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This document outlines the terms and conditions under which the School of Dental Medicine (SDM) provides a limited data set for research purposes in compliance with HIPAA regulations, including definitions,

How to fill out sdm phi research agreement

How to fill out SDM PHI Research Agreement for Limited Data Set

1. Review the SDM PHI Research Agreement for Limited Data Set to understand its purpose and requirements.
2. Gather necessary information including the research institution's details, principal investigator's name, and contact information.
3. Specify the limited data set that will be used for research and ensure it complies with HIPAA regulations.
4. Clearly outline the purpose of the research to justify the use of the limited data set.
5. Include details on the safeguards that will be implemented to protect the limited data set during the study.
6. Fill in the duration of the agreement and the specific research project timeline.
7. Ensure all signatures are obtained from authorized representatives of both the research team and the data provider.
8. Submit the completed agreement for approval by the relevant ethics or regulatory boards.

Who needs SDM PHI Research Agreement for Limited Data Set?

1. Researchers who plan to use limited data sets containing PHI for their studies.
2. Academic institutions conducting health-related research.
3. Organizations seeking to access limited data sets to analyze healthcare information without disclosing full PHI.

People Also Ask about

Do limited data sets require IRB approval?

The investigator must agree to use the Limited Data Set only as described in the protocol. If the IRB approves the use of a Limited Data Set, the investigator is permitted to use only the minimum protected health information necessary to accomplish the research.

Does a limited data set include PHI?

NOTE: a Limited Data Set is still Protected Health Information (PHI) under HIPAA. It is not De-Identified Data, as that term is defined under HIPAA, and thus, must be safeguarded and protected as required under the Privacy Rule.

What is a data use agreement?

The DUA's basic purpose is to define the data recipient's rights and obligations related to the access, storage, protection, use, processing, and transmission of the provider's data, which may include data types such as Protected Health Information (PHI), Personally Identifiable Information (PII), Limited Data Sets,

What type of agreement is used for a limited and specific sharing of data for research purposes?

A Data Use Agreement (DUA), which may also be called Data Sharing Agreement, Data Transfer and Use Agreement, or other similar titles, is a legally binding agreement between a data provider and a data recipient that requires signature or other acknowledgment to facilitate the transfer of data between the parties.

What is a limited data set and data use agreement?

Data Use Agreement - An agreement into which the covered entity enters with the intended recipient of a limited data set that establishes the ways in which the information in the limited data set may be used and how it will be protected.

What does a limited data set mean?

'A “limited data set” is a limited set of identifiable patient information as defined in the Privacy Regulations issued under the Health Insurance Portability and Accountability Act, better known as “HIPAA”.

What is limited data use?

Limited Data Use is a data processing option that gives you more control over how your data is used in Meta's systems and better supports your compliance efforts with various US state privacy regulations.

What does it mean to have limited data?

This means that in order for a data set to be a Limited Data Set, all of the following direct identifiers as they relate to the individual or his/her relatives, employers, or household members must be removed: Names. Street addresses (other than town, city, state, and zip code) Telephone and fax numbers. Email

For pdfFiller’s FAQs

What is SDM PHI Research Agreement for Limited Data Set?

The SDM PHI Research Agreement for Limited Data Set is a legal document that governs the use and sharing of protected health information (PHI) in a limited data set that is utilized for research purposes, ensuring privacy protections while allowing researchers to access necessary data.

Who is required to file SDM PHI Research Agreement for Limited Data Set?

Researchers or organizations that intend to use a Limited Data Set containing PHI for research purposes are required to file the SDM PHI Research Agreement.

How to fill out SDM PHI Research Agreement for Limited Data Set?

To fill out the SDM PHI Research Agreement, you should provide accurate information regarding the researcher’s identity, the purpose of the research, the description of the data to be used, confidentiality measures, and other relevant details as specified in the form.

What is the purpose of SDM PHI Research Agreement for Limited Data Set?

The purpose of the SDM PHI Research Agreement is to ensure that while researchers can access valuable health information for their studies, the privacy of individuals is maintained by restricting the use and sharing of sensitive data.

What information must be reported on SDM PHI Research Agreement for Limited Data Set?

The SDM PHI Research Agreement must report information including the researcher's name and contact information, a detailed description of the research project, the type of data being requested, the intended use of the data, and any safeguards in place to protect the data.