School of Pharmacy PHI Upload Request Form

Welcome to the School of Pharmacy PHI Upload Request Form.

Research Data Upload Request

Your research you may require the use of data that contains certain legally protected, confidential data known under the Health Insurance Portability and Accountability Act (HIPAA) as Protected Health Information (PHI). Examples of PHI include personally identifiable SSN, Medicaid number, name, driver's license number, birth date, and address, in combination with one another. By law and through contractual arrangements with you sponsor, PHI may have to be stored in a manner that ensures it is not obtained by any unauthorized person(s).

Securing PHI can be achieved through a combination of firewalls, access control, and/or restricted access, among other options. Since most of these options require a substantial investment in hardware, software, or resources, the School of Pharmacy has decided to address this issue through a simpler, but possibly short term, option. Wherever possible, we will de-identify or disguise the data so that PHI does not exist in the data researchers use on our servers. This process is located in a presentation handout that can be requested from IT.

Whether the data privatization is done through the vendor-provided "clean" data, PI-initiated cleansing, or a third-party-provided cleansing, the responsibility for assuring that the data does not contain any PHI rests with the PI. Before any such data can be uploaded to the SOP servers, the PI must certify that the data to be uploaded does not pose any privacy risks. By completing this on-line data upload request form, you are certifying that the data being uploaded does not contain any PHI risk elements.