{"id":855,"date":"2018-05-23T08:00:09","date_gmt":"2018-05-23T08:00:09","guid":{"rendered":"https:\/\/az.research.umich.edu\/medschool\/document\/limited-data-sets\/"},"modified":"2026-03-13T11:05:58","modified_gmt":"2026-03-13T15:05:58","slug":"limited-data-sets","status":"publish","type":"document","link":"https:\/\/az.research.umich.edu\/medschool\/guidance\/limited-data-sets\/","title":{"rendered":"Limited Data Sets"},"template":"","categories":[24],"tags":[],"content-type":[41],"topic":[42,43,45,66],"update-type":[],"class_list":["post-855","document","type-document","status-publish","hentry","category-institutional-review-boards-irbmed","content-type-guidance","topic-application-types","topic-eresearch-regulatory-management-errm","topic-hipaa-protected-health-information","topic-investigator-study-team-responsibilities"],"acf":{"use_legacy_editor":true,"updated_date":"2020-08-10 14:30:00","update_notice":false,"author":"IRBMED","summary":"<a href=\"https:\/\/www.hhs.gov\/ohrp\/regulations-and-policy\/guidance\/research-involving-coded-private-information\/index.html\">Research on coded private information<\/a>, or on non-identifiable information, is not regulated under the\u00a0<a href=\"https:\/\/www.hhs.gov\/ohrp\/regulations-and-policy\/regulations\/45-cfr-46\/index.html\">Common Rule<\/a>.\u00a0\u00a0However,\u00a0<a href=\"\/medschool\/guidance\/hipaa\">HIPAA Privacy Rule<\/a>\u00a0protections apply if a <a class=\"gtip\" href=\"\/medschool\/glossary\/coded\">coded<\/a> or non-identifiable data set contains\u00a0<a href=\"\/medschool\/guidance\/protected-health-information-phi\">Protected Health Information (PHI)<\/a>\u00a0in the form of a \u201c<a href=\"https:\/\/privacyruleandresearch.nih.gov\/pr_08.asp#8d\">Limited Data Set<\/a>.\u201d","button_links":null,"related_content":[745,752,744,725,877],"legacy_path":"limited-data-sets","legacy_node_id":416,"legacy_related_nids":"285, 293, 284, 248, 1026","legacy_content_section":[{"legacy_section_type":"heading","legacy_heading":"Applicability","legacy_subheading":"","legacy_section_text":"","legacy_media_position":"","legacy_media_file":"","legacy_media_url":"","legacy_glossary_term":"","legacy_glossary_nids":"","legacy_resource":"","legacy_resource_nids":"","legacy_buttons":null},{"legacy_section_type":"text_area","legacy_heading":"","legacy_subheading":"","legacy_section_text":"A HIPAA Limited Data Set (LDS)\u00a0<strong>excludes<\/strong>\u00a0direct identifiers but\u00a0<strong>may include<\/strong>\u00a0<a href=\"https:\/\/www.federalregister.gov\/documents\/2002\/08\/14\/02-20554\/standards-for-privacy-of-individually-identifiable-health-information#p-590\">geographic information other than street address<\/a>; dates; and other numbers, characteristics, or codes not listed as direct identifiers.","legacy_media_position":"","legacy_media_file":"","legacy_media_url":"","legacy_glossary_term":"","legacy_glossary_nids":"","legacy_resource":"","legacy_resource_nids":"","legacy_buttons":null},{"legacy_section_type":"media","legacy_heading":"","legacy_subheading":"","legacy_section_text":"","legacy_media_position":"media-half","legacy_media_file":1354,"legacy_media_url":"https:\/\/az.research.umich.edu\/sites\/default\/files\/media\/embedded\/res_irbmed_LDS-policy-Refs-screenshot.png","legacy_glossary_term":"","legacy_glossary_nids":"","legacy_resource":"","legacy_resource_nids":"","legacy_buttons":null},{"legacy_section_type":"text_area","legacy_heading":"","legacy_subheading":"","legacy_section_text":"A table showing data elements permitted in\u00a0<a class=\"gtip\" href=\"\/medschool\/glossary\/de-identified\">de-identified<\/a> data and limited data sets\u00a0is available through the References section of the Michigan Medicine <a href=\"https:\/\/michmed-administration.policystat.com\/policy\/6450653\/latest\/\">Policy 01-04-342<\/a>\u00a0<em>(level-2 login required)<\/em>.