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The electronic User Access Request for Clinical Applications form is to be completed if you are seeking rights to access and use clinical applications on the Clinical Oncology Research Entrance (C.O.R.E.), eSubmission or Natural Language Processing Resources. The form can be accessed via RedCap by clicking on the blue button below. You may submit only on request per form.
Yes, the form has changed (except for Gateway and Lab Vision) 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:
Please note: To request access to Gateway and LabVision, a PDF form still applies; the user will still complete and return the PDF by scanning and emailing to HDC_Support@fredhutch.org, faxing or mailing to Martin Tran at 206.667.7834 / Mailstop J3-400.
This depends on what you are asking for. If you are asking for access to FYI, Comparative Medicine or another application which does not provide access to Identifiable Patient Information, this form requires less work. Here is a summary:
Yes. You will be 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 (red box). At the bottom of each page, 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 the 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.
Electronically forward (via email, etc.) 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.
The HDC Confidentiality Pledge will be required of those users seeking access to Identifiable Patient Information for the purposes of research or preparatory for research. The electronic request survey provides a place for you to upload and submit a signed Pledge.
You may upload the repository access 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 Pledge form to sign, the electronic request provides a link for you to download a blank 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).