Application for Data
The Application for Data form has 4 different modules. Please complete the modules relevant to your application.
Please note that the forms used for the EOI are the same as for the final application.
Module 1: Application for Data Form
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Please note: all amendments should first be discussed with the Data LinkageThe process of establishing whether two or more pieces of information belong to or describe the same person, family, event, place or time period. Project Manager. This form should primarily be used for minor amendments for projects approved within the past year.
Module 2: Data Services
To properly understand your request, we require you to submit one or more of the following forms:
| Linkage | If you are interested in linking external data (e.g. results of a survey) to the DOHWADepartment of Health Western Australia datasets |
| Extraction | If you are interested in obtaining and extract of data from the DOHWA datasets. The control selection guide may help you as well. |
| Geocoding | If you wish to give Data Linkage a list of addresses to be geocoded. NOTE: You don't need to submit this form if you require SEIFASocio-Economic Indexes for Area. These values are assigned to geocoded areas and measure socioeconomic conditions. SEIFA codes can be assigned using 1996, 2001 and 2006 ABS census data./ARIAAccessibility/Remoteness Index of Australia. These values are assigned to geocoded areas and measure geographic remoteness. ARIA codes can be assigned using 1996, 2001 and 2006 ABS census data. codes on a data extract |
| Sample Selection | If you require a random sample from the population, e.g. a list of names and addresses from the Electoral Roll. NOTE: you do not need to complete this if you require a control group (this is covered in the extraction form). |
| Family Connections | If you require genealogicalRelating to the history of a person, family or group. relationships. |
Module 3: Variable Lists
Please complete the variable list for each dataset you require. If you are requesting data from other non-core collections please contact Alex Godfrey at alexandra.godfrey@health.wa.gov.au for the variable list.
- Birth Registrations
- Death Registrations
- WA Cancer Registry Notifications
- Midwives Notifications
- Hospital Morbidity Records
- Mental Health Records
- Emergency Department Records
- Electoral Roll Records
- RM27 Form (to be submitted with requests for identifiableWhere the identity of an individual can be reasonably ascertained, e.g. name, address, full date of birth. electoral roll data)
Module 4: Application for Cross-Jurisdictional Data
To be submitted for applications for Commonwealth data (please see the Cross-Jurisdictional page). Applications for cross-jurisdictional data are not currently being accepted.
Application for Ethical Review (DOHWA HREC)
For the Application for Ethical Review form and other ethics documentation please see the DOHWA HREC website: http://www.health.wa.gov.au/healthdata/HREC/index.cfm
Confidentiality Agreements
Please see the DOHWA HREC website for the Confidentiality Agreements and Acknowledgements that must be submitted with applications: http://www.health.wa.gov.au/healthdata/HREC/index.cfm