hospital statistical data request form template

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hsdm will perform analysis when results contain no directly confidential identifying information and no information that could be used to indirectly or constructively identify an individual. the non-confidential data analysis request form must be submitted to hsdm for all data requests. hsdm will provide access to confidential data to qualified researchers demonstrating a direct and tangible non-commercial health related interest. hsdm will perform preprocessing of large data sets to provide data of interest to a researcher. a confidential data request form and a data use agreement must be submitted to hsdm to request confidential record level data or analyses.

the below links provide access to fillable word and pdf versions of the current application for access to confidential vital records data for health-related research; application for access to confidential new hampshire prams data; and the state of nh department of health and human service’s data use agreement. listed below are the data sets hsdm has access to for analysis. for all data sets, hsdm will provide access to confidential data only to qualified researchers demonstrating a direct and tangible interest. **datasets hsdm can provide requests for analysis. new hampshire department of health and human services 129 pleasant street | concord, nh | 03301-3852

specify the preferred format of the completed data (e.g., sas file, excel). where possible, attach a template. if output the templates are not editable and cannot be used to submit a request. to request data and/or biospecimens from a confidential data request form and a data use agreement must be submitted to hsdm to request confidential record , hospital statistical data request form template spreadsheet, hospital statistical data request form template spreadsheet, hospital statistical data request form template powerpoint, hospital statistical data request form template ppt, hospital statistical data request form template doc.

you have the legal right to request a copy of the hold medical records in the same format as a gp or hospital. data on hospital visits, stays and treatments this is held in the hospital episode statistics (hes) database. courts performance and reporting unit (cpru). this form must be completed and submitted before any request for please complete the form below to request access to the current data submission . if you already submitted an agreement , hospital statistical data request form template simple, hospital statistical data request form template pdf, hospital statistical data request form template pdf, hospital statistical data request form template worksheet, hospital statistical data request form template sample

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