Atlassian uses cookies to improve your browsing experience, perform analytics and research, and conduct advertising. Accept all cookies to indicate that you agree to our use of cookies on your device.
Atlassian uses cookies to improve your browsing experience, perform analytics and research, and conduct advertising. Accept all cookies to indicate that you agree to our use of cookies on your device. Atlassian cookies and tracking notice, (opens new window)
To submit a request for access to data for secondary use, please select one of the four choices in the first section.
To submit a request for access to information or a request for access to documents of public bodies, please select the second heading.
For all other questions or to report a technical problem, please select the last item.
IMPORTANT The data access authorization process and requests for access to information are not the responsibility of CIRRUS. These authorization processes remain under the control of the CEO and/or the persons mandated for this purpose.
Request for Access to Patient Data for a Procedure Quality Assessment Project
Note: It is no longer necessary to complete the paper form requesting authorization to access clinical records and/or clinical databases for study, teaching, or research purposes. This form replaces it.
Requests for access to patient data for the purpose of conducting quality of care evaluation projects are subject to approval by the Medical and Professional Services Director.
We remind you that, according to the Collège des médecins du Québec, the objective of a clinical quality assessment project is to improve the quality of care and services provided to patients, while respecting confidentiality and the protection of personal information.
IMPORTANT
Data collected as part of a clinical quality assessment project may not be reused for research purposes. Therefore, if you are considering a potential research project following your assessment, we suggest that you immediately follow the process for a research project.
Translated with DeepL.com (free version)
Requests for access to patient data for procedure quality assessment projects are subject to approval by the Medical and Professional Services Director.
We remind you that, according to the Collège des médecins du Québec, the objective of a procedure quality assessment project is to improve the quality of care and services offered to patients, while respecting confidentiality and the protection of personal information.
IMPORTANT
If you intend to publish the results obtained, please ensure that you complete the Privacy Impact Assessment (PIA) (information to come).
Data collected as part of a procedure quality assessment project may not be reused for research purposes. Therefore, if you are considering a potential research project as a result of your project, we suggest that you immediately follow the trajectory for a research project (information to come).
Required fields are marked with an asterisk*
{"xsrfToken":"ab80b198766eaa71ec6b9b44e548af9e1b2089d1_lout","branding":{"id":"1","key":"sc","name":"CIRRUS","portalBaseUrl":"/servicedesk/customer/portal/1","logoUrl":"/rest/servicedesk/1/customer/viewport-resources/portal-logo/1/1","theme":{"headerBGColor":"#ffffff","headerLinkColor":"#292929","headerLinkHoverColor":"#b8cdd9","headerLinkHoverBGColor":"#b8cdd9","headerBadgeColor":"#b8cdd9"}},"helpCenterBranding":{"logoUrl":"https://api.media.atlassian.com/file/3702e525-9ea2-4087-8364-00ec94c01b56/image/cdn?token=eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI2ODRjNDBkMi05ZTk0LTQ5MGUtOThmMi01Yzg1YTk3Yzc5NjYiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpmaWxlOjM3MDJlNTI1LTllYTItNDA4Ny04MzY0LTAwZWM5NGMwMWI1NiI6WyJyZWFkIl19LCJleHAiOjE3ODQ3NDAyOTcsIm5iZiI6MTc4NDczOTY5N30.FM9LLt6WnIvjK_ZdjECwmzm9W4SzBwhwe3MjfpW04tY&client=684c40d2-9e94-490e-98f2-5c85a97c7966&mode=fit","logoId":"3702e525-9ea2-4087-8364-00ec94c01b56","isLogoAvailable":true,"helpCenterTitle":"Welcome to the CIRRUS portal","sharedPortalName":"CIRRUS","userInitialAnnouncementMessageWiki":"<p>The <em>Centre for Integration and Governance of Health Information for Secondary Use</em> (<b>CIRRUS</b>) portal has been created to process requests and access agreements, support and train users, and ensure compliance throughout the process.</p>\n<p><b>CIRRUS</b> is an Institute platform governed by the DQEPETI and the DRU. It is governed by its governance framework.