ࡱ> @B? bjbj 8$}c}c )))))==== ID=".hhh!!!!!!!$I#%!)hhhhh!))!h))!h!V @R!.~.:! !!0"F! &j&R!&)R!4hhh!!jhhh"hhhh&hhhhhhhhh : Limited Data Sets and Data Use AgreementsA CE may use/disclose a limited data set that meets certain requirements if the CE enters into a data use agreement with the limited data set recipient. A limited data set may be used for the purpose of research, public health, or health care operations. A limited data set is PHI that excludes direct identifiers of the individual or of relatives, employers, or household members of the individual.Limited Data Set ElementsData Use Agreement ElementsExcludedIncludedPurposeRequirementsNames Postal Address info other than town, city, state and Zip code Telephone number Fax number E-mail address Social Security Number Medical Record Number Health Plan Beneficiary Number Account Number Certificate/License number Vehicle identifiers and serial numbers including license plate numbers Device identifiers and serial numbers Web Universal Resource Locaters Internet Protocol address numbers Biometric identifiers, including finger and voice prints Full face photographs and any comparable images Any other unique identifying number, characteristic or codeCity, State ZIP codes Age (if subjects are 90+ years), dates of birth other dates (admission, discharge, service, date of death) establishes the permitted uses and disclosures of the data set consistent with the purpose of the disclosure defines who is permitted to use or receive the data defines what purpose the data may be used prohibits the recipient from identifying or contacting the data subject Data use agreements, like confidentiality agreements, can be used between a covered entity and its workforce for its own research limited data set disclosures are not subject to the data subjects accounting right, but they are subject to the minimum necessary standard(a) use the PHI contained in the set only as permitted under the Privacy Rule, (b) limit who can use or receive the data, (c) agree not to re-identify the data or contact the individual subjects of such data; and (d) use appropriate safeguards to prevent use or disclosure of the limited data set other than as permitted by the data use agreement and the Privacy Rule, or as required by law. Version: 6/2016 *+CS( )    b l 覘ughXCJOJQJ^JaJ#hrFB*CJOJQJ^JaJph hz{hMCJOJQJ^JaJh`CJOJQJ^JaJhrFCJOJQJ^JaJhrF5OJQJ\^JhrFB*OJQJ^JphhrFB*phhXhrF5\ hrF5\hrFhrF5:OJQJ\^J hrF:*+ *\kd$$Ifl4,""04 laf4$Iflkd$$Ifl4,""   04 laf4p $If    Mkd/$$Ifl4F,"  0    4 laf4p$If$If $$Ifa$   # a .$$ & F$Ifkd$$Iflr^ P," .  04 lap$Ifa r }  I o  V b l *$If^*gd` & F **L$If^*`LgdM & F **L$If^*`L & F$If G { p & F L$If^`L & F L$If^`L$If4....$Ifkd $$Iflr^ P," .  04 lapkd$$Iflr^ P," . 204 lap2$If6P1h/ =!"#$% Dp$$If!vh#v":V l4   05"/ 4f4p $$If!vh#v":V l405"/ 4f4$$If!vh#v#v#v:V l4  0555/ 4f4p$$If!vh#v #v.#v#v#v:V l  05 5.555/ 4p$$If!vh#v #v.#v#v#v:V l  05 5.555/ 4p/$$If!vh#v #v.#v#v#v:V l 205 5.555/ 4p2 v2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@666_HmH nH sH tH F`F Normal7$8$CJ_HaJmH sH tH L@L  Heading 1$$@&a$5OJQJ\^JDA D Default Paragraph FontRi@R  Table Normal4 l4a (k (No List LB@L  Body TextB*CJOJQJ^JaJph6U 6 v9 Hyperlink >*B*phB' B GYComment ReferenceCJaJ<"< GY Comment TextCJaJ:1: GYComment Text Char@j!"@ GYComment Subject5\F/QF GYComment Subject Char5\HbH GY Balloon TextCJOJQJ^JaJN/qN GYBalloon Text CharCJOJQJ^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VGRU1a$N% ʣꂣKЛjVkUDRKQj/dR*SxMPsʧJ5$4vq^WCʽ D{>̳`3REB=꽻Ut Qy@֐\.X7<:+& 0h @>nƭBVq1u`X=:tڣf{Xx {dV=|kPo۵(h[x )IеnW[@;0PDbRy( "IROnVxCD' bJZ65I[adH+^D )>s=h ۟~7zWo^=[Qr||[?|̦ o{O=4?}}L$Xx%@|Ư'11%i$P,c[GD7sH5. 4kIƉZKTPBM HN7|nB#L7^`!\29pCH3nMb#$.'19b%+vJ~.!DI;DPz l 2I ͚;|y3+~Dؕjw0e1vdǪzO^I57y+d8bnv 4?6CK\M#= ċ(0'1 zxpWc/_X4/A_[)^&(fp[_NiK7@wd5= I?>q샏ꚝΡ5Ӵ>3m=͡|7;:۱&?8ټ<}9H}]Ru Vx~p{3AsP~\v!cZ 6JOw׃SB HfЖ gpj*4nR2BM} rfw[BfV= vͅh7/sɳ ̲B3뤓eH=J_:hn$O\ʧFn;/x.M#+d,W87+IwOťwF) uepwPϬ pV$2v Sv(C8L\~+l`k& Y iTU#p~XHYHeʹ,fͰ-;Y7XmM 9ͬYMm*/稺W(r2bUGڱ]]HYUcF8U~ۍZZnJmi}kn^l $   a  8@0(  B S  ?~33UVblooUVblooyA "vOx-W~}`6~hD4^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.h^`.h^`.hpLp^p`L.h@ @ ^@ `.h^`.hL^`L.h^`.h^`.hPLP^P`L.^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.x-yA "}`6Mv9GYXR`rF@ @UnknownG.[x Times New Roman5Symbol3. .Cx Arial5. .[`)TahomaA$BCambria Math"hREGbrGHTHT!xx243Q?rF2!xx )LIMITED DATA SETS AND DATA USE AGREEMENTSSLU IRBMaureen Bresnahan   Oh+'0 $ D P \hpx,LIMITED DATA SETS AND DATA USE AGREEMENTSSLU IRBNormalMaureen Bresnahan4Microsoft Office Word@G@jš@.HT ՜.+,0$ hp  ˾ *LIMITED DATA SETS AND DATA USE AGREEMENTS Title  !"#$%&'()*+,-.012345689:;<=>ARoot Entry F*?CData 1Table&WordDocument8$SummaryInformation(/DocumentSummaryInformation87CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q