Structure LinkId Text Cardinality Type Flags Description & Constraints RecruitmentMaterials Questionnaire http://hl7.org/fhir/us/sirb/Questionnaire/sirb-recruitment-materials-questionnaire-populate#1.0.0 rm1 Research Study 0..1 group rm1.1 Study Title 0..1 string Expressions: Initial Value: %lookupInitiateStudy.descendants().where(linkId = 'in1.2').answer.value rm1.1_help Short Title of the Research Study intended for the lay audience 0..1 display rm1.2 IRB Protocol Number 0..1 string Expressions: Initial Value: %lookupInitiateStudy.descendants().where(linkId = 'in1.3').answer.value rm1.2_help IRB number assigned 0..1 display rm9 Submission Type and Relying Site Selection (if applicable) 0..1 group rm9.1 Is this Recruitment Materials Form being submitted to request approval for the recruitment materials for the overall study? 1..1 choice Options: 2 options rm9.1_help The Recruitment Materials Form should be submitted to have the recruitment materials for the overall study in general reviewed and approved. Later, a Recruitment Materials Form that is customized to each specific relying site should be submitted for each relying site. Answer to indicate if this is the overall generalized recruitment materials submission. 0..1 display ExternalDataFor_rm9.2 External Data For linkId rm9.2 0..* open-choice Expressions: Initial Value: %lookupInitiateStudy.repeat(item).where(linkId = 'in8.9').answer.value rm9.2 If this form and the associated recruitment materials are specific to a relying site, select the relying site in order to pre-populate the relying institution and relying site principal investigator details below. 0..1 choice Enable When: rm9.1 = No (expandedYes-NoIndicator#N) rm9.2_help This question and its answer will not print on the Recruitment Materials Form but are necessary for the form logic. If you do not want pre-population to occur, leave this question blank and manually fill in the relying institution and relying site principal investigator details. 0..1 display rm2 Study Institution for which Recruitment Materials are being provided 0..1 group rm2.1 Institution Name 1..1 string Expressions: Calculated Value: iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.1.1').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.1.1').answer.value) rm2.2 City 1..1 string Expressions: Calculated Value: iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.7.2').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.7.2').answer.value) rm2.3 State 1..1 string Expressions: Calculated Value: iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.7.3').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.7.3').answer.value) rm2.4 Country 1..1 string Expressions: Calculated Value: iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.7.5').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.7.5').answer.value) rm3 Site Principal Investigator for the Site for which Recruitment Materials are being submitted 0..1 group rm3_help Principal investigator at site for which recruitment materials are being submitted 0..1 display rm3.1 First Name 1..1 string Expressions: Calculated Value: iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.1').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.1').answer.value) rm3.1_help First or given name of the site principal investigator 0..1 display rm3.3 Last Name 1..1 string Expressions: Calculated Value: iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.2').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.2').answer.value) rm3.3_help Surname or family name 0..1 display rm3.2 Suffix 0..1 string Expressions: Calculated Value: iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.3').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.3').answer.value) rm3.2_help Suffix such as Junior (Jr.), Senior (Sr.), I, II, III, IV, etc. 0..1 display rm3.4 Degree(s) 0..1 string Expressions: Calculated Value: iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.4').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.4').answer.value) rm3.4_help Professional and Academic degrees of the site principal investigator 0..1 display rm4 Recruitment Materials 0..1 group rm4_help Media of any type used as part of a participant recruitment strategy. 0..1 display rm4.1 Will Recruitment Materials be Utilized? 1..1 choice Options: 2 options rm4.2 Will Broadcast Materials be Utilized? 0..1 choice Enable When: rm4.1 = Yes (expandedYes-NoIndicator#Y) Options: 2 options rm4.2_help The distribution of audio or video content to a dispersed audience via any electronic mass communications medium. 