The code block below illustrates how one might use # and // as comments in your logic and calculations.

# Text can be put here to explain what the logic/calculation does and why.
if ([field1] = '1' and [field2] > 7,

	// This comment can explain what the next line does.
	[score] * [factor],

	// Return '0' if the condition is False.
	0
)

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This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

User Access Request Form

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Submission Date

M-D-Y

REDCap and PRESAGE Project User Access Form

Please complete this form to request access to a REDCap or PRESAGE project. You do not need to complete this form to request access to REDCap itself - All FCCC/TUHS users have access to FCCC REDCap, no approval needed: https://studies.fccc.edu/redcap/

If you have difficulties logging into REDCap please check your username and password against TUHS Password Website.

To request access to a Research Projects: Please make sure user is listed as study team member in eIRB before requesting access for them.

To request access to any project: Please make sure user is a TUHS employee or have TUHS username before requesting access for them. To check person's TUHS username

Open TUHS Directory https://hub.templehealth.org/group/guest/contact-directories
Search for user in the "Employee Search"
Hover over person's profile picture to see the username

If user does not have TUHS account please request one through "Manager Self Service" system. For more information see https://app.fccc.edu/wiki/private/wiki/index.php/PSF_User_Documentation_Network_Account_Request

Please provide your name

* must provide value

Please provide your email address

* must provide value

Please select project type:

* must provide value

Research project (has an IRB number)

Operational project (does not have an IRB number)

I am requesting access to

* must provide value

REDCap project

PRESAGE project on app.fccc.edu

PRESAGE project on my.fccc.edu

REDCap Project Title

* must provide value

REDCap Project Title

* must provide value

Please provide IRB numbers and name(s) of PRESAGE projects user needs access to

* must provide value

Expand

What is your role on this study?

* must provide value

PI

PI Proxy

Project Manager

Other

Please define other

* must provide value

Did PI approve this request?

* must provide value

Yes No

Please provide PI email:

* must provide value

What is you role in this project?

* must provide value

Project Owner - I already have access to this project in REDCap

Project User - I already have access to this project in REDCap

Other

Access will not be granted without existing user approval. Please ask someone on the project to submit form on your behalf

Does the user have TUHS network account?

To check whether person has TUHS Network account:

Open TUHS Directory https://hub.templehealth.org/group/guest/contact-directories
Search for user in the "Employee Search"
Hover over person's profile picure to see the username

* must provide value

Yes No

TUHS Network account must be created before project access can be granted. Please request a FCCC/TUHS account for this user through "Manager Self Service" system

For more information please see https://app.fccc.edu/wiki/private/wiki/index.php/PSF_User_Documentation_Network_Account_Request

Name of user receiving access

* must provide value

Email of user receiving access

* must provide value

Please provide user TUHS username:

To find person's TUHS username

Open TUHS Directory https://hub.templehealth.org/group/guest/contact-directories
Search for user in the "Employee Search"
Hover over person's profile picture to see the username in parenthesis next to their name
Copy the person's username by selecting the double sheet of paper icon next to their username

If user does not have TUHS account please request one through "Manager Self Service" system. For more information please see https://app.fccc.edu/wiki/private/wiki/index.php/PSF_User_Documentation_Network_Account_Request

* must provide value

Which permissions are going to be given to this user?

* must provide value

View ALL Records

Edit ALL Records

Export Data - De-identified dataset only

Export Data - Limited dateset excluding tagged PHI fields

View/Edit only their institution's records

Email survey invitations

Manage project/build surveys

Other

Other (please specify):

Institution

* must provide value

Should there be an expiration date for this user?

* must provide value

Yes No

Expiration Date:

* must provide value

M-D-Y

Is this user IRB approved to have access to the project and listed as Study Team member in eIRB ?

* must provide value

Yes No

Please submit Modification with "Study team member information" scope for ______ study in https://eirb.fccc.edu.

If the name has been added to study protocol or consent since last IRB approved modification, please also check "Other parts of the study" option and upload the relevant documents.

If you have any questions about modification submission process, please contact study's IRB coordinator or email IRBOffice@FCCC.edu

Would you like to request access for another user to this project?

