OBI Data Request Form

All requests for data will be reviewed and prioritized by the OBI Coordinating Center team with the Data and Publications Committee.


Please ensure that you have attached all required documents before submitting this form. If your submission is missing the required documents, we will be unable to complete your request.

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  • Report includes aggregate level sumamry stats or plots
  • Dataset means one patient per row data
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  • If you are requesting a dataset, please also upload the Variable Selection File and Analytic Plan you downloaded from the OBI website (How Can I Request a Data Set).
  • If requesting collaborative-wide data, you MUST upload the IRB approval for this project. Please note that approval from a Scholarly Activities Research Committee is NOT equivalent to IRB approval and is not accepted.
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When you prefer to have the results by

Please include the OBI role of each person.

By checking the box below, I attest that:

  • I have read and understand the terms of the What Are My Responsibilities as a Research Collaborator
  • Any publication(s) resulting from this data will meet the standards per the OBI Hospital Data Collaborative Agreement and Data Use Agreement to ensure contextual non-identification of patients, hospitals, and/or medical professionals.