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Appendix D eMERGE Consortium Data Use Agreement Data Use Agreement For use by and among Members of the Electronic Medical Records and Genomics Research Network (eMERGE) TERMS AND DEFINITIONS: The Electronic Medical Records and Genom - ics (eMERGE) Network ( acc/index.php/About) is a National Institutes of Health (NIH)-organized and -funded consortium of U.S. medical research institutions (“eMERGE Net- work”). The primary goal of the eMERGE Network is to develop, disseminate, and apply approaches to research that combine DNA biorepositories with elec - tronic medical record (EMR) systems for large-scale, high-throughput genetic research. Member institutions participating in the consortium study the rela - tionship between genetic variations and clinically relevant human traits, using the technique of genome-wide association (GWAS) analysis. Such studies in - volve testing hundreds of thousands of genetic variants called single nucleotide polymorphisms throughout the genome in people with and without a condition of interest. A fundamental question that eMERGE seeks to answer is whether electronic medical record (EMR) systems can serve as resources for such com - plex genomic analysis of disease susceptibility and therapeutic outcomes, across diverse patient populations. In addition, the consortium includes a focus on social and ethical issues such as privacy, confidentiality, and interactions with the broader community. Detailed information on the eMERGE network can be found at the eMERGE website ( 115

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116 APPENDIX D The following entities are eMERGE Network members (“eMERGE Network Members” or “Members”): Group Health/University of Washington, Marsh - field Clinic, Mayo Clinic, Northwestern University and Vanderbilt University serve as the clinical sites (“Clinical Sites”); Vanderbilt University also serves as the consortium’s coordinating center (“Coordinating Center”); Broad Institute and Center for Inherited Disease Research both serve as genotyping facilities (“Genotyping Facilities”); and the National Center for Biotechnology Infor- mation (NCBI), NIH; and the National Human Genome Research Institute (NHGRI), NIH (“Program Officials”) serve as scientific and programmatic managers and technical advisors. Researchers with a wide range of expertise in genomics, statistics, ethics, informatics, and clinical medicine employed by an eMERGE Network Member participate in the eMERGE network, including: Principal Investigators of the eMERGE Clinical Sites, the Coordinating Center, the Genotyping Facilities, and Program Officials from the National Center for Biotechnology Information and the National Human Genome Research Institute. Data Sharing Guiding Principles: All data sharing will adhere to 1) the terms of consent agreed to by research participants; 2) applicable laws and regulations, and; 3) the principle that individual sites within the network have final authority regarding whether their site’s data will be used or shared, on a per-project basis. These principles are intended to maximize sharing of GWAS data generated by the eMERGE Members among and between other Members as well as with the wider scientific community, and to do this without com - promising data security or the confidentiality of information about individuals whose data and/or samples are used for research. Data Sharing Responsibilities: Principal Investigators of each eMERGE Clinical Site may designate data to accomplish activities defined in eMERGE sanctioned research studies (eMERGE data) to be shared as follows: (1) distri - bution through dbGaP; (2) distribution within the eMERGE Network; and/ or (3) distribution to the eMERGE Coordinating Center. The eMERGE data to be shared within eMERGE will be provided only to eMERGE Network Members that have signed this Agreement. All eMERGE Network Members and the eMERGE Coordinating Center may aggregate eMERGE data from all Member sites and, with documented approval prior to each submission from the contributing site(s), submit said eMERGE data to dbGaP and/or other databases administered by the National Institutes of Health. Each eMERGE Network Member may share its own data with external collaborators without approval of the other Members. If eMERGE data received from any Member is shared externally by another Member, prior approval from the Member provid- ing the eMERGE data must be obtained and documented. Members sharing eMERGE data externally must also ensure that each external eMERGE data recipient agrees to the same restrictions and conditions applicable to Members

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117 APPENDIX D and Member Representatives regarding the use and disclosure of the eMERGE data as outlined in this Agreement or as may be required by law. Statement of Confidentiality: By signing this Agreement, the authorized official representing an eMERGE Network Member, certifies that s/he and the Principal Investigators, fellows, students, and research staff (collectively, “Network Member Representatives”) working on eMERGE-related projects are aware of the confidential nature of data on research participants maintained by the Member and of the necessity for maintaining that confidentiality. The eMERGE Network Member agrees not to attempt to personally iden- tify any eMERGE participant based on eMERGE data and agree not to attempt to contact any eMERGE participant of a site other than their own. The Member agrees not to transfer or disclose any confidential data or any information about individual eMERGE participants, except as permitted by this Agreement or as required by law, either during or after the conclusion of the affiliation with eMERGE. The Member agrees to provide adequate security for the eMERGE data, including but not limited to safeguards intended to prevent unauthor- ized use or disclosure of such information. In addition each Member agrees to report in writing to the other Members any use or disclosure of any portion of the data of which it becomes aware that is not permitted by this Agreement including disclosures that are required by law. The eMERGE Network Member agrees to ensure that its Network Mem - ber Representatives do not use, disclose or transfer any eMERGE data to anyone who is not an eMERGE Network Member except as permitted by this Agreement or as required by law. Further, the Member agrees to return all eMERGE data to the eMERGE Coordinating Center or delete/destroy all electronic eMERGE data upon termination of its affiliation with the eMERGE Network and to notify the eMERGE Coordinating Center when it has done so. Limitations of Data Use: The eMERGE Network Member agrees to en- sure that Network Member Representatives will only use eMERGE data in a manner that is consistent with any limitations that have been specified for in - dividual studies by the disclosing Member and agreed to by the Steering Com - mittee and shall ensure compliance with all applicable state and federal laws and regulations governing the use of such data including the Health Insurance Portability and Accountability Act of 1996 (HIPAA), if applicable, including any and all future amendments. The eMERGE Network Member agrees to comply with all established policies of eMERGE governing the acquisition, analysis, reporting, publication, use and distribution of eMERGE data. This Agreement supersedes and replaces all prior agreements made be - tween eMERGE Network Members.

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118 APPENDIX D Agreed to by: eMERGE Institution Authorized Official name and title (print): ___________ Signature: _______________________________ Date: ________________ Read & Understood by: Network Member Representative name & title (print): ___________________ Signature: ___________________________ Date: ________________ Member Representative’s Institution: _________________________________________________