№ lp_2_3_22748
Administrative research data request form documenting required variables, justification, and custodian acknowledgment in compliance with provincial personal health information legislation.
Jurisdiction: Newfoundland and Labrador, Canada
Legislation Referenced: Personal Health Information Act, Section 49(1)
Organizations Mentioned: NLHS – Digital Health; NLHS – Eastern Rural Zone; NLHS – Eastern Urban Zone; NLHS – Central Zone; NLHS – Western Zone; NLHS – Labrador-Grenfell Zone; NLCHI
Type of Document: Administrative form
Purpose: Request and justification of specific data elements for research or related activities
Related Process: HREB application submission
Participants: Principal Investigator; Data Custodian; Key Contact
Data Categories: Secondary Use/Chart Review; General Research; Genetic/Genomic Research; Clinical Trial; Program Evaluation; Other
Required Information: Project title; Principal Investigator details; Requested database; Variables requested; Rationale; Date/Year range; Custodian acknowledgment
Legal Constraint: Disclosure limited to minimum amount of information necessary
Price: 8 / 10 USD
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