Content Comparison

Ensure that all study personnel that will access the data are listed. If they will access identifying patient data (names, dates, MRNs, etc.), select ‘Yes’ under ‘Access Identifiable Data’

If your study involves secondary analysis (ex. retrospective chart review), select the secondary analysis option that applies to your research. Checking one of these boxes triggers the activation of section 13, also needed for your application.

If you would like to include patients known to be deceased in the dataset, please select ‘Yes’. Otherwise, we will automatically exclude any patient known to be deceased from your dataset.

Note that patients are typically only marked as known to be deceased in the medical record if they pass away while admitted to the hospital.

Select ‘Yes’

If you will be using the dataset to contact patients for study recruitment, select ‘Clinical Data Warehouse’:

Select ‘Yes'

Please select ‘Yes’ as applicable if your dataset will include HIV data, mental health data, or substance abuse treatment data. Make sure to select ‘Yes’ if your study’s selection criteria has any of this data.

• If you will be using the dataset to contact and recruit subjects for your study, select ‘Partial Waiver of HIPAA Authorization for screening, recruiting, and identifying participants’

• Otherwise, select ‘None of the Above’

Select ‘Keck Medicine of USC’

Describe how you will contact patients (for example, sending emails to potential subjects)

Select “USC HSC - Health Sciences Associated Locations”

Select “Keck Hospital of USC Facilities” and “Keck School of Medicine of USC”