Data Use Agreement for Limited Data Set Sample Contracts

DATA USE AGREEMENT FOR LIMITED DATA SET
Data Use Agreement for Limited Data Set • October 21st, 2015 • Florida

This Data Use Agreement for a Limited Data Set (“Agreement”) is effective on the day of , 201 by and between the University of Florida Board of Trustees (“Covered Entity”) and (“Recipient”).

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SDM Data Use Agreement for Limited Data Set
Data Use Agreement for Limited Data Set • May 24th, 2012 • Pennsylvania

WHEREAS, 45 CFR 164, Subpart E (titled “Standards for Privacy of Individually Identifiable Health Information” and herein referred to as the “HIPAA Privacy Rule”) allows SDM to make available for the purposes of research, public health or health care operations a limited data set to User, provided that User agrees to be bound by the terms of this Agreement; and

Data Use Agreement for Limited Data Set For use with individuals or entities who are not part of the UW’s workforce
Data Use Agreement for Limited Data Set • August 28th, 2017

This Data Use Agreement for Protection of Limited Data Set (LDS) is entered into between the University of Washington and __________________ (hereinafter “Recipient”), effective _____________________. The University of Washington is a hybrid entity and has designated its healthcare components and non-healthcare components as described in COMP.101 Patient Information Privacy and Security Compliance Program and Administrative Requirements. Pursuant to 45 CFR §164.105(b)(1), these entities are designated as Affiliated Entities. Information about UW Medicine’s Organized Health Care Arrangements can be found in COMP.101 Patient Information Privacy and Security Compliance Program and Administrative Requirements and by contacting UW Medicine Compliance at 206.543.3098 or 855.211.6193.

Data Use Agreement for Limited Data Set For use with individuals or entities who are part of the UW’s workforce
Data Use Agreement for Limited Data Set • August 28th, 2017

This Data Use Agreement for Protection of Limited Data Set (LDS) is entered into between the University of Washington and _______________________ (hereinafter “Recipient”), effective _________________. Both _________________ and __________________are members of the UW Medicine workforce. The University of Washington is a hybrid entity and has designated its healthcare components and non-health care components as described in COMP.101 Patient Information Privacy and Security Compliance Program and Administrative Requirements. Pursuant to 45 CFR §164.105(b) (1), these entities are designated as Affiliated Entities. Information about UW Medicine’s Organized Health Care Arrangements can be found in COMP.101 Patient Information Privacy and Security Compliance Program and Administrative Requirements and by contacting UW Medicine Compliance at 206.543.3098 or 855.211.6193.

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