i2b2 Import from Onyx Mapping Version 1

The mapping is made up of 13 questionnaires. These are:

1. Acute Verbal Consent for samples collection
2. Participant Consent
3. Paper Consent
4. Recruitment Context
5. Risk Factor
6. Patient-reported medical history
7. Samples Preliminary
8. Blood samples collection
9. Urine sample collection
10. End of patient contact
11. Notes-recorded medical history
12. Data submission
13. Conclusion

The mapping of each questionnaire is show in the sections below:

Acute Verbal Consent for samples collection

Export folder: VerbalConsentQuestionnaire

Visible fields on the form:

Label	Answer Type	Has comment
Was acute verbal consent given	Radio button: yes,no	n
Name of witness	Free text with radio button	y

Participant Consent

Export folder: Consent ?

Visible fields on the form:

Label	Answer Type	Has comment
Type of consent	Radio button: Electronic, Paper	n
Consent form language	Select: various languages	n
Consent Confirmation (paper only?)	Radio buttons: 'read and signed', 'refused to sign'	n

Paper Consent

Export folder: Consent?

Visible fields on the form:

Label	Answer Type	Has comment
Does the participant understand the request for consent?	Radio button: yes, no	y
Does the participant consent to donate blood and urine	Radio button: yes, no	y
Does the participant consent to entry in the BRICCS database?	Radio button: yes, no	y
Does the participant consent to further contact from BRU?	Radio button: yes, no	y
Does the participant understand the rules of withdrawal?	Radio button: yes, no	y

Recruitment Context

Export folder: RecruitmentContextQuestionnaire

Visible fields on the form:

Label	Answer Type	Has comment
Interview Language	Select: languages	y
Recruitment episode type	Radio button: inpatient, outpatient, healthy control, study specific, don't know	y
Inpatient admission type	Radio button: Actute, Elective, Don't know	y
Hospital	Radio button: Glenfield, LGH, LRI, Don't know	y
Admitting Ward	Select: list of wards, and radio button: don't know	y
Admitting Consultant	Select: list of consultants, and radio button: don't know	y
Outpatient clinic attended	select: list of clinics, and radio button: don't know	y
Consultant	Select: list of consultants, and radio button: don't know	y
Study Reference	Radio button: GeneFast AS Study, Study Reference2, Study Reference3, Don't know	y

Risk Factor

Export folder:

Visible fields on the form:

Label	Answer Type	Has comment

Patient-reported medical history

Export folder:

Visible fields on the form:

Label	Answer Type	Has comment

Samples Preliminary

Export folder:

Visible fields on the form:

Label	Answer Type	Has comment

Blood samples collection

Export folder:

Visible fields on the form:

Label	Answer Type	Has comment

Urine sample collection

Export folder:

Visible fields on the form:

Label	Answer Type	Has comment

End of patient contact

Export folder:

Visible fields on the form:

Label	Answer Type	Has comment

Notes-recorded medical history

Export folder:

Visible fields on the form:

Label	Answer Type	Has comment

Data submission

Export folder:

Visible fields on the form:

Label	Answer Type	Has comment

Conclusion

Export folder:

Visible fields on the form:

Label	Answer Type	Has comment