Yes No

Does the user have TUHS network account?

To check whether person has TUHS Network account:

Open TUHS Directory https://hub.templehealth.org/group/guest/contact-directories
Search for user in the "Employee Search"
Hover over person's profile picure to see the username

* must provide value

Yes No

TUHS Network account must be created before project access can be granted. Please request a FCCC/TUHS account for this user through "Manager Self Service" system

For more information please see https://app.fccc.edu/wiki/private/wiki/index.php/PSF_User_Documentation_Network_Account_Request

Name of user receiving access

* must provide value

Email of user receiving access

* must provide value

Please provide user TUHS username:

To find person's TUHS username

Open TUHS Directory https://hub.templehealth.org/group/guest/contact-directories
Search for user in the "Employee Search"
Hover over person's profile picture to see the username in parenthesis next to their name
Copy the person's username by selecting the double sheet of paper icon next to their username

If user does not have TUHS account please request one through "Manager Self Service" system. For more information please see https://app.fccc.edu/wiki/private/wiki/index.php/PSF_User_Documentation_Network_Account_Request

* must provide value

Which permissions are going to be given to this user?

* must provide value

View ALL Records

Edit ALL Records

Export Data - De-identified dataset only

Export Data - Limited dateset excluding tagged PHI fields

View/Edit only their institution's records

Email survey invitations

Manage project/build surveys

Other

Other (please specify):

Institution

* must provide value

Should there be an expiration date for this user?

* must provide value

Yes No

Expiration Date:

* must provide value

M-D-Y

Is this user IRB approved to have access to the project and listed as Study Team member in eIRB ?

* must provide value

Yes No

Please submit Modification with "Study team member information" scope for ______ study in https://eirb.fccc.edu.

If the name has been added to study protocol or consent since last IRB approved modification, please also check "Other parts of the study" option and upload the relevant documents.

If you have any questions about modification submission process, please contact study's IRB coordinator or email IRBOffice@FCCC.edu

Would you like to request access for another user to this project?

Yes No

Does the user have TUHS network account?

To check whether person has TUHS Network account:

Open TUHS Directory https://hub.templehealth.org/group/guest/contact-directories
Search for user in the "Employee Search"
Hover over person's profile picure to see the username

* must provide value

Yes No

TUHS Network account must be created before project access can be granted. Please request a FCCC/TUHS account for this user through "Manager Self Service" system

For more information please see https://app.fccc.edu/wiki/private/wiki/index.php/PSF_User_Documentation_Network_Account_Request

Name of user receiving access

* must provide value

Email of user receiving access

* must provide value

Please provide user TUHS username:

To find person's TUHS username

Open TUHS Directory https://hub.templehealth.org/group/guest/contact-directories
Search for user in the "Employee Search"
Hover over person's profile picture to see the username in parenthesis next to their name
Copy the person's username by selecting the double sheet of paper icon next to their username

If user does not have TUHS account please request one through "Manager Self Service" system. For more information please see https://app.fccc.edu/wiki/private/wiki/index.php/PSF_User_Documentation_Network_Account_Request

* must provide value

Which permissions are going to be given to this user?

* must provide value

View ALL Records

Edit ALL Records

Export Data - De-identified dataset only

Export Data - Limited dateset excluding tagged PHI fields

View/Edit only their institution's records

Email survey invitations

Manage project/build surveys

Other

Other (please specify):

Institution

* must provide value

Should there be an expiration date for this user?

* must provide value

Yes No

Expiration Date:

* must provide value

M-D-Y

Is this user IRB approved to have access to the project and listed as Study Team member in eIRB ?

* must provide value

Yes No

Please submit Modification with "Study team member information" scope for ______ study in https://eirb.fccc.edu.

If the name has been added to study protocol or consent since last IRB approved modification, please also check "Other parts of the study" option and upload the relevant documents.

If you have any questions about modification submission process, please contact study's IRB coordinator or email IRBOffice@FCCC.edu

Would you like to request access for another user to this project?

Yes No

Does the user have TUHS network account?

