Please complete the following form to request a report from the UH EMR through the UH CRC ExportID Process.

A query of the electronic medical record (EMR) will be conducted through TriNetX Software based on the information provided in this survey.

The query conducted in TriNetX to define the patient population of interest can include the following: diagnoses, procedure codes, medications, demographics, labs, and visit types. After the population is resulted and best defined, the information pertaining to those matching patients that is approved in the studies IRB Approved HIPAA Waiver (MRN, DOB, Name, Address, Phone, Email, Race, Ethnicity, PCP) will be sent in an Excel file via email directly to the Principal Investigaor of the study.

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