Data requesters must use the ED data in NC DETECT for public health-focused studies. Data requests from commercial entities are not approved. The data request process occurs primarily via paper and e-mail, although we have implemented a centralized tracking system to store all documentation for data requests and track changes to them over time. To initiate the process, requesters view a presentation on https://www.ncdetect. org/ReportsPortal/public/dataRequest.do and then enter information on the study purpose, the researchers involved, any grants covering the research and the specific data requested* specifically the data elements, time frame and file format. Researchers must get approval from their home institution's Institutional Review Board and sign a Data Use Agreement (DUA) with NC DPH. The DUA outlines data use requirements such as securing the data during the study, presenting data in aggregate form only (in a manner in which an individual cannot be identified), sharing materials with NC DPH prior to presentation or publication and destroying data upon completion of the study. Data requests within NC DPH typically do not require a DUA and are exempt from this process. In addition, researchers who need to determine the feasibility of a study before submitting a full data request can go through an exploratory process that requires a DUA but no IRB. While data requests are ongoing, a small Data Oversight Committee (DOC) meets once monthly to review these requests and to discuss status and outstanding issues. The NC DETECT DOC includes representatives from the NCDPH, CCHI, NC Hospital Association (NCHA) and DPH legal personnel (as needed).