{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T22:16:35Z","timestamp":1778278595539,"version":"3.51.4"},"reference-count":73,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2023,3,21]],"date-time":"2023-03-21T00:00:00Z","timestamp":1679356800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"University of Washington Population Health Initiative Tier 1 Pilot"},{"name":"National Library of Medicine Training","award":["T15LM007442"],"award-info":[{"award-number":["T15LM007442"]}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,19]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Identifying patients\u2019 social needs is a first critical step to address social determinants of health (SDoH)\u2014the conditions in which people live, learn, work, and play that affect health. Addressing SDoH can improve health outcomes, population health, and health equity. Emerging SDoH reporting requirements call for health systems to implement efficient ways to identify and act on patients\u2019 social needs. Automatic extraction of SDoH from clinical notes within the electronic health record through natural language processing offers a promising approach. However, such automated SDoH systems could have unintended consequences for patients, related to stigma, privacy, confidentiality, and mistrust. Using Floridi et al\u2019s \u201cAI4People\u201d framework, we describe ethical considerations for system design and implementation that call attention to patient autonomy, beneficence, nonmaleficence, justice, and explicability. Based on our engagement of clinical and community champions in health equity work at University of Washington Medicine, we offer recommendations for integrating patient voices and needs into automated SDoH systems.<\/jats:p>","DOI":"10.1093\/jamia\/ocad043","type":"journal-article","created":{"date-parts":[[2023,3,21]],"date-time":"2023-03-21T23:02:28Z","timestamp":1679439748000},"page":"1456-1462","source":"Crossref","is-referenced-by-count":10,"title":["Integrating patient voices into the extraction of social determinants of health from clinical notes: ethical considerations and recommendations"],"prefix":"10.1093","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4932-7314","authenticated-orcid":false,"given":"Andrea L","family":"Hartzler","sequence":"first","affiliation":[{"name":"Biomedical Informatics and Medical Education, University of Washington , Seattle, , USA"},{"name":"Washington , Seattle, , USA"}]},{"given":"Serena Jinchen","family":"Xie","sequence":"additional","affiliation":[{"name":"Biomedical Informatics and Medical Education, University of Washington , Seattle, , USA"},{"name":"Washington , Seattle, , USA"}]},{"given":"Patrick","family":"Wedgeworth","sequence":"additional","affiliation":[{"name":"Biomedical Informatics and Medical Education, University of Washington , Seattle, , USA"},{"name":"Washington , Seattle, , USA"}]},{"given":"Carolin","family":"Spice","sequence":"additional","affiliation":[{"name":"Biomedical Informatics and Medical Education, University of Washington , Seattle, , USA"},{"name":"Washington , Seattle, , USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5798-2664","authenticated-orcid":false,"given":"Kevin","family":"Lybarger","sequence":"additional","affiliation":[{"name":"Department of Information Sciences and Technology, George Mason University , Fairfax, Virginia, USA"}]},{"given":"Brian R","family":"Wood","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Washington , Seattle, , USA"},{"name":"Washington , Seattle, , USA"}]},{"given":"Herbert C","family":"Duber","sequence":"additional","affiliation":[{"name":"Department of Health, Washington State , Olympia, , USA"},{"name":"Washington , Olympia, , USA"},{"name":"Department of Emergency Medicine, University of Washington , Seattle, , USA"},{"name":"Washington , Seattle, , USA"}]},{"given":"Gary","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Human Centered Design and Engineering, University of Washington , Seattle, , USA"},{"name":"Washington , Seattle, , USA"}]},{"given":"Angad P","family":"Singh","sequence":"additional","affiliation":[{"name":"Biomedical Informatics and Medical Education, University of Washington , Seattle, , USA"},{"name":"Washington , Seattle, , USA"},{"name":"Department of Family Medicine, University of Washington , Seattle, , USA"},{"name":"Washington , Seattle, , USA"}]},{"name":"SDoH Community Champion Advisory Board","sequence":"additional","affiliation":[]},{"given":"Kase","family":"Cragg","sequence":"additional","affiliation":[]},{"given":"Shoma","family":"Goomansingh","sequence":"additional","affiliation":[]},{"given":"Searetha","family":"Simons","sequence":"additional","affiliation":[]},{"given":"J J","family":"Wong","sequence":"additional","affiliation":[]},{"given":"Angeilea\u2019","family":"Yancey-Watson","sequence":"additional","affiliation":[]}],"member":"286","published-online":{"date-parts":[[2023,3,21]]},"reference":[{"issue":"8","key":"2023071909392417700_ocad043-B1","doi-asserted-by":"crossref","first-page":"577","DOI":"10.7326\/M17-2441","article-title":"Addressing social determinants to improve patient care and promote health equity: An American college of physicians position paper","volume":"168","author":"Daniel","year":"2018","journal-title":"Ann Intern 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