0..1 display rm4.3 Broadcast Communication 0..1 group Enable When: rm4.2 = Yes (expandedYes-NoIndicator#Y) rm4.3_help Audio or video content to a dispersed audience via any electronic mass communications medium 0..1 display rm4.3.1 Audio 0..1 boolean rm4.3.1_help A contiguous sound recording used to relay audible information. 0..1 display rm4.3.2 Audio Description 0..1 text Enable When: rm4.3.1 = true rm4.3.2_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.3.3 Video 0..1 boolean rm4.3.3_help Video content to a dispersed audience via any electronic mass communications medium 0..1 display rm4.3.4 Video Description 0..1 text Enable When: rm4.3.3 = true rm4.3.4_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.3.5 Radio Spot 0..1 boolean rm4.3.5_help A contiguous segment of audio broadcasting airtime. 0..1 display rm4.3.6 Radio Spot Description 0..1 text Enable When: rm4.3.5 = true rm4.3.6_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.3.7 TV Spot 0..1 boolean rm4.3.7_help A contiguous segment of video broadcasting airtime. 0..1 display rm4.3.8 TV Spot Description 0..1 text Enable When: rm4.3.7 = true rm4.3.8_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.4 Will Printed Materials be Utilized? 0..1 choice Enable When: rm4.1 = Yes (expandedYes-NoIndicator#Y) Options: 2 options rm4.4_help Materials produced by printers or publishers, such as books, magazines, booklets, brochures, newspaper. 0..1 display rm4.5 Printed Communication 0..1 group Enable When: rm4.4 = Yes (expandedYes-NoIndicator#Y) rm4.5.1 Billboard/Bus Ad 0..1 boolean rm4.5.1_help A large outdoor advertising space designed to capture the attention of motorists and pedestrians. 0..1 display rm4.5.2 Billboard/Bus Ad Description 0..1 text Enable When: rm4.5.1 = true rm4.5.2_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.5.3 Brochure/Pamphlet 0..1 boolean rm4.5.3_help A small book or magazine that contains images and information about a company or organization's products and/or services. 0..1 display rm4.5.4 Brochure/Pamphlet Description 0..1 text Enable When: rm4.5.3 = true rm4.5.4_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.5.5 Flyer/Notice 0..1 boolean rm4.5.5_help A small piece of paper with information on it about a product or event 0..1 display rm4.5.6 Flyer/Notice Description 0..1 text Enable When: rm4.5.5 = true rm4.5.6_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.5.7 Magazine 0..1 boolean rm4.5.7_help A periodical publication containing articles and illustrations. 0..1 display rm4.5.8 Magazine Description 0..1 text Enable When: rm4.5.7 = true rm4.5.8_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.5.9 Mail 0..1 boolean rm4.5.9_help Letters and packages conveyed by the postal system. 0..1 display rm4.5.10 Mail Description 0..1 text Enable When: rm4.5.9 = true rm4.5.10_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.5.11 Newspaper 0..1 boolean rm4.5.11_help A printed publication (usually issued daily or weekly) consisting of folded unstapled sheets and containing news, feature articles and advertisements. 0..1 display rm4.5.12 Newspaper Description 0..1 text Enable When: rm4.5.11 = true rm4.5.12_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.5.13 Postcard 0..1 boolean rm4.5.13_help A message by mail without an envelope. 0..1 display rm4.5.14 Postcard Description 0..1 text Enable When: rm4.5.13 = true rm4.5.14_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.5.15 Poster/Sign 0..1 boolean rm4.5.15_help A large printed picture, photograph, or notice that you stick or pin to a wall or board, usually for decoration or to advertise something. 0..1 display rm4.5.16 Poster/Sign Description 0..1 text Enable When: rm4.5.15 = true rm4.5.16_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.5.17 Table Tent 0..1 boolean rm4.5.17_help A self-standing promotional unit created from printed and folded card stock for table tops. 0..1 display rm4.5.18 Table Tent Description 0..1 text Enable When: rm4.5.17 = true rm4.5.18_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.6 Will Electronic Materials be Utilized? 0..1 choice Enable When: rm4.1 = Yes (expandedYes-NoIndicator#Y) Options: 2 options rm4.6_help Computer-based technology that facilitates the sharing of ideas and information and the building of virtual networks and communities. 0..1 display rm4.7 Electronic Communication 0..1 group Enable When: rm4.6 = Yes (expandedYes-NoIndicator#Y) rm4.7.1 Email 0..1 boolean rm4.7.1_help Messages distributed by electronic means from one computer user to one or more recipients via a network. 