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If you are seeking support from Hutch Data Commonwealth (HDC) to extract and/or analyze patient data governed through the Consortium Memorandum of Understanding (MOU), please complete this web form via the blue button below. You may submit only one request per form.

Questions?  

Review the FAQ and Redcap Images below or contact HDC Support, 206.667.2557 for assistance.


Request for Data Services Form FAQ

I understand the form is now an online web survey, not a PDF. Has the form changed?

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Yes, the form has changed as it now asks why you are accessing the data. Under state, legal and contractual requirements, data used for research must be treated differently than data used for operations or for patient care. While these requirements are not new (nor have they changed), the new form more clearly and accurately asks the questions necessary to meet these requirements. Fred Hutch has always met the requirements; this form simply helps us do it more efficiently.

Other general changes:

  • Hard copy no longer needs to be mailed or faxed to HDC Support. 
  • The repository access HDC Confidentiality Pledge is no longer built into the form. Requesters who seek data for research or preparatory to research purposes may need to sign and submit an HDC Confidentiality Pledge.
  • Data training will still need verification for receipt of or access to Identifiable Patient Information.
  • The repository access HDC Confidentiality Pledge, Training and Verification form are located on CenterNet and Extranet. 

Can I leave and save the form midway and come back?

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Yes, you are able to save and exit the electronic request before you submit. This will enable you to leave the form to complete an HDC Confidentiality Pledge or Training Verification and then return where you left off.

The image below shows the first page of the electronic request and the cues for saving and returning. At the bottom of each page of the electronic form, you can select “Save and Return Later”. This will give you a code, which you will need to save. When you are ready to re-start the electronic request, open a new survey and select “Returning” in the upper right hand corner. The form will provide you a place to enter the code and start again.

If you lose your return code, contact Martin Tran at HDC_Support@fredhuch.org and he can provide you the return code.

NOTE: this return code will allow anyone to enter and edit your electronic request.

How do I have my supervisor sign this form? Can I forward the incomplete survey?

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Electronically forward via email the return CODE and URL link to the survey to your supervisor, along with any other documents s/he needs to sign and upload. Your supervisor can then open the link, enter the return code, upload any documents and complete the survey as required.

How do I deal with this new electronic request form when submitting a Confidentiality Pledge?

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The HDC Confidentiality Pledge will be required of those users seeking access for research purposes. The electronic form provides a place for you to upload and submit a signed pledge.

You may upload the HDC Confidentiality Pledge originally approved with the protocol. If you don’t have a copy of that document or for whatever reason need a new repository access Confidentiality Pledge to sign, the electronic request provides a link for you to download a blank repository access an HDC  Confidentiality Pledge and upload a signed form. 

The HDC Confidentiality Pledge requires a signature of both the Primary User and the PI/Supervisor (or a single signature if the primary user and the PI/supervisor are the same).

RedCap Form Images

When you need to return to YOUR survey, open a new survey and choose "Returning?" (highlighted with a red box in the image below).

HDC
Image of Red Cap Form for requesting HDC Data Services

When you select “Save and Return” you will see the following.  Note the Return Code.

Return Code image
Return Code for saving form and completing at a later date (Example Code)
HDC Data Service Request Return login screen
HDC Data Service Request Return Login Screen