cart-wheel online consent demonstration · cart-wheel online consent demonstration created: april...
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![Page 1: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/1.jpg)
CART-WHEEL Online Consent Demonstration
Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online consent module to give you a better feeling for what we are
asking and how the online consent module works.
Content: Start Page for Online Consent ........................................................................................................................... 2
Screen 1: Consent Form Type and Patient Details ........................................................................................... 3
Screen 2: Consent Start ..................................................................................................................................... 4
Screen 3: Section 1 – Your Consent .................................................................................................................. 5
Screen 4: Section 2 - Background ...................................................................................................................... 6
Screen 5: Section 3 – What is BioGrid Australia and The Rare Tumour Database .......................................... 7
Screen 6: Section 4 – What do you want from Me? ......................................................................................... 8
Screen 7: Consent Options ................................................................................................................................ 9
Screen 8: Consent Options Cont. .................................................................................................................... 10
Screen 9: Section 5 & 6 .................................................................................................................................... 11
Screen 10: Section 7 – For what purpose will my tissue be used? ................................................................ 12
Screen 11: Section 8 – What information will be on the Rare Tumour Database? ...................................... 13
Screen 12: Section 9 – How will my privacy be protected? ........................................................................... 14
Screen 13: Section 9 – Cont. ............................................................................................................................ 15
Screen 14: Section 10 - 13 ............................................................................................................................... 16
Screen 15: Section 14 – Participation is Voluntary ........................................................................................ 17
Screen 16: Section 15 – Ethical Guidelines ..................................................................................................... 18
Screen 17: Consent Selection .......................................................................................................................... 19
Screen 17.1: Clinician Details Entry* .............................................................................................................. 20
Screen 18: Participation in a Research Project other than CART-WHEEL...................................................... 21
Screen 19: Consent Summary ......................................................................................................................... 22
Start Page for Online Consent – Consent Completed .................................................................................... 23
Withdrawal of Consent Screen ....................................................................................................................... 24
Start Page for Online Consent – Consent Withdrawn .................................................................................... 25
Start Page for Online Consent – Consent in Progress .................................................................................... 26
Cancel Consent Screen (Consent in Progress) ................................................................................................ 27
![Page 2: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/2.jpg)
Start Page for Online Consent
![Page 3: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/3.jpg)
Screen 1: Consent Form Type and Patient Details
![Page 4: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/4.jpg)
Screen 2: Consent Start
![Page 5: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/5.jpg)
Screen 3: Section 1 – Your Consent
![Page 6: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/6.jpg)
Screen 4: Section 2 - Background
![Page 7: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/7.jpg)
Screen 5: Section 3 – What is BioGrid Australia and The Rare Tumour Database
![Page 8: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/8.jpg)
Screen 6: Section 4 – What do you want from Me?
![Page 9: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/9.jpg)
Screen 7: Consent Options
![Page 10: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/10.jpg)
Screen 8: Consent Options Cont.
![Page 11: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/11.jpg)
Screen 9: Section 5 & 6
![Page 12: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/12.jpg)
Screen 10: Section 7 – For what purpose will my tissue be used?
![Page 13: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/13.jpg)
Screen 11: Section 8 – What information will be on the Rare Tumour Database?
![Page 14: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/14.jpg)
Screen 12: Section 9 – How will my privacy be protected?
![Page 15: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/15.jpg)
Screen 13: Section 9 – Cont.
![Page 16: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/16.jpg)
Screen 14: Section 10 - 13
![Page 17: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/17.jpg)
Screen 15: Section 14 – Participation is Voluntary
![Page 18: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/18.jpg)
Screen 16: Section 15 – Ethical Guidelines
![Page 19: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/19.jpg)
Screen 17: Consent Selection
![Page 20: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/20.jpg)
Screen 17.1: Clinician Details Entry*
*Entry screen will display if patient has given their clinician the consent to enter view or edit their data.
![Page 21: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/21.jpg)
Screen 18: Participation in a Research Project other than CART-WHEEL
![Page 22: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/22.jpg)
Screen 19: Consent Summary
![Page 23: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/23.jpg)
Start Page for Online Consent – Consent Completed
![Page 24: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/24.jpg)
Withdrawal of Consent Screen
![Page 25: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/25.jpg)
Start Page for Online Consent – Consent Withdrawn
![Page 26: CART-WHEEL Online Consent Demonstration · CART-WHEEL Online Consent Demonstration Created: April 2017 by CART-WHEEL This document contains screenshots of all pages of the online](https://reader035.vdocuments.us/reader035/viewer/2022081522/5f0b292d7e708231d42f25e0/html5/thumbnails/26.jpg)
Start Page for Online Consent – Consent in Progress
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Cancel Consent Screen (Consent in Progress)