[LT-04]
The Volume Problem in Clinical Research
A clinical research organization building a de-identified dataset from 500,000 patient consultation notes faces a gap that cloud-based de-identification tools cannot close: the volume is too large for cloud upload, the regulatory environment requires on-premises processing, and the manual alternative is not feasible.
The HIPAA Privacy Rule's Expert Determination method requires that de-identified datasets carry "very small risk" of re-identification ...