{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T04:07:34Z","timestamp":1768277254860,"version":"3.49.0"},"reference-count":32,"publisher":"Georg Thieme Verlag KG","issue":"05","funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"crossref","award":["R01AG062499"],"award-info":[{"award-number":["R01AG062499"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objectives\u2003Geocoding, the process of converting addresses into precise geographic coordinates, allows researchers and health systems to obtain neighborhood-level estimates of social determinants of health. This information supports opportunities to personalize care and interventions for individual patients based on the environments where they live. We developed an integrated offline geocoding pipeline to streamline the process of obtaining address-based variables, which can be integrated into existing data processing pipelines.<\/jats:p><jats:p>\n          Methods\u2003POINT is a web-based, containerized, application for geocoding addresses that can be deployed offline and made available to multiple users across an organization. Our application supports use through both a graphical user interface and application programming interface to query geographic variables, by census tract, without exposing sensitive patient data. We evaluated our application's performance using two datasets: one consisting of 1 million nationally representative addresses sampled from Open Addresses, and the other consisting of 3,096 previously geocoded patient addresses.<\/jats:p><jats:p>\n          Results\u2003A total of 99.4 and 99.8% of addresses in the Open Addresses and patient addresses datasets, respectively, were geocoded successfully. Census tract assignment was concordant with reference in greater than 90% of addresses for both datasets. Among successful geocodes, median (interquartile range) distances from reference coordinates were 52.5 (26.5\u2013119.4) and 14.5 (10.9\u201324.6) m for the two datasets.<\/jats:p><jats:p>\n          Conclusion\u2003POINT successfully geocodes more addresses and yields similar accuracy to existing solutions, including the U.S. Census Bureau's official geocoder. Addresses are considered protected health information and cannot be shared with common online geocoding services. POINT is an offline solution that enables scalability to multiple users and integrates downstream mapping to neighborhood-level variables with a pipeline that allows users to incorporate additional datasets as they become available. As health systems and researchers continue to explore and improve health equity, it is essential to quickly and accurately obtain neighborhood variables in a Health Insurance Portability and Accountability Act (HIPAA)-compliant way.<\/jats:p>","DOI":"10.1055\/a-2148-6414","type":"journal-article","created":{"date-parts":[[2023,8,4]],"date-time":"2023-08-04T23:14:34Z","timestamp":1691190874000},"page":"833-842","source":"Crossref","is-referenced-by-count":1,"title":["POINT: Pipeline for Offline Conversion and Integration of Geocodes and Neighborhood Data"],"prefix":"10.1055","volume":"14","author":[{"given":"Kevin","family":"Guo","sequence":"additional","affiliation":[{"name":"School of Medicine, Vanderbilt University, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allison B.","family":"McCoy","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas J.","family":"Reese","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Wright","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel Trent","family":"Rosenbloom","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siru","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elise M.","family":"Russo","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryan D.","family":"Steitz","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,10,18]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1146\/annurev-publhealth-031210-101218","article-title":"The social determinants of health: coming of age","volume":"32","author":"P Braveman","year":"2011","journal-title":"Annu Rev Public Health"},{"issue":"S 04","key":"ref2","doi-asserted-by":"crossref","first-page":"S517","DOI":"10.2105\/AJPH.2014.302200","article-title":"Social determinants of health equity","volume":"104","author":"M Marmot","year":"2014","journal-title":"Am J Public Health"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1080\/17441690601106304","article-title":"Action on the social determinants of health: a historical perspective","volume":"2","author":"A Irwin","year":"2007","journal-title":"Glob Public Health"},{"issue":"16","key":"ref4","doi-asserted-by":"crossref","first-page":"1641","DOI":"10.1001\/jama.2016.14058","article-title":"Addressing social determinants of health and health inequalities","volume":"316","author":"N E Adler","year":"2016","journal-title":"JAMA"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"S70","DOI":"10.2105\/AJPH.2019.304964","article-title":"Social determinants of health: future directions for health disparities 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the neighborhood atlas","volume":"378","author":"A JH Kind","year":"2018","journal-title":"N Engl J Med"},{"issue":"06","key":"ref49","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1089\/pop.2018.0151","article-title":"integrating social and behavioral determinants of health into population health analytics: a conceptual framework and suggested road map","volume":"22","author":"Z Predmore","year":"2019","journal-title":"Popul Health Manag"},{"issue":"02","key":"ref50","first-page":"2","article-title":"Integrating social determinants of health into primary care clinical and informational workflow during care transitions","volume":"5","author":"S Hewner","year":"2017","journal-title":"EGEMS (Wash DC)"},{"issue":"10","key":"ref51","doi-asserted-by":"crossref","first-page":"1424","DOI":"10.1001\/jamainternmed.2017.3317","article-title":"Social determinants of health in managed care payment formulas","volume":"177","author":"A S Ash","year":"2017","journal-title":"JAMA Intern Med"},{"key":"ref52","first-page":"e160","article-title":"[Who hits the mark? 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