0..1 display rm4.7.2 Email Description 0..1 text Enable When: rm4.7.1 = true rm4.7.2_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.7.3 Networking Site 0..1 boolean rm4.7.3_help An online platform that allows users to create a public profile and interact with other users on the website. 0..1 display rm4.7.4 Networking Site Description 0..1 text Enable When: rm4.7.3 = true rm4.7.4_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.7.5 Podcast 0..1 boolean rm4.7.5_help A digital audio file made available on the internet for download to a computer or mobile device. Typically available as a series. 0..1 display rm4.7.6 Podcast Description 0..1 text Enable When: rm4.7.5 = true rm4.7.6_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.7.7 Social Media 0..1 boolean rm4.7.7_help A computer-based technology that facilitates the sharing of ideas and information and the building of virtual networks and communities. 0..1 display rm4.7.8 Social Media Description 0..1 text Enable When: rm4.7.7 = true rm4.7.8_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.7.11 Web Page Advertising 0..1 boolean rm4.7.11_help A form of advertising on the Word Wide Web delivered by an ad server and/or embedded in a web page. 0..1 display rm4.7.12 Web Page Ad Description 0..1 text Enable When: rm4.7.11 = true rm4.7.12_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.7.13 Web/Internet Posting 0..1 boolean rm4.7.13_help Communication posted for public viewing or an electronic message sent to & displayed on an online forum. 0..1 display rm4.7.14 Web/Internet Posting Description 0..1 text Enable When: rm4.7.13 = true rm4.7.14_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.7.15 Website 0..1 boolean rm4.7.15_help A page or collection of pages on the World Wide Web that contains specific information which was all provided by one person, group or an organization 0..1 display rm4.7.16 Website Description 0..1 text Enable When: rm4.7.15 = true rm4.7.16_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.7.17 Text messaging 0..1 boolean rm4.7.17_help Communication of messages between two or more users using mobile phones. 0..1 display rm4.7.18 Texting Description 0..1 text Enable When: rm4.7.17 = true rm4.7.18_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.7.19 eHealth Portal 0..1 boolean rm4.7.19_help Communication to user(s) via the eHealth Portal or similar electronic medical record system 0..1 display rm4.7.20 eHealthPortal Description 0..1 text Enable When: rm4.7.19 = true rm4.7.20_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.7.21 Video Conferencing 0..1 boolean rm4.7.21_help Use of two-way video communications via a computer, tablet or mobile phone 0..1 display rm4.7.22 Video Conferencing Description 0..1 text Enable When: rm4.7.21 = true rm4.7.22_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.8 Will Direct Communication Materials be Utilized? 0..1 choice Enable When: rm4.1 = Yes (expandedYes-NoIndicator#Y) Options: 2 options rm4.8_help Communication addressed to a specific person. 0..1 display rm4.9 Direct Communication 0..1 group Enable When: rm4.8 = Yes (expandedYes-NoIndicator#Y) rm4.9.1 In-Person Discussion 0..1 boolean rm4.9.1_help Involves a person's physical presence rather than communication by phone, email, etc., 0..1 display rm4.9.2 In-Person Discussion Description 0..1 text Enable When: rm4.9.1 = true rm4.9.2_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.9.3 Letter/Invitation 0..1 boolean rm4.9.3_help A written, typed, or printed communication, especially one sent in an envelope by mail or messenger: 0..1 display rm4.9.4 Letter/Invitation Description 0..1 text Enable When: rm4.9.3 = true rm4.9.4_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.9.5 Phone Call 0..1 boolean rm4.9.5_help A communication or conversation by phone. 0..1 display rm4.9.6 Phone Call Description 0..1 text Enable When: rm4.9.5 = true rm4.9.6_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.10 Will Group Communication Materials be Utilized? 0..1 choice Enable When: rm4.1 = Yes (expandedYes-NoIndicator#Y) Options: 2 options rm4.10_help Communication addressed to a defined group of people. 0..1 display rm4.11 Group Communication 0..1 group Enable When: rm4.10 = Yes (expandedYes-NoIndicator#Y) rm4.11.1 Advertisement 0..1 boolean rm4.11.1_help An ad that may take many different forms. It could be a banner, a graphic image or an animated GIF of a designated pixel size and byte size. 0..1 display rm4.11.2 Advertisement Description 0..1 text Enable When: rm4.11.1 = true rm4.11.2_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.11.3 Bulletin Board 0..1 boolean rm4.11.3_help A website or web page where users can post comments about a particular issue or topic and reply to other users' postings. 