ID

46015

Beskrivning

This file contains the metadata, events, and data for REDCap project "eurILDreg".

Länk

European ILD Registry

Nyckelord

  1. 14/8/24 14/8/24 - Max Blumenstock
Rättsinnehavare

Prof. Dr. med. Andreas Günther

Uppladdad den

14 de agosto de 2024

DOI

10.21961/mdm:46015

Licens

Creative Commons BY-NC-SA 4.0

Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

eurILDreg

Informed consent

Informed consent
Beskrivning

Informed consent

Record ID
Beskrivning

record_id

Datatyp

text

INFORMED CONSENT
Beskrivning

INFORMED CONSENT

Date of enrollment
Beskrivning

ic_datenrollment

Datatyp

date

Informed consent
Beskrivning

Informed consent

Version signed
Beskrivning

ic_versionsigned

Datatyp

text

Patient agreed to be recontacted for the purpose of obtaining additional information or biomaterials
Beskrivning

ic_recontactinfbio

Datatyp

integer

Patient agreed to be recontacted for the purpose of obtaining informed consent for data transfer to other medical data warehouses
Beskrivning

ic_recontacticdatatrans

Datatyp

integer

Patient agreed to be recontacted in case scientific analysis forwarded relevant novel genetic information in the concerned family with ILD
Beskrivning

ic_recontactinmild

Datatyp

integer

Patient agreed to be recontacted if patient's participation in a clinical trial could be possible based on the existing data set
Beskrivning

ic_recontactparticltrial

Datatyp

integer

Patient agreed that the data collected/results from data analyses may be forwarded to third parties in pseudonymised or anonymised form, incl. potentially forwarding data to partners in industry.
Beskrivning

ic_forwarddata

Datatyp

integer

Furthermore, I also consent to my biological samples and data being forwarded to countries outside of the EU, even if the European Commission has not adopted an adequacy decision and no agreements on data protection have been officially approved or adopted. The potential risks associated with this have been explained to me (item 6d on the information sheet).
Beskrivning

ic_biosample

Datatyp

integer

DZL consent signed (applicable to german sites only)
Beskrivning

ic_dzlconsentsigned

Datatyp

integer

Participation in eurIPFreg?
Beskrivning

ic_partiipfreg

Datatyp

integer

eurIPFreg ID
Beskrivning

ic_ipfregid

Datatyp

text

Participation in a clinical trial?
Beskrivning

ic_particlintrial

Datatyp

integer

EUDRA CT number or clinical.trials.gov entry number
Beskrivning

ic_eudractnumber

Datatyp

text

Please specify the investigational product:
Beskrivning

ic_investigproduct

Datatyp

text

EUDRA CT number or clinical.trials.gov entry number
Beskrivning

ic_eudractnumber_2

Datatyp

text

Please specify the investigational product:
Beskrivning

ic_investigproduct_2

Datatyp

text

Similar models

Informed consent

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
record_id
Item
Record ID
text
ic_datenrollment
Item
Date of enrollment
date
Item
Version signed
text
Code List
Version signed
CL Item
Version 2.1 eurILDreg (1)
Item
Patient agreed to be recontacted for the purpose of obtaining additional information or biomaterials
integer
Code List
Patient agreed to be recontacted for the purpose of obtaining additional information or biomaterials
CL Item
Yes (1)
CL Item
No (0)
Item
Patient agreed to be recontacted for the purpose of obtaining informed consent for data transfer to other medical data warehouses
integer
Code List
Patient agreed to be recontacted for the purpose of obtaining informed consent for data transfer to other medical data warehouses
CL Item
Yes (1)
CL Item
No (0)
Item
Patient agreed to be recontacted in case scientific analysis forwarded relevant novel genetic information in the concerned family with ILD
integer
Code List
Patient agreed to be recontacted in case scientific analysis forwarded relevant novel genetic information in the concerned family with ILD
CL Item
Yes (1)
CL Item
No (0)
Item
Patient agreed to be recontacted if patient's participation in a clinical trial could be possible based on the existing data set
integer
Code List
Patient agreed to be recontacted if patient's participation in a clinical trial could be possible based on the existing data set
CL Item
Yes (1)
CL Item
No (0)
Item
Patient agreed that the data collected/results from data analyses may be forwarded to third parties in pseudonymised or anonymised form, incl. potentially forwarding data to partners in industry.
integer
Code List
Patient agreed that the data collected/results from data analyses may be forwarded to third parties in pseudonymised or anonymised form, incl. potentially forwarding data to partners in industry.
CL Item
Yes (1)
CL Item
No (0)
Item
Furthermore, I also consent to my biological samples and data being forwarded to countries outside of the EU, even if the European Commission has not adopted an adequacy decision and no agreements on data protection have been officially approved or adopted. The potential risks associated with this have been explained to me (item 6d on the information sheet).
integer
Code List
Furthermore, I also consent to my biological samples and data being forwarded to countries outside of the EU, even if the European Commission has not adopted an adequacy decision and no agreements on data protection have been officially approved or adopted. The potential risks associated with this have been explained to me (item 6d on the information sheet).
CL Item
Yes (1)
CL Item
No (0)
Item
DZL consent signed (applicable to german sites only)
integer
Code List
DZL consent signed (applicable to german sites only)
CL Item
Yes (1)
CL Item
No (0)
Item
Participation in eurIPFreg?
integer
Code List
Participation in eurIPFreg?
CL Item
Yes (1)
CL Item
No (0)
ic_ipfregid
Item
eurIPFreg ID
text
Item
Participation in a clinical trial?
integer
Code List
Participation in a clinical trial?
CL Item
Yes (1)
CL Item
No (0)
ic_eudractnumber
Item
EUDRA CT number or clinical.trials.gov entry number
text
ic_investigproduct
Item
Please specify the investigational product:
text
ic_eudractnumber_2
Item
EUDRA CT number or clinical.trials.gov entry number
text
ic_investigproduct_2
Item
Please specify the investigational product:
text

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial