TABLE 1.

To Describe Some of the Potential Benefits of Improved Data Sharing for Children in Custody, 2 Use Cases That Motivated the Development of IDENTITY Are Described.

Context	Case
Hospital provider IDENTITY use	A 5-year-old boy is hospitalized for aggressive behaviors. When he is ready for discharge, his biological mother comes to the hospital, signs his paperwork, and takes him home. After the fact, hospital staff identifies that the child is in protective custody and should not have been discharged to the biological mother. While child protective services is attempting to locate him and his mother, he is physically abused. With IDENTITY, the medical staff could have been alerted that the child was in protective custody with contact information for his child protection worker and precautions could have been taken to ensure safe discharge.
Child protection worker IDENTITY use	A 2-year-old girl comes into protective custody because of maternal homelessness and mental health issues. The biological mother surrenders the child with no report of medical problems. When the child is seen in the foster care clinic 5 d later, it is identified that the child received positive test results for HIV, is supposed to be on HIV medications, and is supposed to be on home oxygen after a recent hospitalization with opportunistic pneumonia. Symptoms have worsened by the time the child is evaluated and the medical history is discovered. With IDENTITY, a child protection worker could have looked up the child at the time of placement and identified her medical history, her current medication list, and upcoming medical appointments and prevented a gap in care.