Datamanagement - study

Protocol title *

Edge number *

Name Principal Investigator *

Name contact person *

E-mail contact person *

Telephone contact person *

Contact information DPO Sponsor

Retention period of study data *

Study Type *

Categories of data subjects

Adults (Optioneel)

Minors (Optioneel)

Mentally competent person (Optioneel)

Mentally incompetent person (Optioneel)

Patient (Optioneel)

Healthy volenteer (Optioneel)

Patiënt representative(s) (Optioneel)

Other (Optioneel)

Categories of receivers

Patient involved or study participant (Optioneel)

Representative or confidential advisor of data subject (Optioneel)

Treating physician of data subject (Optioneel)

Ethical or deontological committee (Optioneel)

Other (Optioneel)

Transfer to third countries/international organisations (Optioneel)

Safeguardq Adequacy (Optioneel)

Third country (Optioneel)

International organisation (Optioneel)

Type of personal data

Identifiable personal data (Optioneel)

Pseudonymised personal data (Optioneel)

Anonymous personal data (Optioneel)

e-CRF systeem *

Data collection: secondary use of data collected in the context of other studies (Optioneel)