</p>\n<p>The <em><b>CIRRUS portal</b></em> is intended to be the single point of contact for requests for access to the Institute's secondary-use health data, where they will be centralised on this platform.</p>\n<p>For more information, please visit our website <a href=\"https://cirrus-iucpq.ca/\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\" style=\"text-decoration: underline;\">CIRRUS</a>.</p>","translations":{"en-US":{"helpCenterTitle":"Welcome to the CIRRUS portal","sharedPortalName":"CIRRUS","announcementMessage":"The _Centre for Integration and Governance of Health Information for Secondary Use_ (*CIRRUS*) portal has been created to process requests and access agreements, support and train users, and ensure compliance throughout the process.\n\n*CIRRUS* is an Institute platform governed by the DQEPETI and the DRU. It is governed by its governance framework.\n\nThe _*CIRRUS portal*_ is intended to be the single point of contact for requests for access to the Institute's secondary-use health data, where they will be centralised on this platform.\n\nFor more information, please visit our website [CIRRUS|https://cirrus-iucpq.ca/].","localeDisplayName":"English (United States)"},"fr-FR":{"helpCenterTitle":"Portail CIRRUS","sharedPortalName":"CIRRUS","announcementMessage":"Le portail du _Centre d'intégration et de régie des renseignements de santé pour utilisation secondaire_ (*CIRRUS*) a été créé pour traiter les demandes et les accords d'accès, soutenir et former les utilisateurs, et assurer la conformité tout au long du processus.\n\n*CIRRUS* est une plateforme de l'Institut régie par la DQEPETI et la DRU. Elle est régie par son cadre de gouvernance.\n\nLe _*portail CIRRUS*_ est destiné à être le point de contact unique pour les demandes d'accès aux données de santé à usage secondaire de l'Institut, où elles seront centralisées sur cette plateforme.\n\nPour plus d'informations, veuillez consulter notre site web [CIRRUS|https://cirrus-iucpq.ca/].","localeDisplayName":"French (France)"}},"canEditAnnouncement":false,"siteDefaultLanguageTag":"fr-FR","userLanguageTag":"en-US","portalThemeColor":"#0074e0","helpCenterTitleColor":"#ffffff","bannerMediaApiUrl":"https://api.media.atlassian.com/file/585130cc-30b9-43db-9d27-d5c30ae25b96/image/cdn?token=eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI2ODRjNDBkMi05ZTk0LTQ5MGUtOThmMi01Yzg1YTk3Yzc5NjYiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpmaWxlOjU4NTEzMGNjLTMwYjktNDNkYi05ZDI3LWQ1YzMwYWUyNWI5NiI6WyJyZWFkIl19LCJleHAiOjE3ODQ3NDAyOTcsIm5iZiI6MTc4NDczOTY5N30.FidfdVjPrCLNK6K_rJR-dTkPnhUFYpwwqIpfd0sH7o0&client=684c40d2-9e94-490e-98f2-5c85a97c7966&height=300&mode=fit","bannerMediaApiFileId":"585130cc-30b9-43db-9d27-d5c30ae25b96","useDefaultBanner":false,"isBannerAvailable":true,"topBarColor":"#0074e0","topBarTextColor":"#ffffff","hasTopBarBeenSplit":true},"portal":{"id":"1","key":"sc","projectId":10002,"serviceDeskId":1,"name":"CIRRUS","description":"<p>To submit a request for <b>access to data for secondary use</b>, please select one of the four choices in the first section.</p>\n<p>To submit a <b>request for access to information or a request for access to documents of public bodies</b>, please select the second heading.</p>\n<p>For <ins>all other questions or to report a technical problem</ins>, please select the last item.</p>\n<p><b>IMPORTANT</b> The data access authorization process and requests for access to information are not the responsibility of CIRRUS. These authorization processes remain under the control of the CEO and/or the persons mandated for this purpose.</p>","portalBaseUrl":"/servicedesk/customer/portal/1","onlyPortal":false,"reqTypes":[{"id":"18","name":"Request for access to information","descriptionHtml":"","callToAction":"Request for access to information","introHtml":"<p>Request access to documents from public organizations.</p>","icon":10523,"iconUrl":"https://cirrus-iucpq.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10523","groups":[9],"key":""},{"id":"1","name":"Technical problem accessing your data","descriptionHtml":"","callToAction":"Technical problem accessing your data","introHtml":"<p>Submit a request or report a problem.</p>","icon":10520,"iconUrl":"https://cirrus-iucpq.