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The APCD served as the population universe to which all other data sources were linked. There were 3 628 992 unique people in the APCD over the entire study period. We identified 968 767 unique households in 2013 and 1 209 236 in 2018, and geocoded patient addresses representing all census tracts in Oregon. Census, death certificate, HDD, and PDMP datasets were successfully linked to this population universe. This methodology can be replicated in other states and may also apply to a broad array of health services research topics. This m