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DOE OSTI2025

Leveraging Large Language Models for Real-World Data Evidence: A Framework for Automated Treatment Extraction and Data Harmonization

Background: The ability to comprehensively collect treatment information from cancer patient medical records would enable studies to evaluate real-world benefits and risks tied to specific treatments. Currently, it is difficult to system- atically collect high-quality treatment information because it is often stored in unstructured text. Manually extracting and standardizing drug and regimen data is time-intensive. Recent advances in large language models (LLMs) offer a potential solution for automated extraction of structured treatment information from clinical text. Objective: This study systematically evaluates the utility of four LLMs from the Llama family for automated extraction of oncology treatment information from clinical text. This information can guide researchers using cancer registry data to provide insights into cancer care and outcomes beyond clinical trials. Methods: Four instruction-tuned Llama models with varying parameter counts (1B, 3B, 8B, and 70B) were evaluated for their ability to extract treatment information from clinical documents. A unified oncology knowledge base integrating seven major public data sources was developed to standardize and normalize extracted entities—a critical step for harmonizing data from diverse sources. Extracted treatment data were compared against expert-annotated ground truth. Model performance was assessed using accuracy metrics (Precision, Recall, F1-Score) and opera- tional feasibility metrics, including processing speed and structural compliance of the output. Results: A strong positive correlation was observed between model size and extraction accuracy. F1-score improved from 0.609 for the 1B model to 0.710 (3B), 0.807 (8B), and 0.828 (70B). While larger models demonstrated superior accuracy and compliance, they incurred higher computational costs. The modest performance difference between 8B and 70B suggests diminishing returns with increasing model size. Conclusions: LLMs represent a viable technology for automating oncology treatment extraction. The 8B-parameter model emerged as a highly effective option, balancing high accuracy and computational efficiency. Selecting an appropriate LLM for deployment in cancer registries involves a trade-off between desired accuracy and available operational resources. Harmonizing extracted entities with the oncology knowledge base facilitates standardized integration into common data models, enhancing data quality for real-world evidence analyses.

artificial intelligence↗

DOE OSTI2023

Hadronic uncertainties versus new physics for the W boson mass and Muon g – 2 anomalies

There are now two single measurements of precision observables that have major anomalies in the Standard Model: the recent CDF measurement of the W mass shows a 7σ deviation and the Muon g – 2 experiment at FNAL confirmed a long-standing anomaly, implying a 4.2σ deviation. Doubts regarding new physics interpretations of these anomalies could stem from uncertainties in the common hadronic contributions. We demonstrate that these two anomalies pull the hadronic contributions in opposite directions by performing electroweak fits in which the hadronic contribution was allowed to float. The fits show that including the g – 2 measurement worsens the tension with the CDF measurement and conversely that adjustments that alleviate the CDF tension worsen the g – 2 tension beyond 5σ. This means that if we adopt the CDF W mass measurement, the case for new physics in either the W mass or muon g – 2 is inescapable regardless of the size of the SM hadronic contributions. Lastly, we demonstrate that a mixed scalar leptoquark extension of the Standard Model could explain both anomalies simultaneously.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

DOE OSTI2026

BrickQA: Bridging the Semantic Gap in Building Operations with Dynamic Graph Exploration

While standardized ontologies like the Brick schema address data heterogeneity in Building Automation Systems (BAS), accessing this semantic data remains a challenge as domain experts often lack the expertise to formulate complex SPARQL queries. To bridge this gap, we present BrickQA, a Large Language Model (LLM)-based framework that translates natural language into executable SPARQL queries through structured query decomposition, dynamic schema exploration, and inline validation. BrickQA utilizes an iterative reasoning agent to actively navigate graph topology through dynamic exploration actions without requiring exhaustive context injection or model fine-tuning. This approach effectively mitigates hallucinations, particularly in large-scale building knowledge graphs. Empirical evaluation on BuildingQA, a standardized benchmark, demonstrates that BrickQA significantly outperforms ReAct baselines, delivering a 0.291–0.355 absolute F1 improvement while achieving 3 × –12.7 × higher token cost-efficiency. Beyond these metrics, the framework maintains structural fidelity across heterogeneous buildings and remains resilient to ambiguous queries without requiring site-specific fine-tuning. Furthermore, a case study on operational analytics validates the framework’s capability to handle temporal and aggregation constraints, effectively transforming abstract semantic models into actionable facility management insights.1