\r\n\r\nHIPAA Privacy Rule\u00a0permits access to PHI in the form of a Limited Data Set\u00a0(LDS)\u00a0<strong>if<\/strong>\u00a0the\u00a0<a class=\"gtip\" href=\"\/medschool\/glossary\/covered-entity\">covered entity<\/a>\u00a0and the limited data set recipient enter into a data use agreement (DUA). Even if the researchers requesting a limited data are members of the covered entity's workforce, a <strong>written\u00a0<\/strong>data use agreement meeting the Privacy Rule's requirements\u00a0must be in place between the covered entity and the limited data set recipient.","legacy_media_position":"","legacy_media_file":"","legacy_media_url":"","legacy_glossary_term":"","legacy_glossary_nids":"","legacy_resource":"","legacy_resource_nids":"","legacy_buttons":null},{"legacy_section_type":"heading","legacy_heading":"Required Provisions in the DUA","legacy_subheading":"","legacy_section_text":"","legacy_media_position":"","legacy_media_file":"","legacy_media_url":"","legacy_glossary_term":"","legacy_glossary_nids":"","legacy_resource":"","legacy_resource_nids":"","legacy_buttons":null},{"legacy_section_type":"text_area","legacy_heading":"","legacy_subheading":"","legacy_section_text":"In the DUA, the researchers receiving the LDS provide satisfactory assurances that they will use or disclose the <a class=\"gtip\" href=\"\/medschool\/glossary\/protected-health-information-phi\">PHI<\/a> in the data set only for specified purposes.\r\n<ol>\r\n \t<li>Specific permitted uses and disclosures of the limited data set by the recipient consistent with the purpose for which it was disclosed (a data use agreement cannot authorize the recipient to use or further disclose the information in a way that, if done by the covered entity, would violate the Privacy Rule).<\/li>\r\n \t<li>Identify who is permitted to use or receive the limited data set.<\/li>\r\n \t<li>Stipulations that the recipient will\r\n<ol>\r\n \t<li>\u00a0Not use or disclose the information other than permitted by the agreement or otherwise required by law.<\/li>\r\n \t<li>Use appropriate safeguards to prevent the use or disclosure of the information, except as provided for in the agreement, and require the recipient to report to the covered entity any uses or disclosures in violation of the agreement of which the recipient becomes aware.<\/li>\r\n \t<li>Hold any agent of the recipient (including subcontractors) to the standards, restrictions, and conditions stated in the data use agreement with respect to the information.<\/li>\r\n \t<li>Not identify the information or contact the individuals.<\/li>\r\n<\/ol>\r\n<\/li>\r\n<\/ol>\r\nMichigan Medicine <a href=\"https:\/\/michmed-administration.policystat.com\/policy\/6450653\/latest\/\">Policy 01-04-342<\/a>\u00a0on Limited Data Sets (<em>level-2 login required)<\/em> describes implementation of these requirements.\r\n<ul>\r\n \t<li>Sharing LDS <strong>within<\/strong> U-M: Use the internal template linked from the policy<\/li>\r\n \t<li>Sending LDS <strong>outside<\/strong> U-M: Use the external template linked from the policy<\/li>\r\n \t<li>Receiving LDS from outside institutions: generally the other institution provides the DUA template.<\/li>\r\n<\/ul>\r\n<strong>External DUAs (sending data to, or obtaining from, outside the University)<\/strong>\u00a0should be processed through the\u00a0<a href=\"http:\/\/orsp.umich.edu\/unfunded-agreement-types\">Unfunded Agreement (UFA)<\/a>\u00a0form in\u00a0<a href=\"http:\/\/eresearch.umich.edu\">eResearch<\/a>\u00a0Proposal Management (<a href=\"http:\/\/www.umich.edu\/~eresinfo\/pm.html\">eRPM<\/a>). <a href=\"http:\/\/orsp.umich.edu\/policies-procedures\/data-sharing-and-use-agreements\">ORSP Data Sharing Resource Center<\/a>,\u00a0<a href=\"https:\/\/medresearch.umich.edu\/office-research\/about-office-research\/our-units\/data-office-clinical-translational-research\">UMMS Data Office for Clinical and Translational Research<\/a>, and\u00a0<a href=\"https:\/\/umhealth.sharepoint.com\/sites\/Corporate-Compliance\/\">UMHS Compliance Office<\/a> <em>(level-2 login required) <\/em>are available to assist with DUAs.","legacy_media_position":"","legacy_media_file":"","legacy_media_url":"","legacy_glossary_term":"","legacy_glossary_nids":"","legacy_resource":"","legacy_resource_nids":"","legacy_buttons":null},{"legacy_section_type":"heading","legacy_heading":"Process for Application","legacy_subheading":"","legacy_section_text":"","legacy_media_position":"","legacy_media_file":"","legacy_media_url":"","legacy_glossary_term":"","legacy_glossary_nids":"","legacy_resource":"","legacy_resource_nids":"","legacy_buttons":null},{"legacy_section_type":"text_area","legacy_heading":"","legacy_subheading":"","legacy_section_text":"To request review of a \u201cLimited Data Set with Data Use Agreement,\" complete a new application in\u00a0<a class=\"gtip\" href=\"\/medschool\/glossary\/eresearch-regulatory-management-errm\">eResearch\u00a0Regulatory Management (eRRM)<\/a>. Fill out system-required sections, including:\r\n<ul>\r\n \t<li>Question\u00a0<strong>1.8<\/strong>\u00a0(project summary): explain the purpose of the project, and why this requires access to <a class=\"gtip\" href=\"\/medschool\/glossary\/protected-health-information-phi\">PHI<\/a>.