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Human Subjects Division (HSD)

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Document Details

download doc 1343
Download Document #1343
Last Updated 04/26/2013
Version 2.30
Filesize 508 KB
Audiences HSD Staff, IRB Member, Researcher
Doc Type Form

Use of Identifiable Biological Specimens/Data - Word (formerly Medical Records Review)

Purpose

To gather the necessary information for the review of identifiable data and/or specimens of human subjects.  The form is limited to researchers who are not directly interacting with people, but who are reviewing identifiable private information about individuals and/or analyzing identifiable specimens.

Examples:

  • medical records
  • protected health information (PHI)
  • employment data
  • study records
  • pathology specimens
  • data and/or specimens from a repository

NOTE: This is the Word version of this form.

Related Documents

Change Notes

  • Related to Ver. 2.30, noted 04/26/2013 @ 11:35am
    Separated title and position fields in contact information section. Okay to use previous version.
    - sherrye
  • Related to Ver. 2.20, noted 01/25/2013 @ 09:15am
    Updated FCOI language. Okay to use previous version.
    - sherrye
  • Related to Ver. 2.10, noted 12/28/2012 @ 09:47am
    Updated to reflect change that we require only a notation of how frequently a sponsor may require training refreshers, rather than full documentation. Question 10.1. reformatted to reduce confusion. Okay to use previous version.
    - sherrye
  • Related to Ver. 2.00, noted 11/30/2012 @ 09:47am
    Document newly added.
    - sherrye