Ko, Yun-Dam↗

DOE OSTI2020

Framework for simulating gauge theories with dipolar spin systems

Gauge theories appear broadly in physics, ranging from the standard model of particle physics to long-wavelength descriptions of topological systems in condensed matter. However, systems with sign problems are largely inaccessible to classical computations and also beyond the current limitations of digital quantum hardware. In this work, we develop an analog approach to simulating gauge theories with an experimental setup that employs dipolar spins (molecules or Rydberg atoms). We consider molecules fixed in space and interacting through dipole-dipole interactions, avoiding the need for itinerant degrees of freedom. Each molecule represents either a site or gauge degree of freedom, and Gauss's law is preserved by a direct and programmatic tuning of positions and internal state energies. This approach can be regarded as a form of analog systems programming and charts a path forward for near-term quantum simulation. As a first step, we numerically validate this scheme in a small-system study of U(1) quantum link models in (1+1) dimensions with link spin S = 1/2 and S =1 and illustrate how dynamical phenomena such as string inversion and string breaking could be observed in near-term experiments. Our work brings together methods from atomic and molecular physics, condensed matter physics, high-energy physics, and quantum information science for the study of nonperturbative processes in gauge theories.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

DOE OSTI2020

Nonrenormalization and Operator Mixing via On-Shell Methods

Using on-shell methods, we present a new perturbative nonrenormalization theorem for operator mixing in massless four-dimensional quantum field theories. By examining how unitarity cuts of form factors encode anomalous dimensions, we show that longer operators are often restricted from renormalizing shorter operators at the first order where Feynman diagrams exist. The theorem applies quite generally and depends only on the field content of the operators involved. We apply our theorem to operators of dimension five through seven in the standard model effective field theory, including examples of nontrivial zeros in the anomalous-dimension matrix at one through four loops. The zeros at two and higher loops go beyond those previously explained using helicity selection rules. We also include explicit sample calculations at two loops.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

NASA NTRS1992

Spectral irradiance calibration in the infrared. I - Ground-based and IRAS broadband calibrations

Absolutely calibrated versions of realistic model atmosphere calculations for Sirius and Vega by Kurucz (1991) are presented and used as a basis to offer a new absolute calibration of infrared broad and narrow filters. In-band fluxes for Vega are obtained and defined to be zero magnitude at all wavelengths shortward of 20 microns. Existing infrared photometry is used differentially to establish an absolute scale of the new Sirius model, yielding an angular diameter within 1 sigma of the mean determined interferometrically by Hanbury Brown et al. (1974). The use of Sirius as a primary infrared stellar standard beyond the 20 micron region is suggested. Isophotal wavelengths and monochromatic flux densities for both Vega and Sirius are tabulated.

Cohen, Martin↗

NASA NTRS2011

The VIIRS Ocean Data Simulator Enhancements and Results

The VIIRS Ocean Science Team (VOST) has been developing an Ocean Data Simulator to create realistic VIIRS SDR datasets based on MODIS water-leaving radiances. The simulator is helping to assess instrument performance and scientific processing algorithms. Several changes were made in the last two years to complete the simulator and broaden its usefulness. The simulator is now fully functional and includes all sensor characteristics measured during prelaunch testing, including electronic and optical crosstalk influences, polarization sensitivity, and relative spectral response. Also included is the simulation of cloud and land radiances to make more realistic data sets and to understand their important influence on nearby ocean color data. The atmospheric tables used in the processing, including aerosol and Rayleigh reflectance coefficients, have been modeled using VIIRS relative spectral responses. The capabilities of the simulator were expanded to work in an unaggregated sample mode and to produce scans with additional samples beyond the standard scan. These features improve the capability to realistically add artifacts which act upon individual instrument samples prior to aggregation and which may originate from beyond the actual scan boundaries. The simulator was expanded to simulate all 16 M-bands and the EDR processing was improved to use these bands to make an SST product. The simulator is being used to generate global VIIRS data from and in parallel with the MODIS Aqua data stream. Studies have been conducted using the simulator to investigate the impact of instrument artifacts. This paper discusses the simulator improvements and results from the artifact impact studies.

