The missing link: Electronic health record linkage across species offers opportunities for improving One Health

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Abstract

Objective

Significant opportunities for understanding the co-occurrence of conditions across species in coincident households remain untapped. We determined the feasibility of creating a Companion Care Registry (CCR) for analysis of health data from the University of Colorado Health (UCHealth) patients and their companion animals who received veterinary care at the geographically-adjacent Colorado State University Veterinary Teaching Hospital (CSU-VTH).

Materials and Methods

Using a hybrid deterministic and probabilistic record linkage method, non-medical Personally Identifiable Information was securely matched to determine the total number of UCHealth patients within the HIPAA-compliant Health Data Compass Research Data Warehouse (2015-2024) who took a companion animal to the CSU-VTH (2019-2024).

Results

12,115 matches were identified, indicating 29% of CSU-VTH clients were UCHealth patients.

Discussion

The overlap between CSU-VTH clients and UCHealth patients underscores the potential feasibility and utility of a CCR.

Conclusion

This work provides a mechanism to evaluate environmental and inter-species influences on One Health.

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