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pdfHuman Research Protection Program
Institutional Review Board (IRB)
Exempt Certification
Principal Investigator
Julia Adler-Milstein, PhD
Study Title:
IRB #:
Reference #:
National Survey of Health Information Exchange Organizations (HIO)
18-24520
212946
Committee of Record: Parnassus Panel
Type of Submission: Initial Review Submission Packet
Certification Date:
02/26/2018
IRB Comments:
This research qualifies as exempt under the following category:
(2) Research using educational tests, survey procedures, interview procedures or observation of public
behavior, unless: (i) information obtained is recorded in such a manner that human subjects can be
identified, directly or through identifiers; and (ii) any disclosure of the human subjects' responses outside
the research could reasonably place the subjects at risk of criminal or civil liability or be damaging to the
subjects' financial standing, employability, insurability, or reputation.
Modifications: For exempt research only, researchers can make minor changes to the study without
notifying UCSF IRB. However, significant changes must be submitted to the UCSF IRB. The UCSF IRB
website includes examples of minor vs. significant changes. All changes must follow UCSF guidance, and
some changes are not allowed in the consent materials.
Study Closeout Report: This study does not have an expiration date. However, you are required to
submit a study closeout report at the completion of the project.
Documents Reviewed and Approved with this Submission (includes all versions – final approved
versions are labeled ‘Approved’ in the Outcome column):
Other Study Documents
Study Document
Title
Version # Version DateOutcome
Script for HIO StudyVersion 1.002/06/2018 Approved
For a list of all currently approved documents, follow these steps: Go to My Studies and open the study –
Click on Informed Consent to obtain a list of approved consent documents and Other Study Documents
for a list of other approved documents.
San Francisco Veterans Affairs Medical Center (SFVAMC): If the SFVAMC is engaged in this
research, you must secure approval of the VA Research & Development Committee in addition to UCSF
IRB approval and follow all applicable VA and other federal requirements. The UCSF IRB website has
more information.
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