Robinson, Wayne D.↗

DOE OSTI2021

$\mu$-distortion around stupendously large primordial black holes

In a variety of mechanisms generating primordial black holes, each black hole is expected to form along with a surrounding underdense region that roughly compensates the black hole mass. This region will propagate outwards and expand as a shell at the speed of sound in the homogeneous background. Dissipation of the shell due to Silk damping could lead to detectable μ-distortion in the CMB spectrum: if black holes are rare on the last scattering surface, the signal(s) would be pointlike; whereas if there are a sufficient number of them, we could have a uniform distortion in the CMB sky. While the current bound on the average μ-distortion is |$\bar{μ}$| ≲ 10>- 4 , the standard ΛCDM model predicts |$\bar{μ}$| ~10 -8 , which could possibly be detected in future missions. It is shown in this work that the non-observation of $\bar{μ}$ beyond ΛCDM can place a new upper bound on the density of supermassive primordial black holes within the mass range 10 6 M ⊙ ≲ M ≲ 10 15 M ⊙ . Finally, black holes with initial mass M ≳ 10 12 M ⊙ could leave a pointlike distortion with μ ≳10-8> at an angular scale ~ 1° in CMB, and its non-observation would impose an even more stringent bound on the population of these stupendously large primordial black holes.

79 ASTRONOMY AND ASTROPHYSICS↗

NASA NTRS2007

Coupled Groups of g-Modes in a Sun with Mixed Core

Groups of linear g-modes can sum to create long-lived nonlinear oscillations in small "hot volumes" very deep in the Sun that help drive the modes. In these volumes (dimensions -10 Mm), the time average rate of He-3 burning doubles as temperature fluctuations exceed 10% and rises by an order of magnitude for fluctuations of 25%. To be consistent with locally large motions, we impose a mixed shell on an otherwise standard solar model before computing g-mode solutions. Mixing in the assumed shell r = (0.10+/-0.03) R(sub sun) is rapid (<<10(exp 6) yr) with slower mixing somewhat beyond. If l is the principal spherical harmonic index, a set of g-modes for any single l less than or equal to 15 with five consecutive radial harmonics can be excited with nearly linear thermal amplitudes, A(sub T) less than or equal to 0.053, throughout the star and a fractional temperature fluctuation in its hot volume of (Delta)T/T less than or equal to 0.18. These thresholds for excitation will become smaller when sets for several values of l are computed simultaneously. There is some evidence for the rotation of g-mode sets in the long solar activity record and g-mode upward wave flux has been suggested to explain the 1.3 yr reversing flows tentatively detected below the Sun's convective envelope (CE). The large local amplitudes needed for excitation implies that g-modes may transport a non-negligible fraction of the solar luminosity, yet their near linear amplitudes outside the hot volume suggests amplitudes over most of the solar surface that would be barely detectable for l > 3. A formalism is presented for summing the g-modes and estimating growth rates under the approximation that modes are strictly linear except in a hot volume which holds only a few percent of mode kinetic energy. Finally over the range 2 less than or equal to l less than or equal to 30, we summed all zonal harmonics, m, for a given l and computed the relative angular orientations that would release the most nuclear energy. This should be close to the physically preferred angular state of such a family and a few examples were displayed.

Wolff, Charles L.↗

DOE OSTI2022

Status of Lattice QCD Calculations of One and Two-Nucleon Matrix Elements

Lattice QCD calculations of basic hadronic quantities are now often performed with systematic control over the physical pion mass, continuum and infinite volume limits. This progress signals a new era in which lattice QCD will be used to compute basic properties of hadrons, nucleons and light nuclei directly from the Standard Model (SM). In particular, we will be able to use lattice QCD, combined with Effective Field Theory, to make quantitative statements about the interaction of SM matter and potential beyond the SM physics ranging from direct dark matter detection to permanent electric dipole moments. I will briefly review the status and challenges of lattice QCD calculations of select one- and two-nucleon matrix elements. These calculations are significantly more challenging than the basic quantities computed with all systematics controlled, but substantial progress is being made.