0..1 display rm4.11.4 Bulletin Board Description 0..1 text Enable When: rm4.11.3 = true rm4.11.4_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.11.5 Newsletter 0..1 boolean rm4.11.5_help Communication issued periodically to the members of a society, business, or organization. 0..1 display rm4.11.6 Newsletter Description 0..1 text Enable When: rm4.11.5 = true rm4.11.6_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.11.7 Professional Journal 0..1 boolean rm4.11.7_help A scholarly journal addressed to a particular professional audience such as doctors, teachers or engineers and published by a professional organization. 0..1 display rm4.11.8 Professional Journal Description 0..1 text Enable When: rm4.11.7 = true rm4.11.8_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.11.9 Tip Sheet 0..1 boolean rm4.11.9_help A publication that containing the latest information/tips/predictions for a particular business or stock market information or horse racing results, etc. 0..1 display rm4.11.10 Tip Sheet Description 0..1 text Enable When: rm4.11.9 = true rm4.11.10_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.12 Will Public Communication Materials be Utilized? 0..1 choice Enable When: rm4.1 = Yes (expandedYes-NoIndicator#Y) Options: 2 options rm4.12_help Communication addressed to the public. 0..1 display rm4.13 Public Communication 0..1 group Enable When: rm4.12 = Yes (expandedYes-NoIndicator#Y) rm4.13.1 Announcement 0..1 boolean rm4.13.1_help A public and typically formal statement about a fact, occurrence, or intention. 0..1 display rm4.13.2 Announcement Description 0..1 text Enable When: rm4.13.1 = true rm4.13.2_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.13.3 Press Release 0..1 boolean rm4.13.3_help A written statement about a matter of public interest which is given to the press by an organization concerned with the matter. 0..1 display rm4.13.4 Press Release Description 0..1 text Enable When: rm4.13.3 = true rm4.13.4_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.13.5 Public Solicitation 0..1 boolean rm4.13.5_help A method of communication involving asking for or trying to obtain something from someone in public. 0..1 display rm4.13.6 Public Solicitation Description 0..1 text Enable When: rm4.13.5 = true rm4.13.6_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.13.7 Snowball Sampling 0..1 boolean rm4.13.7_help A technique among social scientists who wish to work with a population that is difficult to identify or locate. 0..1 display rm4.13.8 Snowball Sampling Description 0..1 text Enable When: rm4.13.7 = true rm4.13.8_help Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent. 0..1 display rm4.33 Attachments for Broadcast Communication Recruitment Materials 0..* group Enable When: rm4.2 = Yes (expandedYes-NoIndicator#Y) rm4.33.1 Describe the file that is being attached (optional) 0..1 string rm4.33.2 Attachment 0..1 attachment rm4.35 Attachments for Printed Communication Recruitment Materials 0..* group Enable When: rm4.4 = Yes (expandedYes-NoIndicator#Y) rm4.35.1 Describe the file that is being attached (optional) 0..1 string rm4.35.2 Attachment 0..1 attachment rm4.37 Attachments for Electronic Communication Recruitment Materials 0..* group Enable When: rm4.6 = Yes (expandedYes-NoIndicator#Y) rm4.37.1 Describe the file that is being attached (optional) 0..1 string rm4.37.2 Attachment 0..1 attachment rm4.39 Attachments for Direct Communication Recruitment Materials 0..* group Enable When: rm4.8 = Yes (expandedYes-NoIndicator#Y) rm4.39.1 Describe the file that is being attached (optional) 0..1 string rm4.39.2 Attachment 0..1 attachment rm4.41 Attachments for Group Communication Recruitment Materials 0..* group Enable When: rm4.10 = Yes (expandedYes-NoIndicator#Y) rm4.41.1 Describe the file that is being attached (optional) 0..1 string rm4.41.2 Attachment 0..1 attachment rm4.43 Attachments for Public Communication Recruitment Materials 0..* group Enable When: rm4.12 = Yes (expandedYes-NoIndicator#Y) rm4.43.1 Describe the file that is being attached (optional) 0..1 string rm4.43.2 Attachment 0..1 attachment rm6 Distribution List and Audience Identification 0..1 group rm6.1 If recruitment material is being mailed, emailed, texted or otherwise distributed, describe where/how the distribution list will be obtained. 0..1 text rm6.2 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) 0..1 text rm6.3 Any necessary permission will be obtained for posting/airing these (for example, permission to post a flyer on a bulletin board). 