Single Institutional Review Board (sIRB) Implementation Guide
0.1.0 - STU 1 ballot

This page is part of the Single Institutional Review Board (sIRB) Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

Example QuestionnaireResponse: Recruit Questionnaire Response

Generated Narrative

questionnaire: http://hl7.org/fhir/us/sirb/Questionnaire/sirb-recruitment-materials-questionnaire

status: completed

authored: Jul 23, 2021 3:45:38 PM

item

linkId: rm1

text: Research Study

item

linkId: rm1.1

text: Study Title

item

linkId: rm1.2

text: IRB Protocol Number

item

linkId: rm2

text: Study Institution for which Recruitment Materials are being provided

item

linkId: rm2.1

text: Institution Name

item

linkId: rm2.2

text: City

item

linkId: rm2.3

text: State

item

linkId: rm2.4

text: Country

item

linkId: rm2.5

text: Is this institution the sIRB (Reviewing Site) or a Relying Site?

item

linkId: rm3

text: Site Principal Investigator for the Site for which Recruitment Materials are being submitted

item

linkId: rm3.1

text: First Name

item

linkId: rm3.3

text: Last Name

item

linkId: rm3.2

text: Suffix

item

linkId: rm3.4

text: Degree(s)

item

linkId: rm4

text: Recruitment Materials

item

linkId: rm4.1

text: Will Recruitment Materials be Utilized?

item

linkId: rm4.2

text: Will Broadcast Materials be Utilized?

item

linkId: rm4.3

text: Broadcast Communication

item

linkId: rm4.4

text: Will Printed Materials be Utilized?

item

linkId: rm4.5

text: Printed Communication

item

linkId: rm4.6

text: Will Electronic Materials be Utilized?

item

linkId: rm4.7

text: Electronic Communication

item

linkId: rm4.8

text: Will Direct Communication Materials be Utilized?

item

linkId: rm6

text: Distribution List and Audience Identification

item

linkId: rm6.1

text: If recruitment material is being mailed, emailed, texted or otherwise distributed, describe where/how the distribution list will be obtained.

item

linkId: rm6.2

text: Describe methods that will be used to identify audiences for advertising messages (eg. web advertising will be displayed on web sites popular with a particular demographic)

item

linkId: rm6.3

text: Any necessary permission will be obtained for posting/airing these (for example, permission to post a flyer on a bulletin board).

item

linkId: rm7

text: Response to Recruitment Materials

item

linkId: rm7.1

text: When potential participants respond to recruitment material, describe the information that will be provided to them about the study.

item

linkId: rm7.2

text: Describe the plan to respond to potential participants who respond to recruitment materials. Include how many times you will attempt to respond to call the participant back, leave a voice message, send a reply email or conduct other follow-up communication.

item

linkId: rm7.3

text: Types of communication methods that will be used to reply to potential participants who respond to recruitment materials

item

linkId: ADMIN00

text: Administrative Use Only

item

linkId: ADMIN01

text: Link ID prefix