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Select ‘USC HSC - Health Sciences Associated Locations’ |
Section 6a
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Select ‘Keck Hospital of USC Facilities’ and/or ‘Keck School of Medicine of USC’ |
Section 9
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Select one of If your study involves secondary analysis (ex. retrospective chart review), select the secondary analysis options, option that most apply applies to your research. Checking one of these boxes triggers the activation of section 13, also needed for your application.
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Section 13
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If you would like to include patients known to be deceased in the dataset, please select ‘Yes’. Otherwise, we will automatically exclude any patient known to be deceased from your dataset. Note that patients are typically only marked as known to be deceased in the medical record if they pass away while admitted to the hospital. |
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| Upload a Data Collection Form which includes all of the variables you will need for the research
| Please differentiate between data elements you plan to abstract from the chart and data that will be obtained using the CDW Team and or tools such as i2b2. |||
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Select ‘Yes’ | ||||
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In your own words, generally state you will be working with the Clinical Research Informatics team to extract data variables from the Keck Clinical Data Warehouse Indicate which variables you plan to obtain by working with our team.If applicable, indicate which variables you plan to abstract by conducting your own manual chart review. If applicable, indicate that you plan on contacting/recruiting patients using the data obtained from our team. |
Section 24
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If you will be using the dataset to contact patients for study recruitment, select ‘Clinical Data Warehouse’: |
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Select all variables that you will be requesting to include in the dataset. Please note that we cannot include identifiers in your dataset that are not indicated here.
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Select ‘Yes’ if you plan on contacting/recruiting patients using the dataset we provide |
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Describe how you will contact patients (for example, sending emails to potential subjects) |