To check whether person has TUHS Network account:

Open TUHS Directory https://hub.templehealth.org/group/guest/contact-directories
Search for user in the "Employee Search"
Hover over person's profile picure to see the username

* must provide value

Yes No

TUHS Network account must be created before project access can be granted. Please request a FCCC/TUHS account for this user through "Manager Self Service" system

For more information please see https://app.fccc.edu/wiki/private/wiki/index.php/PSF_User_Documentation_Network_Account_Request

Name of user receiving access

* must provide value

Email of user receiving access

* must provide value

Please provide user TUHS username:

To find person's TUHS username

Open TUHS Directory https://hub.templehealth.org/group/guest/contact-directories
Search for user in the "Employee Search"
Hover over person's profile picture to see the username in parenthesis next to their name
Copy the person's username by selecting the double sheet of paper icon next to their username

If user does not have TUHS account please request one through "Manager Self Service" system. For more information please see https://app.fccc.edu/wiki/private/wiki/index.php/PSF_User_Documentation_Network_Account_Request

* must provide value

Which permissions are going to be given to this user?

* must provide value

View ALL Records

Edit ALL Records

Export Data - De-identified dataset only

Export Data - Limited dateset excluding tagged PHI fields

View/Edit only their institution's records

Email survey invitations

Manage project/build surveys

Other

Other (please specify):

Institution

* must provide value

Should there be an expiration date for this user?

* must provide value

Yes No

Expiration Date:

* must provide value

M-D-Y

Is this user IRB approved to have access to the project and listed as Study Team member in eIRB ?

* must provide value

Yes No

Please submit Modification with "Study team member information" scope for ______ study in https://eirb.fccc.edu.

If the name has been added to study protocol or consent since last IRB approved modification, please also check "Other parts of the study" option and upload the relevant documents.

If you have any questions about modification submission process, please contact study's IRB coordinator or email IRBOffice@FCCC.edu

Would you like to request access for another user to this project?

Yes No

Does the user have TUHS network account?

To check whether person has TUHS Network account:

Open TUHS Directory https://hub.templehealth.org/group/guest/contact-directories
Search for user in the "Employee Search"
Hover over person's profile picure to see the username

* must provide value

Yes No

TUHS Network account must be created before project access can be granted. Please request a FCCC/TUHS account for this user through "Manager Self Service" system

For more information please see https://app.fccc.edu/wiki/private/wiki/index.php/PSF_User_Documentation_Network_Account_Request

Name of user receiving access

* must provide value

Email of user receiving access

* must provide value

Please provide user TUHS username:

To find person's TUHS username

Open TUHS Directory https://hub.templehealth.org/group/guest/contact-directories
Search for user in the "Employee Search"
Hover over person's profile picture to see the username in parenthesis next to their name
Copy the person's username by selecting the double sheet of paper icon next to their username

If user does not have TUHS account please request one through "Manager Self Service" system. For more information please see https://app.fccc.edu/wiki/private/wiki/index.php/PSF_User_Documentation_Network_Account_Request

* must provide value

Which permissions are going to be given to this user?

* must provide value

View ALL Records

Edit ALL Records

Export Data - De-identified dataset only

Export Data - Limited dateset excluding tagged PHI fields

View/Edit only their institution's records

Email survey invitations

Manage project/build surveys

Other

Other (please specify):

Institution

* must provide value

Should there be an expiration date for this user?

* must provide value

Yes No

Expiration Date:

* must provide value

M-D-Y

Is this user IRB approved to have access to the project and listed as Study Team member in eIRB ?

* must provide value

Yes No

Please submit Modification with "Study team member information" scope for ______ study in https://eirb.fccc.edu.

If the name has been added to study protocol or consent since last IRB approved modification, please also check "Other parts of the study" option and upload the relevant documents.

If you have any questions about modification submission process, please contact study's IRB coordinator or email IRBOffice@FCCC.edu

For PRESAGE access, should users be limited to only see their site data?

User can see data for all site

User access should be limited

N/A - not a multi-site study

Please explain which site user should have access to

Expand

Please confirm that you are the PI or Owner of the Project by selecting checkbox below and click Submit

* must provide value

Yes, I am the PI, PM or Owner of this Project

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.