<\/li>\r\n \t<li>Section<strong>\u00a001-1<\/strong>: \u201cActivities Not Regulated\u2026\u201d;<\/li>\r\n \t<li>Section <strong>02<\/strong>: <a href=\"https:\/\/documentation.its.umich.edu\/node\/1250\">Link<\/a> to any applicable <a href=\"http:\/\/orsp.umich.edu\/unfunded-agreement-types\">Unfunded Agreements (UFAs)<\/a>, even if still in \"Create Record\" state<\/li>\r\n \t<li>Section\u00a0<strong>04-1:<\/strong> \u201cResearch Involving <a class=\"gtip\" href=\"\/medschool\/glossary\/coded\">Coded<\/a> <a class=\"gtip\" href=\"\/medschool\/glossary\/private-information\">Private Information<\/a>\u201d;<\/li>\r\n \t<li>Section\u00a0<strong>04-2<\/strong>:\u00a0Yes\u00a0to \u201climited data set?\u201d<\/li>\r\n \t<li>Section\u00a0<strong>24<\/strong>: fill out a separate line item for each data source, including\r\n<ul>\r\n \t<li>Question\u00a0<strong>24.5: <\/strong>For sharing with external institutions,<strong> upload <\/strong>a copy of the DUA (if not linked in a UFA).<\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li>Section\u00a0<a href=\"https:\/\/az.research.umich.edu\/medschool\/wp-content\/uploads\/sites\/3\/2024\/12\/25-1-non-exempt.pdf\">25-1<\/a>: fill out, including\r\n<ul>\r\n \t<li><strong>25-1.3<\/strong>\u00a0\u201c<a class=\"gtip\" href=\"\/medschool\/glossary\/hipaa\">HIPAA<\/a> authorization will not be obtained from any subjects\u201d<\/li>\r\n \t<li><strong>25-1.3.2<\/strong>: \u201cLimited data set(s)\u201d<\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li>Section\u00a0<a href=\"https:\/\/az.research.umich.edu\/medschool\/wp-content\/uploads\/sites\/3\/2024\/12\/25-4.pdf\">25-4<\/a>: provide required assurances.\r\n<ul>\r\n \t<li>Note that if PHI will be disclosed outside U-M, the eResearch system will force a DUA upload in this section (even if provided elsewhere).<\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ul>\r\nOnce completed and submitted, the application will be reviewed by IRBMED Staff for clarity and completeness, then assigned to IRB Board reviewer for determination.","legacy_media_position":"","legacy_media_file":"","legacy_media_url":"","legacy_glossary_term":"","legacy_glossary_nids":"","legacy_resource":"","legacy_resource_nids":"","legacy_buttons":null}],"update_notice_type":[],"update_notice_start":"","update_notice_end":"","update_notice_text_blocks":null,"global_contact_block":false,"contact_name":"","contact_email":"","contact_additional_info":"Contact us at\u00a0<a href=\"mailto:irbmed@umich.edu\">irbmed@umich.edu<\/a>\u00a0or 734-763-4768 \/ (Fax 734-763-1234)\r\n\r\n2800 Plymouth Road, Ann Arbor, MI 48109-2800\r\n\r\nA list of IRBMED staff is available at <a href=\"https:\/\/medresearch.umich.edu\/office-research\/about-office-research\/our-units\/institutional-review-boards-irbmed\/irbmed-contacts-roster#irbmed-staff\">our webpage<\/a>.\r\n\r\nEdited By: <a href=\"mailto:larkspur@umich.edu\">larkspur@umich.edu<\/a>\r\nLast Updated: March 13, 2026 11:05AM","global_contact_block_select":null},"_links":{"self":[{"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/document\/855","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/document"}],"about":[{"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/types\/document"}],"version-history":[{"count":1,"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/document\/855\/revisions"}],"predecessor-version":[{"id":1923,"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/document\/855\/revisions\/1923"}],"acf:post":[{"embeddable":true,"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/document\/877"},{"embeddable":true,"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/document\/725"},{"embeddable":true,"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/document\/744"},{"embeddable":true,"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/document\/752"},{"embeddable":true,"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/document\/745"}],"wp:attachment":[{"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/media?parent=855"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/categories?post=855"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/tags?post=855"},{"taxonomy":"content-type","embeddable":true,"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/content-type?post=855"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/topic?post=855"},{"taxonomy":"update-type","embeddable":true,"href":"https:\/\/az.research.umich.edu\/medschool\/wp-json\/wp\/v2\/update-type?post=855"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}