1..1 choice Options: 2 options rm7 Response to Recruitment Materials 0..1 group rm7.1 When potential participants respond to recruitment material, describe the information that will be provided to them about the study. 0..1 text rm7.2 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. 0..1 text rm7.3 Types of communication methods that will be used to reply to potential participants who respond to recruitment materials 1..* open-choice Options: 6 options rm7.4 Attach the telephone call script for responding to potential participants 0..* group Enable When: rm7.3 = Telephone calls (Temporary Codes#PHONECALL) rm7.4.1 Describe the file that is being attached (optional) 0..1 string rm7.4.2 Attachment 0..1 attachment rm7.5 Attach the voice mail/telephone voice message script for responding to potential participants 0..* group Enable When: rm7.3 = Voice mail and telephone voice messages (Temporary Codes#VM) rm7.5.1 Describe the file that is being attached (optional) 0..1 string rm7.5.2 Attachment 0..1 attachment rm7.6 Attach the video conferencing script for responding to potential participants 0..* group Enable When: rm7.3 = Video Conferencing (Temporary Codes#VC) rm7.6.1 Describe the file that is being attached (optional) 0..1 string rm7.6.2 Attachment 0..1 attachment rm7.7 Attach the email script for responding to potential participants 0..* group Enable When: rm7.3 = Email (Temporary Codes#EMAIL) rm7.7.1 Describe the file that is being attached (optional) 0..1 string rm7.7.2 Attachment 0..1 attachment rm7.8 Attach the text messaging/texting script for responding to potential participants 0..* group Enable When: rm7.3 = Text messages/texting (Temporary Codes#TXT) rm7.8.1 Describe the file that is being attached (optional) 0..1 string rm7.8.2 Attachment 0..1 attachment rm7.9 Attach the eHealth Portal messaging script for responding to potential participants 0..* group Enable When: rm7.3 = eHealth Portal messaging (Temporary Codes#EHPRTL) rm7.9.1 Describe the file that is being attached (optional) 0..1 string rm7.9.2 Attachment 0..1 attachment rm7.10 Attach any other script for responding to potential participants 0..* group Enable When: rm7.3 exists true rm7.10.1 Describe the file that is being attached (optional) 0..1 string rm7.10.2 Attachment 0..1 attachment ADMIN00 Administrative Use Only 0..1 group ADMIN01 Link ID prefix 0..1 string Initial Value: string = rm ADMIN02 Questionnaire Response ID for the parent Questionnaire Response (such as the Initiate a Study Questionnaire Response), if any 0..1 string Initial Value: string = temporarily unavailable Expressions: Initial Value: %lookupInitiateStudy.descendants().where(linkId = 'ADMIN02').answer.value ADMIN03 ID of the Research Study FHIR Resource associated with the study Questionnaire Responses 0..1 string Initial Value: string = temporarily unavailable Expressions: Initial Value: %lookupInitiateStudy.descendants().where(linkId = 'ADMIN03').answer.value ADMIN04 Questionnaire Response ID of the local considerations Questionnaire Response, if any 0..1 string Documentation for this format Option Sets Answer options for rm9.1 http://terminology.hl7.org/CodeSystem/v2-0532#Y ("Yes") http://terminology.hl7.org/CodeSystem/v2-0532#N ("No") Answer options for rm4.1 http://terminology.hl7.org/CodeSystem/v2-0532#Y ("Yes") http://terminology.hl7.org/CodeSystem/v2-0532#N ("No") Answer options for rm4.2 http://terminology.hl7.org/CodeSystem/v2-0532#Y ("Yes") http://terminology.hl7.org/CodeSystem/v2-0532#N ("No") Answer options for rm4.4 http://terminology.hl7.org/CodeSystem/v2-0532#Y ("Yes") http://terminology.hl7.org/CodeSystem/v2-0532#N ("No") Answer options for rm4.6 http://terminology.hl7.org/CodeSystem/v2-0532#Y ("Yes") http://terminology.hl7.org/CodeSystem/v2-0532#N ("No") Answer options for rm4.8 http://terminology.hl7.org/CodeSystem/v2-0532#Y ("Yes") http://terminology.hl7.org/CodeSystem/v2-0532#N ("No") Answer options for rm4.10 http://terminology.hl7.org/CodeSystem/v2-0532#Y ("Yes") http://terminology.hl7.org/CodeSystem/v2-0532#N ("No") Answer options for rm4.12 http://terminology.hl7.org/CodeSystem/v2-0532#Y ("Yes") http://terminology.hl7.org/CodeSystem/v2-0532#N ("No") Answer options for rm6.3 http://terminology.hl7.org/CodeSystem/v2-0532#Y ("Yes") http://terminology.hl7.org/CodeSystem/v2-0532#N ("No") Answer options for rm7.3 http://hl7.org/fhir/us/sirb/CodeSystem/temporarycodes#PHONECALL ("Telephone calls") http://hl7.org/fhir/us/sirb/CodeSystem/temporarycodes#VM ("Voice mail and telephone voice messages") http://hl7.org/fhir/us/sirb/CodeSystem/temporarycodes#VC ("Video Conferencing") http://hl7.org/fhir/us/sirb/CodeSystem/temporarycodes#EMAIL ("Email") http://hl7.org/fhir/us/sirb/CodeSystem/temporarycodes#TXT ("Text messages/texting") http://hl7.org/fhir/us/sirb/CodeSystem/temporarycodes#EHPRTL ("eHealth Portal messaging")