Walker-Loud, Andre↗

DOE OSTI2021

Hanford Waste Treatment Plant LAB Facility Stack Effluent Monitoring: Sampling Probe Location Qualification Evaluation

The WTP LAB stack monitor locations were qualified using scale model stacks to mitigate the risk of identifying that sampling locations do not meet the qualification criteria on the full-scale stack. As required by the ANSI/HPS N13.1-1999 standard, the scale model and its sampling location were geometrically similar to the actual stack and the Reynolds numbers for both the actual and model stacks were >10,000. An additional criterion is that the DV of the full-scale stack must be between 1/6 DV and 6 DV of the scale model stack tests. Verification tests of the LAB stacks were performed at normal operating conditions. The maximum 6 DV value from the scale model testing determines the maximum conditions for which the full-scale stack may be operated and remain in compliance with the stack verification criterion. The remaining criteria for the stack verification to be considered valid involve the flow angle and velocity uniformity results. First, the flow angle at the full-scale stack must be = 20°. Second, the velocity uniformity at the full-scale stack must be = 20% COV. Finally, the velocity uniformity results for the actual and scale model stacks must agree within 5% COV. In general, these criteria were met through the full-scale stack tests at the LAB facility. Some specific items for each scale model and full-scale stack comparison should be noted in assessing the validity of the verification tests. The LB-C2 scale model stacks were performed with single fan operations at then-minimum flow conditions. These conditions resulted in DV values that were too low to meet the DV range criterion, and therefore are unable to be used in qualifying single fan operations on the full-scale stack. However, the single fan operations demonstrated COV values for velocity uniformity as well as flow angles that were comparable to the dual-fan operations at high flows. Overall, the test conditions and test results were within the range of acceptable values based on current design flow rates. Single fan operations are expected to only occur infrequently for maintenance needs and is therefore not a planned operating condition at this time. The LB-S1 scale model stacks were performed at three fan combinations, and in each combination, at least one test was performed at the then-minimum flow conditions as well as at then-maximum flow conditions. While the then-minimum flow conditions result in a DV range that is lower than the verification test DV value, and therefore does not meet the criterion, these tests are un-necessary for the verification test acceptance. The normal and maximum flow conditions from the scale model stack tests meet the DV range criterion, and the velocity uniformity test results compare favorably with the full-scale stack results. The LB-S2 scale model stacks were performed at nominally the same maximum flow condition; however, the 6 DV value for Fan A operation was slightly lower than the full-scale stack test DV. The COV values from the scale model stacks were comparable between the Fan A and Fan B results, and the overall test conditions are within the range of acceptable values. The stack verification is therefore considered acceptable for both Fan A and Fan B operations. The verification tests were performed at flows that were appreciably higher than the design conditions, and further elevated flow rates would be beyond the range of acceptable DV. Based on these stack verification test results, the three LAB filtered exhaust stacks meet the qualification criteria provided in the ANSI/HPS N13.1-1999 standard. Further changes to the system configuration or operating conditions that are outside the bounds described in this and the scale model test reports (Glissmeyer, Flaherty, and Piepel (2001), Glissmeyer and Geeting (2013)) may require additional tests and additional analyses to determine compliance with the standard.

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

DOE OSTI2024

Predicting Drug Effects from High-dimensional Asymmetric Drug Data Sets using Graph Neural Networks: A Comprehensive Analysis of Multi-target Drug Effect Prediction

Graph neural networks (GNNs) have emerged as one of the most effective Machine learning (ML) techniques for drug effect prediction from drug molecular graphs. Despite having immense potential, GNN models lack performance when using data sets that contain high dimensional asymmetrically co-occurrent drug effects as targets with complex correlations between them. Training individual learning models for each drug effect and incorporating every prediction result for a wide spectrum of drug effects is beyond practicality. Such an implication provides a testbed to address this challenge as multi-target prediction problems, aiming to predict all drug effects at a time. We develop standard and hybrid graph neural networks (GNNs)to perform two separate tasks that are multi-regression for continuous values and multi-label classification for categorical values contained in our data sets. Since this step makes the target data even more sparse and introduces asymmetric label co-occurrence, the learning of multi-label classification models becomes difficult and heavily impacts the GNN's performance. To address these challenges, we propose a new data oversampling technique to improve multi-label classification performances on all the given imbalanced molecular graph data sets. Using the technique, we improve the data imbalance ratio of the drug effects better than before while protecting the data set's integrity. Finally, we evaluate multi-label classification performance using the best-performant hybrid GNN model on all the oversampled data sets obtained from the proposed oversampling technique. These results outperform those of other ML models including GNN models when they are trained on the original data sets or oversampled data sets using MLSMOTE (a well-known oversampling technique) in all evaluation metrics precision, recall, and F1 score by a significant margin.

