines.

          Results Through our examination of legal, technical, reputational and commercial categories, we find barriers to data sharing ranging from misinterpretation of General Data Privacy Rule to lack of technical personnel able to execute large data transfers. From this, we deduce that at numerous touchpoints, data sharing is presently too disincentivised to become the norm.

          Conclusion In order to move towards Open Data, we propose the creation of mechanisms for incentivisation, beginning with recentring data sharing on patient benefits, additional clauses in grant requirements and committees to encourage adherence to data reporting practices.

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          Most cited references39

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          The FAIR Guiding Principles for scientific data management and stewardship

          There is an urgent need to improve the infrastructure supporting the reuse of scholarly data. A diverse set of stakeholders—representing academia, industry, funding agencies, and scholarly publishers—have come together to design and jointly endorse a concise and measureable set of principles that we refer to as the FAIR Data Principles. The intent is that these may act as a guideline for those wishing to enhance the reusability of their data holdings. Distinct from peer initiatives that focus on the human scholar, the FAIR Principles put specific emphasis on enhancing the ability of machines to automatically find and use the data, in addition to supporting its reuse by individuals. This Comment is the first formal publication of the FAIR Principles, and includes the rationale behind them, and some exemplar implementations in the community.
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            The false hope of current approaches to explainable artificial intelligence in health care

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              Estimating the success of re-identifications in incomplete datasets using generative models

              While rich medical, behavioral, and socio-demographic data are key to modern data-driven research, their collection and use raise legitimate privacy concerns. Anonymizing datasets through de-identification and sampling before sharing them has been the main tool used to address those concerns. We here propose a generative copula-based method that can accurately estimate the likelihood of a specific person to be correctly re-identified, even in a heavily incomplete dataset. On 210 populations, our method obtains AUC scores for predicting individual uniqueness ranging from 0.84 to 0.97, with low false-discovery rate. Using our model, we find that 99.98% of Americans would be correctly re-identified in any dataset using 15 demographic attributes. Our results suggest that even heavily sampled anonymized datasets are unlikely to satisfy the modern standards for anonymization set forth by GDPR and seriously challenge the technical and legal adequacy of the de-identification release-and-forget model.
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                Author and article information

                Journal
                BMJ Health Care Inform
                BMJ Health Care Inform
                bmjhci
                bmjhci
                BMJ Health & Care Informatics
                BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                2632-1009
                2023
                21 June 2023
                : 30
                : 1
                : e100771
                Affiliations
                [1 ] DBT Labs , Boston, Massachusetts, USA
                [2 ] departmentDepartment of Critical Care , Ringgold_8945Guy's and St Thomas' Hospitals NHS Trust , London, UK
                [3 ] departmentDepartment of Urban Planning and Design , Ringgold_12442Tsinghua University , Beijing, China
                [4 ] New York University Marron Institute of Urban Management , New York, New York, USA
                [5 ] University of Texas Southwestern Medical Center , Dallas, Texas, USA
                [6 ] Ringgold_2765Southern Methodist University , Dallas, Texas, USA
                [7 ] departmentHeidelberg Institute of Global Health , Heidelberg University , Heidelberg, Germany
                [8 ] departmentDepartment of Medicine , Ringgold_27740Instituto Politécnico Nacional , Ciudad de Mexico, Mexico
                [9 ] departmentCenter for Biomedical Ethics , Ringgold_10624Stanford University School of Medicine , Stanford, California, USA
                [10 ] departmentDepartment of Radiology , Ringgold_1371Emory University , Atlanta, Georgia, USA
                [11 ] Ringgold_17096UNICEF , New York, New York, USA
                [12 ] departmentLaboratory for Computational Physiology , Ringgold_218917Harvard-MIT Division of Health Sciences and Technology , Cambridge, Massachusetts, USA
                [13 ] departmentDivision of Pulmonary Critical Care and Sleep Medicine , Ringgold_1859Beth Israel Deaconess Medical Center , Boston, Massachusetts, USA
                Author notes
                [Correspondence to ] Dr Jack Gallifant; jack.gallifant@ 123456nhs.net
                Author information
                http://orcid.org/0000-0003-1306-2334
                http://orcid.org/0000-0002-1097-316X
                http://orcid.org/0000-0001-6712-6626
                Article
                bmjhci-2023-100771
                10.1136/bmjhci-2023-100771
                10314418
                37344002
                ca7b23be-5d09-4db8-bb78-6b2f96c276e1
                © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

                This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:  http://creativecommons.org/licenses/by-nc/4.0/.

                History
                : 23 March 2023
                : 29 May 2023
                Categories
                Review
                1506
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                data science,health information exchange
                data science, health information exchange

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