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  • Limited Data Set Use Agreement Data Use Agreement Agreement - Ethics Rbhs Rutgers

Get Limited Data Set Use Agreement Data Use Agreement Agreement - Ethics Rbhs Rutgers

LIMITED DATA SET USE AGREEMENT This DATA USE AGREEMENT (this Agreement) is executed this day of , 20 (the Execution Date), to be effective on the day of , 20 (the Effective Date), by and between Rutgers.

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The advantage of a limited data set is that even though it is not de-identified, it can still be used or disclosed for research purposes without an Authorization or a waiver of the Authorization requirement.

Limited data sets may include only the following identifiers: Dates, such as admission, discharge, service, and date of birth (DOB) City, state, and zip code (not street address) Age.

1) The recipient will not try to identify or contact subjects represented in the LDS. 2) The recipient will not use or disclose/share the data in ways other than stated in the agreement, or as otherwise required by law. 3) The recipient will safeguard the data to prevent such misuse or unauthorized disclosures.

A LDS is protected health information that excludes the following direct identifiers of the individual or of relatives, employers, or household members of the individual: Names. Postal address information, other than town or city, State, and zip code.

A Data Use Agreement (DUA) is a contractual document used for the transfer of data that has been developed by nonprofit, government or private industry, where the data are nonpublic or is otherwise subject to some restrictions on its use.

A “limited data set” of information may be disclosed to an outside party without a patient's authorization if certain conditions are met. First, the purpose of the disclosure may only be for research, public health or health care operations.

Data use occurs when there is a legal authority for Federal and/or State Agencies to share information in identifiable form (IIF). An agency may enter into a data use agreement with another entity if authorized by law. The agreement must indicate the legal and statutory authority for use of data.

A limited data set is PHI that excludes specific direct identifiers of the individual or relatives, employers or household members of the individual. It can be used or disclosed only for the purposes of research, public health or health care operations.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232