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DEPARTMENT OF HEALTH SERVICES COUNTY OF LOS ANGELES SUBJECT: LIMITED DATA SET INFORMATIONREFERENCE NO. 622.2Data Request Tracking Number: (To be completed by the EMS Agency) ___ Data Recipient: (name)
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How to fill out limited data set information
01
Identify the purpose for which the limited data set information is needed.
02
Determine the minimum necessary information required to achieve the intended purpose.
03
Remove any direct identifiers from the data set, such as names, social security numbers, etc.
04
Include only indirect identifiers or specific elements of data that are necessary for the intended purpose.
05
Implement appropriate safeguards to protect the limited data set information.
Who needs limited data set information?
01
Researchers conducting studies that involve personal health information but do not require full access to identifiable data.
02
Healthcare providers sharing information for research, public health, or healthcare operations purposes while maintaining patient confidentiality.
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What is limited data set information?
Limited data set information is a subset of protected health information that excludes direct identifiers such as names, addresses, and social security numbers, but may include dates of birth, zip codes, and other indirect identifiers.
Who is required to file limited data set information?
Covered entities and business associates under HIPAA are required to file limited data set information when sharing data for research, public health, or healthcare operations purposes.
How to fill out limited data set information?
Limited data set information can be filled out by removing direct identifiers from the dataset and only including the necessary information for the intended purpose of the data sharing.
What is the purpose of limited data set information?
The purpose of limited data set information is to allow for the sharing of health information for research, public health, and healthcare operations while protecting individuals' privacy and confidentiality.
What information must be reported on limited data set information?
Limited data set information must include data elements such as dates of service, admission and discharge dates, zip codes, and other indirect identifiers that are necessary for the intended use of the data.
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