Package | hl7.fhir.us.sirb |
Type | Questionnaire |
Id | Id |
FHIR Version | R4 |
Source | http://hl7.org/fhir/us/sirb/https://build.fhir.org/ig/HL7/fhir-sirb/Questionnaire-sirb-recruitment-materials-questionnaire-populate.html |
Url | http://hl7.org/fhir/us/sirb/Questionnaire/sirb-recruitment-materials-questionnaire-populate |
Version | 1.0.0 |
Status | draft |
Date | 2023-04-24T20:03:27+00:00 |
Name | RecruitmentMaterials |
Title | Recruitment Materials |
Experimental | False |
Realm | us |
Authority | hl7 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
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:
| |
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:
| |
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:
| |
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:
| |
rm2.2 | City | 1..1 | string | Expressions:
| |
rm2.3 | State | 1..1 | string | Expressions:
| |
rm2.4 | Country | 1..1 | string | Expressions:
| |
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:
| |
rm3.1_help | First or given name of the site principal investigator | 0..1 | display | ||
rm3.3 | Last Name | 1..1 | string | Expressions:
| |
rm3.3_help | Surname or family name | 0..1 | display | ||
rm3.2 | Suffix | 0..1 | string | Expressions:
| |
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:
| |
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 | 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 | 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 |