Bose, Avishek [ORNL]↗

DOE OSTI2025

Beyond leading twist: 𝜌 meson decay constants and distribution amplitudes in a self-consistent light-front quark model

In this study, we present a comprehensive analysis of decay constants and chiral-even and chiral-odd distribution amplitudes (DAs) up to twist 4 for the 𝜌 meson in the standard light-front quark model (LFQM) based on the Bakamjian-Thomas (BT) construction. For the 𝜌 meson, which possesses both longitudinal (ℎ=0) and transverse (ℎ =±1) polarizations, two types of decay constants, 𝑓$^{∥}_{𝜌}$ and 𝑓$^{⊥}_{𝜌}$, arises accordingly. We demonstrate that these decay constants can be self-consistently extracted from both local (𝑧𝜇 =0) and nonlocal (𝑧𝜇 ≠0) matrix elements ⟨0⁢|$\overline{𝑞}$(𝑧)⁢Γ⁢𝑞⁡(−𝑧)|⁢𝜌⁡(𝑃,ℎ)⟩, with Γ=(𝛾 𝜇 ,𝜎 𝜇⁢𝜈 ,𝛾 𝜇 ⁢𝛾 5 ,𝟏), in a manner independent of current components, polarizations, and reference frames. In particular, we emphasize the role of nonlocal matrix elements involving axial-vector and scalar currents, where mixing between 𝑓$^{∥}_{𝜌}$ and 𝑓$^{⊥}_{𝜌}$ occurs. We show that this mixing is consistently resolved through the BT construction, ensuring the proper extraction of these decay constants.

Electroweak interaction↗

DOE OSTI2025

Real singlet scalar benchmarks in the multi-TeV resonance regime

Scalar extensions of the Standard Model (SM) are of much interest at the Large Hadron Collider (LHC) and future colliders. In particular, these models can give rise to resonant di-Higgs production and alter the Higgs trilinear coupling. In this paper, we study di-Higgs production in the Standard Model extended by a real scalar singlet with no additional symmetries. We determine how large the resonant di-Higgs rate and variation in the Higgs trilinear coupling can be in four scenarios: current LHC results and projected results at the high luminosity LHC (HL-LHC), the HL-LHC combined with a circular 𝑒 − ⁢𝑒 + collider such as the Circular Electron Positron Collider or Future Circular Collider with electron-positron collisions, and the HL-LHC combined with a linear 𝑒 − ⁢𝑒 + collider such as the International Linear Collider. While these are updated results from a previous study by [I. M. Lewis and M. Sullivan, Benchmarks for double Higgs production in the singlet extended standard model at the LHC, Phys. Rev. D 96, 035037 (2017).] using current LHC data, we go further and find benchmark points in the multi-TeV resonance regime for future colliders beyond the HL-LHC. Considering current LHC results, the resonant di-Higgs rate can still be an order of magnitude larger than the SM predicted di-Higgs rate. In the HL-LHC scenario, the Higgs trilinear coupling can still be a factor of three larger than the SM prediction for resonance masses in the 1.5–3.5 TeV range, where resonant searches may have less reach. This enhancement is just at the projected 2⁢𝜎 sensitivity of the HL-LHC. We find there are resonance masses for which the change in the Higgs trilinear is maximized while the resonant rate is negligible. We provide an analytical understanding of these effects with a discussion on the interplay of various constraints on the parameter space and the Higgs trilinear coupling.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

DOE OSTI2023

Semiconductor Nanostructures by Scientific Design (Final Technical Report)

We developed and used quantum simulation techniques to predict structural, electronic, optical and thermal properties affecting the scientific design of semiconductor nanostructures. We focused on the study of surfaces and interfaces at the nanoscale, in particular embedding and solvation of semiconductor nanoparticles, and provided a microscopic description of nanostructured materials in realistic environments, directly comparable with experimental conditions. We addressed three major problems: (i) the design of realistic structural models of integrated nanostructures, e.g. quantum dots embedded in solid matrices and nanostructures immersed in fluids; (ii) the development of efficient and accurate calculations to describe the excited state properties of nanostructures, beyond standard Density Functional Theory, so as to understand and predict electronic properties involved in renewable energy applications, for example solar conversion devices. In particular we developed and used methods based on a many body perturbation theory. (iii) the development of calculations of heat transport properties of nanostructured materials, for thermoelectric applications, including predictive calculations of thermal and electrical conductivity and of Seebeck coefficients. Specifically, we developed and used methods based on the Boltzmann transport equation and molecular dynamics.

