The purpose of this document is to provide a succinct summary of your plan to electronically collect, store, transmit, or receive Protected Health Information ("PHI" or "ePHI") associated with your research project. All storage and transmission of electronic PHI, including temporary storage, shall be included in the plan.

Plans for paper documents and biospecimens are not within the scope of this document. Also, simply viewing PHI within the clinical documentation for patient care is not within the scope of this document.

This document shall be completed at the time of the initial IRB submission, shall be reviewed annually, and shall be updated when there is a major amendment to your electronic data storage plan. It is the responsibility of the Principal Investigator to understand and proactively determine when such a major amendment is required and to submit an updated version of this document to the IRB.

When you are done completing this form you will have the option to download the form, please download the form as you will benefit from submitting it as part of your IRB protocol.

This document shall be stored in IRBNet, and will be accessible to the IRB, Privacy Officer, Risk Management, Compliance, Legal, Lifespan Information Services Security, and authorized governmental agencies.

THIS FORM IS VALID FOR ONE YEAR FROM THE DATE OF IRB APPROVAL (OF INITIAL PROJECT, CONTINUING REVIEW, OR AMENDMENT) AS DOCUMENTED IN IRBNet.

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