The content of the Questionnaire Response transferred to this Questionnaire during form launch
The Initiate a Study Questionnaire Response content that will be used to pre-populate this Questionnaire
variable to store the incoming data from the launchContext extension for populate and other expressions
submission type (overall study or site-specific)
%resource.descendants().where(linkId = 'rm9.1').answer.valueCoding.code
site that this recruitment materials form pertains to
%resource.descendants().where(linkId = 'rm9.2').answer.valueCoding.display
HL7 International - Biomedical Research and Regulation
%lookupInitiateStudy.descendants().where(linkId = 'in1.2').answer.value
Short Title of the Research Study intended for the lay audience
%lookupInitiateStudy.descendants().where(linkId = 'in1.3').answer.value
Submission Type and Relying Site Selection (if applicable)
Is this Recruitment Materials Form being submitted to request approval for the recruitment materials for the overall study?
The Recruitment Materials Form should be submitted to have the recruitment materials for the overall study in general reviewed and approved. Later, a Recruitment Materials Form that is customized to each specific relying site should be submitted for each relying site. Answer to indicate if this is the overall generalized recruitment materials submission.
%lookupInitiateStudy.repeat(item).where(linkId = 'in8.9').answer.value
See FHIR Specification Feedback Jira ticket FHIR-36338. Information obtained from other types of external sources (e.g. launch context, fhir-x-query, etc.) SHOULD only be used for initialExpression and calculatedExpression logic. Other behavior such as enableWhen or answerExpression should always be driven off of answers within the Questionnaire (even if they are hidden answers that are populated from an initialExpression).
%resource.repeat(item).where(linkId = 'ExternalDataFor_rm9.2').answer.value
If this form and the associated recruitment materials are specific to a relying site, select the relying site in order to pre-populate the relying institution and relying site principal investigator details below.
This question and its answer will not print on the Recruitment Materials Form but are necessary for the form logic. If you do not want pre-population to occur, leave this question blank and manually fill in the relying institution and relying site principal investigator details.
Study Institution for which Recruitment Materials are being provided
iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.1.1').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.1.1').answer.value)
iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.7.2').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.7.2').answer.value)
iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.7.3').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.7.3').answer.value)
iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.7.5').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.7.5').answer.value)
Site Principal Investigator for the Site for which Recruitment Materials are being submitted
Principal investigator at site for which recruitment materials are being submitted
iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.1').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.1').answer.value)
First or given name of the site principal investigator
iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.2').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.2').answer.value)
iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.3').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.3').answer.value)
Suffix such as Junior (Jr.), Senior (Sr.), I, II, III, IV, etc.
iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.4').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.4').answer.value)
Professional and Academic degrees of the site principal investigator
Media of any type used as part of a participant recruitment strategy.
The distribution of audio or video content to a dispersed audience via any electronic mass communications medium.
Audio or video content to a dispersed audience via any electronic mass communications medium
A contiguous sound recording used to relay audible information.
Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.
Video content to a dispersed audience via any electronic mass communications medium
A contiguous segment of audio broadcasting airtime.
A contiguous segment of video broadcasting airtime.
Materials produced by printers or publishers, such as books, magazines, booklets, brochures, newspaper.
A large outdoor advertising space designed to capture the attention of motorists and pedestrians.
A small book or magazine that contains images and information about a company or organization's products and/or services.
A small piece of paper with information on it about a product or event
A periodical publication containing articles and illustrations.
Letters and packages conveyed by the postal system.
A printed publication (usually issued daily or weekly) consisting of folded unstapled sheets and containing news, feature articles and advertisements.
A large printed picture, photograph, or notice that you stick or pin to a wall or board, usually for decoration or to advertise something.
A self-standing promotional unit created from printed and folded card stock for table tops.
Computer-based technology that facilitates the sharing of ideas and information and the building of virtual networks and communities.
Messages distributed by electronic means from one computer user to one or more recipients via a network.
An online platform that allows users to create a public profile and interact with other users on the website.
A digital audio file made available on the internet for download to a computer or mobile device. Typically available as a series.
A computer-based technology that facilitates the sharing of ideas and information and the building of virtual networks and communities.
A form of advertising on the Word Wide Web delivered by an ad server and/or embedded in a web page.
Communication posted for public viewing or an electronic message sent to & displayed on an online forum.
A page or collection of pages on the World Wide Web that contains specific information which was all provided by one person, group or an organization
Communication of messages between two or more users using mobile phones.
Communication to user(s) via the eHealth Portal or similar electronic medical record system
Use of two-way video communications via a computer, tablet or mobile phone
Will Direct Communication Materials be Utilized?
Communication addressed to a specific person.
Involves a person's physical presence rather than communication by phone, email, etc.,
A written, typed, or printed communication, especially one sent in an envelope by mail or messenger:
A communication or conversation by phone.
Will Group Communication Materials be Utilized?
Communication addressed to a defined group of people.
An ad that may take many different forms. It could be a banner, a graphic image or an animated GIF of a designated pixel size and byte size.
A website or web page where users can post comments about a particular issue or topic and reply to other users' postings.
Communication issued periodically to the members of a society, business, or organization.
A scholarly journal addressed to a particular professional audience such as doctors, teachers or engineers and published by a professional organization.
A publication that containing the latest information/tips/predictions for a particular business or stock market information or horse racing results, etc.
Will Public Communication Materials be Utilized?
A public and typically formal statement about a fact, occurrence, or intention.
A written statement about a matter of public interest which is given to the press by an organization concerned with the matter.
A method of communication involving asking for or trying to obtain something from someone in public.
A technique among social scientists who wish to work with a population that is difficult to identify or locate.
Attachments for Broadcast Communication Recruitment Materials
Describe the file that is being attached (optional)
Attachments for Printed Communication Recruitment Materials
Attachments for Electronic Communication Recruitment Materials
Attachments for Direct Communication Recruitment Materials
Attachments for Group Communication Recruitment Materials
Attachments for Public Communication Recruitment Materials
Distribution List and Audience Identification
If recruitment material is being mailed, emailed, texted or otherwise distributed, describe where/how the distribution list will be obtained.
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)
Any necessary permission will be obtained for posting/airing these (for example, permission to post a flyer on a bulletin board).
When potential participants respond to recruitment material, describe the information that will be provided to them about the study.
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.
Types of communication methods that will be used to reply to potential participants who respond to recruitment materials
Attach the telephone call script for responding to potential participants
Attach the voice mail/telephone voice message script for responding to potential participants
Attach the video conferencing script for responding to potential participants
Attach the email script for responding to potential participants
Attach the text messaging/texting script for responding to potential participants
Attach the eHealth Portal messaging script for responding to potential participants
Attach any other script for responding to potential participants
%lookupInitiateStudy.descendants().where(linkId = 'ADMIN02').answer.value
Questionnaire Response ID for the parent Questionnaire Response (such as the Initiate a Study Questionnaire Response), if any
%lookupInitiateStudy.descendants().where(linkId = 'ADMIN03').answer.value
ID of the Research Study FHIR Resource associated with the study Questionnaire Responses
Questionnaire Response ID of the local considerations Questionnaire Response, if any