Data Sharing Agreement - Laserfiche WebLink

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DEFINITIONS FOR CHARS: "Direct ldenttfler" means data or records that include; • Patient first name; • Patient middle name(s); • Patient last name; • Social Security number; • Patient control number or medical record number; • Patient zip code+ four digits; • Dates that include day, month, and year; and • Admission and discharge dates in combination. "Potentially Identifiable Data File": means the data file that contains indirect patient identifiers. Information from the file can likely be associated with the identity of the person or persons to whom the data or records pertain when combined with other information. "Indirect identifiers": means information that may identify a patient when combined with other information. Identification of a specific patient is more likely when a file contains a group of ten or fewer similar hospitalizations. Indirect patient identifiers include the following data elements, in combination or individually, when they create a group of ten or fewer similar hospitalizations in a file: • Hospital or provider identifiers; • Five digit zip code; • County, state, and country of residence; • Dates that include month and year; • Admission and discharge hour; • Secondary diagnosis, procedure, present on admission, external cause of injury, and payer codes; • Age in years; and • Race and ethnicity. GENERAL TERMS AND CONDITIONS I. USE OF INFORMATION The Information Recipient agrees to strictly limit use of information obtained or created under this Agreement to the purposes stated in Exhibit I (and all other Exhibits subsequently attached to this Agreement). For example, unless the Agreement specifies to the contrary the Information Recipient agrees not to: • Link information received under this Agreement with any other information. • Use information received under this Agreement to identify or contact ind ivid ua Is. Page 6 of 26 09/2017