MERITER LIMITED DATA SET DUA FORM
Use this form when requesting a Limited Data Set from Meriter.
File: MASTER-2025.7.14-LDS-DUA-ATTACHMENT-1web-1.docxUse this form when requesting a Limited Data Set from Meriter.
File: MASTER-2025.7.14-LDS-DUA-ATTACHMENT-1web-1.docxUse this document when loaning capital equipment to a collaborator.
File: ASSET-LOAN-AGREEMENT.docxThe process for establishing NDAs or CDAs for clinical trial agreements follows these steps:
A Non-Disclosure Agreement (NDA) or Confidentiality Agreement (CDA) is an agreement that protects specific proprietary information. NDA’s can be either uni- or bidirectional depending on the sharing that is contemplated. NDA’s are critical when you believe you will be sharing potentially valuable or patentable confidential information with a third party. Many companies will also require you to sign an NDA to engage in discussions about potential collaborations. Do not sign an NDA in your personal capacity; only authorized UW signatories can sign NDA’s on behalf of the institution.
An NDA or a CDA is needed when one party is sharing any proprietary information to another party, whether that information is being shared by a UW investigator with a potential sponsor or by a sponsor with a UW investigator.
CDAs/NDAs are limited to a specific exchange of confidential information between UW and a collaborator. Any research agreements or other projects that emerge from subsequent discussions should be outlined in a supplemental agreement. If confidentiality needs to extend through the term of the agreement, a confidentiality section in the supplemental agreement will then control.
No member of the academic staff may engage in an outside activity if it conflicts with his or her public responsibilities to the UW School of Medicine and Public Health.
The UW manages three types of Conflicts of Interest:
A conflict of Commitment may occur when outside professional activities interfere with a UW employee’s ability to fulfill UW expectations, obligations, and responsibilities. These are governed by Policy UW-1075. If an outside activity, whether done as part of your UW appointment or separately, will require more than two days of commitment, it must be preapproved by your supervisor.
KEY POINTS
Update your OAR within 30 days of any to change to your outside activities
Determine if Management Plan is Appropriate
Err on the side of disclosure; conflicts can often be managed.
Radius is a medical image processing and analysis laboratory within the UW Department of Radiology. Research images often have embedded metadata, which may include identifers. Radius offers services to de-identify images, and can reduce images to a Limited Data Set, depending on the needs of the research team. This service has been vetted by the Office of the Honest Broker to meet requirements under The Health Insurance Portability and Accountability Act (HIPAA) of 1996. Radius can also support labs in reviewing their own de-identification processes to confirm that it removes identifiers as intended.
To contact Radius for a consultation, please email Radius@rad.wisc.edu
Clinical Research Data Services (CRDS) is a division within of the SMPH Informatics and Information Technology group in the SMPH Dean’s Office. CRDS provides data support services for investigators who need to extract a large data sets from the Electronic Health Record for purposes of research. As part of their informatic services, CRDS helps identify and retrieve key data points from the EHR, can de-identify or remove specific identifiers from data sets to ensure compliance with privacy regulations before sharing the data with the study team or third party.
To begin this process, please submit a consultation request on the link below https://iit.med.wisc.edu/services/data_source_integration/
An Honest Broker is an individual who specializes in maintaining the anonymity of data sets. UW’s office of the Honest Broker provides a variety of services in support of the research enterprise, such as data analysis, coding data sets, and altering data sets to render them de-identified. The Honest Broker works closely with the CRDS. Reach out to Ingacio (Nacho) Rodriguez Cortez for assistance.
The SMPH Cybersecurity Team is available to assist you with the technology reviews related to software and data transfers, and can offer assistance when planning complex data transfers related to your research. They are experts in ensuring that recipients of your data have the security controls in place to ensure that the data is protected in compliance with the applicable regulations. Contact Amy Diestler for assistance.
The SMPH Dean’s Office Research Administration team is your principal point of contact for grant submissions and administration. They are led by Christy Shulz, and maintain a site here.
Use this form as your starting point for consulting as part of your UW appointment.
File: 1TEMPLATE-2025.1.27.docxUse this template when you are conducting fee for service activities for an external third party.
File: FFS-2025-Service_Agreement.docxUse this template when a third party would like access to University facilities.
File: FUA-2025-FACILITY-USE-AGREEMENT.docx