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10520","groups":[8],"key":""},{"id":"13","name":"Organizational, clinical-administrative and/or administrative process management project","descriptionHtml":"<p>This form regroups requests for access to data for secondary use to meet organizational management needs, clinical-administrative needs or administrative processes.</p>\n<p><b>IMPORTANT</b></p>\n<ul>\n <li><em>It should be noted that the <b>project</b> authorization process is the responsibility of your manager or director.</em></li>\n <li><em>Depending on the volume of requests to be processed, it should be noted that these will be handled according to organizational priorities.</em></li>\n <li><em>In addition, your project may be similar or complementary to another solution. In this case, CIRRUS will facilitate project synergy to avoid administrative silos.</em></li>\n</ul>","callToAction":"Organizational, clinical-administrative and/or administrative process management project","introHtml":"<p>Demand from clinical or administrative sectors</p>","icon":10550,"iconUrl":"https://cirrus-iucpq.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","groups":[7],"key":""},{"id":"14","name":"Research project","descriptionHtml":"<p>Requests for access to health data for secondary use in research projects are subject to a triple assessment: scientific review, ethical assessment and suitability review.</p>\n<p>It is possible to prepare an application for access to data for secondary use at the same time as your application to the GUR. The <em>Guichet unique de la recherche</em> is the gateway to any research project at the Centre de recherche de l'IUCPQ-ULaval.</p>\n<p>Data will only be accessible once the triple evaluation process has been accepted.</p>","callToAction":"Research project","introHtml":"<p>Demand from the research sector</p>","icon":10550,"iconUrl":"https://cirrus-iucpq.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","groups":[7],"key":""},{"id":"16","name":"Project for evaluating the quality of medical care - Physicians","descriptionHtml":"<h4><a name=\"RequestforAccesstoPatientDataforaProcedureQualityAssessmentProject\" target=\"_blank\"></a><b>Request for Access to Patient Data for a Procedure Quality Assessment Project</b></h4>\n<p><em>Note: It is no longer necessary to complete the paper form requesting authorization to access clinical records and/or clinical databases for study, teaching, or research purposes. <b>This form replaces it.</b></em></p>\n<p>Requests for access to patient data for the purpose of conducting quality of care evaluation projects are subject to approval by the Medical and Professional Services Director.</p>\n<p>We remind you that, according to the Collège des médecins du Québec, the objective of a clinical quality assessment project is to improve the quality of care and services provided to patients, while respecting confidentiality and the protection of personal information.</p>\n<h4><a name=\"IMPORTANT\" target=\"_blank\"></a><b>IMPORTANT</b></h4>\n<p><em>Data collected as part of a clinical quality assessment project may not be reused for research purposes. Therefore, if you are considering a potential research project following your assessment, we suggest that you immediately follow the process for a research project.</em></p>\n<p>Translated with DeepL.com (free version)</p>\n<p>Requests for access to patient data for procedure quality assessment projects are subject to approval by the Medical and Professional Services Director.</p>\n<p>We remind you that, according to the Collège des médecins du Québec, the objective of a procedure quality assessment project is to improve the quality of care and services offered to patients, while respecting confidentiality and the protection of personal information.</p>\n<h4><a name=\"IMPORTANT\" target=\"_blank\"></a>IMPORTANT</h4>\n<p><em>If you intend to publish the results obtained, please ensure that you complete the Privacy Impact Assessment (PIA) (information to come).</em></p>\n<p>Data collected as part of a procedure quality assessment project may not be reused for research purposes. Therefore, if you are considering a potential research project as a result of your project, we suggest that you immediately follow the trajectory for a research project (information to come).</p>","callToAction":"Project for evaluating the quality of medical care - Physicians","introHtml":"<p>Request for access to data from physicians at the institute for the purpose of auditing the quality of meddical care</p>","icon":10550,"iconUrl":"https://cirrus-iucpq.