Registry Working Party

Informed Patient Consent

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Before entering patient data into the ESID Database you have to obtain an informed patient consent (PIC). Patient consent forms containing information on the ESID Registry are available here in many languages.

Please note that on principle these forms need to be approved by a competent (Research) Ethics Committe or IRB according to you (local) regulations before use!

Informed patient consent with prefix GDPR and date are versions in accordance with the regulations set forth by the GDPR

For all the others, please see version and date of each form by selecting the files. These are outdated and only listed here for your reference. For all new registrations please use only GDPR compliant versions to get the patients' consent.

GDPR compliant PIC language (country, centre)  versions

Arabic (EC Freiburg, Version 3.02, 17.02.2020, translated from revised English Version 3.02)

Armenian (EC Freiburg, Version 3.01, 28.10.2019, translated from German Version 3.01)

Bulgarian (EC Freiburg, Version 3.01, 25.11.2019, translated from German Version 3.01)

Croatian (EC Zagreb, Version 3.01, 25.05.2020, translated from German Version 3.01)

Czech version (EC Freiburg, Version 3.01, 30.03.2020, translated from German Version 3.01) 

Dutch (EC Freiburg, Version 3.01, 17.03.2020, translated from German Version 3.01)

English (EC Freiburg, Version 3.02, 24.09.2019, revised version translated from German Version 3.01)

English (To be used only for centre Dublin, EC Dublin, Version 3.01, 10.10.2019, revised version translated from German Version 3.01)

French (EC Freiburg, Version 3.01, 24.07.2019, translated from German Version 3.01)

German (EC Freiburg: Version 3.01, 03 June 2019)

German_Giessen (To be used only for centre Giessen: EC Giessen, Version 3.00, 21 May 2019)

German_Munich (To be used only for centre Munich: EC LMU Munich, Version 3.01, 24 July 2019)

German_Austria (To be used only for Austria!, Austrian Version, EC Graz: Version 4.1, 22 July 2019)

Greek (provided by Sofia Tantou, EC Freiburg, Version 3.01, 22.11.2019, translated from German Version 3.01)

Hebrew (EC Freiburg, Version 3.01, 12.09.2019, translated from German Version 3.01)

Portuguese (EC Freiburg, Version 3.01, 06.02.2020, translated from German Version 3.01)

Russian (EC Freiburg, Version 3.01, 24.08.2019, translated from German Version 3.01)

Slovak_Bratislava (EC Freiburg, Version 3.01, 08.07.2020, translated from German Version 3.01, adapted for Bratislava)

Slovenian (EC Freiburg, Version 3.01, 03.12.2019, translated from German Version 3.01)

Spanish (EC Freiburg, Version 3.02, 12.02.2020, translated from Revised English Version 3.02)

Turkish (EC Samsun, Version 3.01, 04.04.2020, translated from German Version 3.01)

 

Ukrainian (EC Freiburg, Version 3.01, 25.10.2019, translated from German Version 3.01)

GDPR_ESID_Registry_PIC_UKRAINIAN_3.01_2019_10_25

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Instructions how to handle the supplement to data protection

Please find here the procedures to handle the supplement to data protection.

English

German

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Language and country specific versions of the supplement to data protection

Please find here a list of available language versions of the "Supplement to data protection".

Arabic

Armenian

Austria

Czech

Dutch

Dutch adapted for Leuven

English

Farsi

German (not to be used in Austria or Switzerland!)

Italian

Spanish and Catalan versions provided by Pediatric Infectious Diseases and Immunodeficiencies Unit (UPIIP):

Russian

Romanian 

Turkish

Ukranian

Portuguese version will be provided soon.

 

 

   

Obsolete PIC versions (obsolete consents, may be used as reference or for information purpose, for special use please see below)

 
application/msword

Croatian Patient Consent

Msword, 34.50 kB
application/msword

Lithuanian Patient Consent

Msword, 33.50 kB
application/msword

Romanian Patient Consent

Msword, 32.50 kB
application/msword

Slovak Patient Consent

Msword, 34.00 kB

These PIC-Forms may only be used in combination with a respective, Swiss specific addendum, similar to the Supplement to data protection. Final decision on how to proceed regarding GDPR in Switzerland is pending

Last update: 2020-09-23