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that because these are not equivalent phrases and we keep<br />

toss<strong>in</strong>g them around equivalently. In our proposal or<br />

suggestion or th<strong>in</strong>k<strong>in</strong>g about this the possibility of hav<strong>in</strong>g<br />

cont<strong>in</strong>uous <strong>in</strong>formation updates, as long as it is stripped<br />

of identifiers, still makes the research to be done <strong>in</strong> an<br />

anonymous manner. If I understand you correctly that is<br />

not possible <strong>in</strong> your's even if you cannot walk backwards.<br />

DR. MURRAY: That is correct.<br />

DR. EMANUEL: And that is one of the reasons --<br />

MR. CAPRON: It is the category.<br />

DR. EMANUEL: What I would say is that is one<br />

of the reasons we threw out these categories.<br />

DR. OLD: Right. I th<strong>in</strong>k what this group is<br />

say<strong>in</strong>g is that if you want that possibility you should run<br />

it by an IRB.<br />

DR. EMANUEL: We do not disagree with that.<br />

DR. OLD: I mean, that -- and that is what our<br />

dist<strong>in</strong>ction is, is that it should be run by an IRB and, you<br />

know, if the IRB says, "Oh, we consider that anonymized<br />

even with further data flow," then that is what the IRB<br />

says but it should go through the board.<br />

DR. EMANUEL: Okay.<br />

DR. HOLTZMAN: But I th<strong>in</strong>k this is a very<br />

useful discussion because as we come back to the po<strong>in</strong>ts

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