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","groups":[7],"key":""},{"id":"53","name":"Projet d’évaluation de la qualité des pratiques professionnelles","descriptionHtml":"<p>Les demandes d’accès aux données des usagers pour la réalisation de projets d’appréciation de la qualité / conformité des pratiques professionnelles sont soumises à l’approbation de la conseillère cadre aux pratiques professionnelles ou de l’adjointe à la directrice des services multidisciplinaire de santé et de service sociaux.</p>\n<p>Nous vous rappelons que l’objectif d’un projet d’appréciation de la qualité / conformité des pratiques professionnelles est l’amélioration des soins et services offerts aux usagers, et ce, dans le respect de la confidentialité et de la protection des renseignements personnels.</p>","callToAction":"Projet d’évaluation de la qualité des pratiques professionnelles","introHtml":"<p>Qualité de l'acte</p>","icon":10650,"iconUrl":"https://cirrus-iucpq.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10650","groups":[7],"key":""},{"id":"19","name":"Suggestion of systems to ingest into the data lake","descriptionHtml":"","callToAction":"Suggestion of systems to ingest into the data lake","introHtml":"<p>Suggest a system for ingestion into the CIRRUS data lake</p>","icon":10673,"iconUrl":"https://cirrus-iucpq.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10673","groups":[8],"key":""},{"id":"172","name":"CATALIS - Demander une analyse de données pour un projet soumis","descriptionHtml":"","callToAction":"CATALIS - Demander une analyse de données pour un projet soumis","introHtml":"<p>Point d'entrée des demandes d'informations pour le projet CATALIS</p>","icon":10526,"iconUrl":"https://cirrus-iucpq.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10526","groups":[],"key":""},{"id":"3","name":"Emailed request","descriptionHtml":"","callToAction":"Emailed request","introHtml":"<p>Request received from your email support channel.</p>","icon":10527,"iconUrl":"https://cirrus-iucpq.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10527","groups":[],"key":""}],"reqGroups":[{"id":7,"name":"Data access request for secondary use"},{"id":8,"name":"General information / Technical problem"},{"id":9,"name":"Request for access to information"}],"orderMapping":{"9":[18],"5":[13,14,16],"7":[13,14,16,53],"8":[19,1],"6":[1],"4":[14,13,16],"1":[1]},"kbs":{"kbEnabled":true,"kbLink":{"appLinkId":"61b3e1ce-c71f-358e-8356-5d322bbde9bf","appLinkName":"","appLinkUrl":"","spaceKey":"SC","spaceName":"CIRRUS","spaceUrl":"","isServer":false},"labels":[],"projectKey":"CIRRUS","serviceDeskId":1,"kbLinkDomainURLs":["https://cirrus-iucpq.atlassian.net"]},"createPermission":true,"portalAnnouncement":{"portalId":1,"canEditAnnouncement":false,"canAdministerProject":false,"portalProjectKey":"CIRRUS","userLanguageHeader":"","userLanguageMessageWiki":"","defaultLanguageHeader":"","defaultLanguageMessage":"","defaultLanguageDisplayName":"French (France)","isUsingLanguageSupport":true,"translations":{}},"canViewCreateRequestForm":true,"isProjectSimplified":false,"mediaApiUploadInformation":{"token":"eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI2ODRjNDBkMi05ZTk0LTQ5MGUtOThmMi01Yzg1YTk3Yzc5NjYiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTp1cGxvYWQ6KiI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y29sbGVjdGlvbjp1cGxvYWQtdXNlci1jb2xsZWN0aW9uLS0xNzMwOTkzMDU5IjpbInJlYWQiLCJjcmVhdGUiLCJ1cGRhdGUiXSwidXJuOmZpbGVzdG9yZTpjaHVuazoqIjpbInJlYWQiLCJjcmVhdGUiXX0sImV4cCI6MTc4NDc0MDg5NywibmJmIjoxNzg0NzM5Njk3LCJhbm9uSWQiOiJhbm9uLXVzZXIiLCJodHRwczovL2lkLmF0bGFzc2lhbi5jb20vYXBwQWNjcmVkaXRlZCI6ZmFsc2V9.QTUYr-neJ6eAtlysNhPMnfb7SLsEXm3dwwLY1u5yl98","targetCollection":"upload-user-collection--1730993059","endpointUrl":"https://api.media.atlassian.com","clientId":"684c40d2-9e94-490e-98f2-5c85a97c7966","tokenDurationInMins":20},"categories":{"categoriesSupported":true,"categories":[]}},"reqCreate":{"id":16,"projectId":10002,"issueType":{"id":"10017","name":"Qualité de l'acte médicale"},"form":{"name":"Project for evaluating the quality of medical care - Physicians","descriptionHtml":"<h4><a name=\"RequestforAccesstoPatientDataforaProcedureQualityAssessmentProject\"></a><b>Request for Access to Patient Data for a Procedure Quality Assessment Project</b></h4>\n\n<p><em>Note: It is no longer necessary to complete the paper form requesting authorization to access clinical records and/or clinical databases for study, teaching, or research purposes. <b>This form replaces it.