ID
18728
Beskrivning
ODM Form derived from: https://ictr.wisc.edu/CaseReptTempt. Template Name: Informed Consent/HIPAA Authorization Obtained. Case Report Form (CRF)/Source Document templates were created for University of Wisconsin-Madison researchers. These templates are consistent with the FDA's CDASH (Clinical Data Acquisition Standards Harmonization) standards. The CDASH standards identify those elements that should be captured on a Case Report Form (CRF). The forms serve only as templates, and must be edited to meet the study data collection needs as described in the protocol.
Länk
https://ictr.wisc.edu/CaseReptTempt
Nyckelord
Versioner (2)
- 2016-07-22 2016-07-22 -
- 2016-11-17 2016-11-17 -
Uppladdad den
17 november 2016
DOI
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Licens
Creative Commons BY-NC 3.0
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Informed Consent/HIPAA Authorization Obtained: CRF Wisconsin Madison
Informed Consent/HIPAA Authorization Obtained: CRF Wisconsin Madison
Beskrivning
Informed Consent/HIPAA Authorized Obtained
Beskrivning
Document(s) signed
Beskrivning
Document(s) signed
Datatyp
text
Alias
- UMLS CUI [1]
- C1519316
Beskrivning
Version Date
Datatyp
date
Alias
- UMLS CUI [1]
- C2985902
Beskrivning
Approval Date
Datatyp
date
Alias
- UMLS CUI [1]
- C2346844
Beskrivning
Expiration Date
Datatyp
date
Alias
- UMLS CUI [1]
- C3669020
Beskrivning
undefined itemgroup
Beskrivning
Consent Form, and related study documents, was thoroughly reviewed with the subject.
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0009797
- UMLS CUI [1,2]
- C1709941
- UMLS CUI [1,3]
- C0681850
Beskrivning
Subject had sufficient time to review the documents and ask questions.
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0040223
- UMLS CUI [1,2]
- C0205410
Beskrivning
Informed consent/HIPAA Authorization obtained prior to any study related procedures.
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0021430
Beskrivning
A copy of the signed documents have been given to the subject.
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0009797
- UMLS CUI [1,2]
- C1561610
- UMLS CUI [1,3]
- C1948062
Beskrivning
Name of the person that obtained consent
Datatyp
text
Alias
- UMLS CUI [1]
- C0027365
Beskrivning
Comments
Datatyp
text
Alias
- UMLS CUI [1]
- C0947611
Beskrivning
Informed Consent Refused
Similar models
Informed Consent/HIPAA Authorization Obtained: CRF Wisconsin Madison
C1521895 (UMLS CUI [1,2])
C1705824 (UMLS CUI [1,2])
C1709941 (UMLS CUI [1,2])
C0681850 (UMLS CUI [1,3])
C0205410 (UMLS CUI [1,2])
C1561610 (UMLS CUI [1,2])
C1948062 (UMLS CUI [1,3])