77 NANOSCIENCE AND NANOTECHNOLOGY↗

DOE OSTI2025

Evaluation of data driven low-rank matrix factorization for accelerated solutions of the Vlasov equation

Low-rank methods have shown success in accelerating simulations of a collisionless plasma described by the Vlasov equation, but still rely on computationally costly linear algebra every time step. We propose a data-driven factorization method using artificial neural networks, specifically with convolutional layer architecture, that trains on existing simulation data. At inference time, the model outputs a low-rank decomposition of the distribution field of the charged particles, and we demonstrate that this step is faster than the standard linear algebra technique. Numerical experiments show that the method achieves comparable reconstruction accuracy for interpolation tasks, generalizing to unseen test data in a manner beyond just memorizing training data; patterns in factorization also inherently followed the same numerical trend as those within algebraic methods (e.g., truncated singular-value decomposition). However, when training on the first 70% of a time-series data and testing on the remaining 30%, the method fails to meaningfully extrapolate. Despite this limiting result, the technique may have benefits for simulations in a statistical steady-state or otherwise showing temporal stability. These results suggest that while the model offers a computationally efficient alternative for datasets with temporal stability, its current formulation is best suited for interpolation rather than for predicting future states in time-evolving systems. This study thus lays the groundwork for further refinement of neural network-based approaches to low-rank matrix factorization in high-dimensional plasma simulations.

97 MATHEMATICS AND COMPUTING↗

DOE OSTI2025

Beyond real: alternative unitary cluster Jastrow models for molecular electronic structure calculations on near-term quantum computers

Near-term quantum devices require wavefunction ansätze that are expressive while also of shallow circuit depth in order to both accurately and efficiently simulate molecular electronic structure. While the unitary coupled cluster ansatz (e.g., UCCSD) has become a standard, the high gate count associated with the implementation of this limits its feasibility on noisy intermediate-scale quantum (NISQ) hardware. k -Fold unitary cluster Jastrow (uCJ) ansätze mitigate this challenge by providing O( kN 2 ) circuit scaling and favorable linear depth circuit implementation. Previous work has focused on the real orbitalrotation (Re-uCJ) variant of uCJ, which allows an exact (Trotter-free) implementation. Here we extend and generalize the k -fold uCJ framework by introducing two new variants, Im-uCJ and g-uCJ, which incorporate imaginary and fully complex orbital rotation operators, respectively. Similar to Re-uCJ, both of the new variants achieve quadratic gate-count scaling. Our results focus on the simplest k = 1 model, and show that the uCJ models frequently maintain energy errors within chemical accuracy (∼1 kcal mol −1 ). Both g-uCJ and Im-uCJ are more expressive in terms of capturing electron correlation and are also more accurate than the earlier Re-uCJ ansatz. We further show that Im-uCJ and g-uCJ circuits can also be implemented exactly, without any Trotter decomposition. Numerical tests using k = 1 on H 2 , H 3 + , Be 2 , C 2 H 4 , C 2 H 6 and C 6 H 6 in various basis sets confirm the practical feasibility of these shallow Jastrow-based ansätze for applications on near-term quantum hardware.

Tkachenko, Nikolay V. [University of California, B↗

DOE OSTI2022

VA EDH Data Curation Documentation FY22-Q2, Rev. 2

The health and well-being of the Nation’s men and women who have served in uniform is the highest priority for the U.S. Department of Veterans Affairs (VA). VA is committed to providing timely access to high-quality, recovery-oriented, evidence-based mental health care that anticipates and responds to Veterans’ needs and supports the reintegration of returning Service members into their communities. VA is working to eliminate suicide among all Veterans by developing and implementing innovative suicide prevention approaches and resources. Health outcomes, such as suicide are typically modeled as a function of genetics and environment, where environment refers to factors beyond medical, e.g., air quality, access to transportation and food, homelessness status, etc. Mental health outcomes for each individual are considered to be associated with multiple stressors that fall under a variety of categories socioeconomic, economic, physical environment. Understanding the relationships between these stressors, covariates and health outcomes, requires curated, standardized data that can be input into the VA’s Recovery Engagement and Coordination for Health - Veterans Enhanced Treatment (REACH VET) or other health outcomes model. Environmental Determinants of Health (EDH) as defined by the World Health Organization (WHO) is clean air, stable climate, adequate water, sanitation and hygiene, safe use of chemicals, protection from radiation, healthy and safe workplaces, sound agricultural practices, health-supportive cities and built environments, and a preserved nature are all prerequisites for good health.

60 APPLIED LIFE SCIENCES↗