</b></em></p>\n\n<p>Requests for access to patient data for the purpose of conducting quality of care evaluation projects are subject to approval by the Medical and Professional Services Director.</p>\n\n<p>We remind you that, according to the Collège des médecins du Québec, the objective of a clinical quality assessment project is to improve the quality of care and services provided to patients, while respecting confidentiality and the protection of personal information.</p>\n\n\n<h4><a name=\"IMPORTANT\"></a><b>IMPORTANT</b></h4>\n<p><em>Data collected as part of a clinical quality assessment project may not be reused for research purposes. Therefore, if you are considering a potential research project following your assessment, we suggest that you immediately follow the process for a research project.</em></p>\n\n<p>Translated with DeepL.com (free version)</p>\n\n<p>Requests for access to patient data for procedure quality assessment projects are subject to approval by the Medical and Professional Services Director.</p>\n\n<p>We remind you that, according to the Collège des médecins du Québec, the objective of a procedure quality assessment project is to improve the quality of care and services offered to patients, while respecting confidentiality and the protection of personal information.</p>\n\n\n<h4><a name=\"IMPORTANT\"></a>IMPORTANT </h4>\n\n<p><em>If you intend to publish the results obtained, please ensure that you complete the Privacy Impact Assessment (PIA) (information to come).</em></p>\n\n<p>Data collected as part of a procedure quality assessment project may not be reused for research purposes. Therefore, if you are considering a potential research project as a result of your project, we suggest that you immediately follow the trajectory for a research project (information to come).</p>","callToAction":"Project for evaluating the quality of medical care - Physicians","intro":"<p>Request for access to data from physicians at the institute for the purpose of auditing the quality of meddical care </p>","instructions":"<h4><a name=\"RequestforAccesstoPatientDataforaProcedureQualityAssessmentProject\"></a><b>Request for Access to Patient Data for a Procedure Quality Assessment Project</b></h4>\n\n<p><em>Note: It is no longer necessary to complete the paper form requesting authorization to access clinical records and/or clinical databases for study, teaching, or research purposes. <b>This form replaces it.</b></em></p>\n\n<p>Requests for access to patient data for the purpose of conducting quality of care evaluation projects are subject to approval by the Medical and Professional Services Director.</p>\n\n<p>We remind you that, according to the Collège des médecins du Québec, the objective of a clinical quality assessment project is to improve the quality of care and services provided to patients, while respecting confidentiality and the protection of personal information.</p>\n\n\n<h4><a name=\"IMPORTANT\"></a><b>IMPORTANT</b></h4>\n<p><em>Data collected as part of a clinical quality assessment project may not be reused for research purposes. Therefore, if you are considering a potential research project following your assessment, we suggest that you immediately follow the process for a research project.</em></p>\n\n<p>Translated with DeepL.com (free version)</p>\n\n<p>Requests for access to patient data for procedure quality assessment projects are subject to approval by the Medical and Professional Services Director.</p>\n\n<p>We remind you that, according to the Collège des médecins du Québec, the objective of a procedure quality assessment project is to improve the quality of care and services offered to patients, while respecting confidentiality and the protection of personal information.</p>\n\n\n<h4><a name=\"IMPORTANT\"></a>IMPORTANT </h4>\n\n<p><em>If you intend to publish the results obtained, please ensure that you complete the Privacy Impact Assessment (PIA) (information to come).</em></p>\n\n<p>Data collected as part of a procedure quality assessment project may not be reused for research purposes. Therefore, if you are considering a potential research project as a result of your project, we suggest that you immediately follow the trajectory for a research project (information to come).</p>","icon":10550,"iconUrl":"https://cirrus-iucpq.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","key":""},"fields":[{"fieldType":"text","fieldId":"email","fieldConfigId":"","label":"Email confirmation to","description":"","descriptionHtml":"","required":true,"displayed":true,"presetValues":[]},{"fieldType":"text","jiraFieldType":"summary","fieldId":"summary","fieldConfigId":"","label":"Enter a short title of your request for a quality assessment project","description":"SVP indiquer un court titre simple résumant votre demande ou projet (par ex., acronyme). Noter qu'il y aura un endroit pour noter le titre long du projet.","descriptionHtml":"<p>SVP indiquer un court titre simple résumant votre demande ou projet (par ex., acronyme). Noter qu'il y aura un endroit pour noter le titre long du projet.</p>","required":true,"displayed":true,"presetValues":[]},{"fieldType":"multiuserpicker","jiraFieldType":"com.atlassian.jira.plugin.system.customfieldtypes:multiuserpicker","fieldId":"customfield_10101","fieldConfigId":"10217","label":"DSP approvers","description":"","descriptionHtml":"","required":false,"displayed":false,"defaultList":[{"id":"712020:4b1bd489-8ed2-4fdb-8a49-b6b53c0ab498","accountId":"712020:4b1bd489-8ed2-4fdb-8a49-b6b53c0ab498","displayName":"charles morasse","avatar":"https://secure.gravatar.com/avatar/ee34be6539149f1431500b0e1d83cafb?d=https%3A%2F%2Favatar-management--avatars.us-west-2.prod.public.atl-paas.net%2Finitials%2FCM-3.png"},{"id":"712020:3d54c34a-8170-47aa-b24d-c727539f745f","accountId":"712020:3d54c34a-8170-47aa-b24d-c727539f745f","displayName":"Félix Gélinas-Gascon","avatar":"https://secure.gravatar.com/avatar/92875707aef1cae2f1eff55c0fc3d495?d=https%3A%2F%2Favatar-management--avatars.us-west-2.prod.public.atl-paas.net%2Finitials%2FFG-2.png"},{"id":"5e962b9b1302f40c0eddea6e","accountId":"5e962b9b1302f40c0eddea6e","displayName":"Mylene Bertrand","avatar":"https://avatar-management--avatars.us-west-2.prod.public.atl-paas.net/5e962b9b1302f40c0eddea6e/4e5e0fc7-4d16-47d2-b5c6-90c787ed3faf/16"}],"presetValues":["5e962b9b1302f40c0eddea6e","712020:3d54c34a-8170-47aa-b24d-c727539f745f","712020:7b63aae5-d4fb-4f66-941f-300b4ca1034d"],"defaultListAsJson":"[{\"id\":\"712020:4b1bd489-8ed2-4fdb-8a49-b6b53c0ab498\",\"accountId\":\"712020:4b1bd489-8ed2-4fdb-8a49-b6b53c0ab498\",\"displayName\":\"charles morasse\",\"avatar\":\"https://secure.gravatar.com/avatar/ee34be6539149f1431500b0e1d83cafb?d\\u003dhttps%3A%2F%2Favatar-management--avatars.us-west-2.prod.public.atl-paas.net%2Finitials%2FCM-3.png\"},{\"id\":\"712020:3d54c34a-8170-47aa-b24d-c727539f745f\",\"accountId\":\"712020:3d54c34a-8170-47aa-b24d-c727539f745f\",\"displayName\":\"Félix Gélinas-Gascon\",\"avatar\":\"https://secure.gravatar.com/avatar/92875707aef1cae2f1eff55c0fc3d495?d\\u003dhttps%3A%2F%2Favatar-management--avatars.us-west-2.prod.public.atl-paas.net%2Finitials%2FFG-2.png\"},{\"id\":\"5e962b9b1302f40c0eddea6e\",\"accountId\":\"5e962b9b1302f40c0eddea6e\",\"displayName\":\"Mylene Bertrand\",\"avatar\":\"https://avatar-management--avatars.us-west-2.prod.public.atl-paas.net/5e962b9b1302f40c0eddea6e/4e5e0fc7-4d16-47d2-b5c6-90c787ed3faf/16\"}]","autoCompleteUrl":"https://cirrus-iucpq.atlassian.net/rest/api/1.0/users/picker?fieldName=customfield_10101&showAvatar=true&query="},{"fieldType":"multiuserpicker","jiraFieldType":"com.atlassian.jira.plugin.system.customfieldtypes:multiuserpicker","fieldId":"customfield_10099","fieldConfigId":"10215","label":"CIRRUS approvers","description":"","descriptionHtml":"","required":false,"displayed":false,"defaultList":[{"id":"712020:3d54c34a-8170-47aa-b24d-c727539f745f","accountId":"712020:3d54c34a-8170-47aa-b24d-c727539f745f","displayName":"Félix Gélinas-Gascon","avatar":"https://secure.gravatar.com/avatar/92875707aef1cae2f1eff55c0fc3d495?d=https%3A%2F%2Favatar-management--avatars.us-west-2.prod.public.atl-paas.net%2Finitials%2FFG-2.png"},{"id":"5e962b9b1302f40c0eddea6e","accountId":"5e962b9b1302f40c0eddea6e","displayName":"Mylene Bertrand","avatar":"https://avatar-management--avatars.us-west-2.prod.public.atl-paas.net/5e962b9b1302f40c0eddea6e/4e5e0fc7-4d16-47d2-b5c6-90c787ed3faf/16"}],"presetValues":[],"defaultListAsJson":"[{\"id\":\"712020:3d54c34a-8170-47aa-b24d-c727539f745f\",\"accountId\":\"712020:3d54c34a-8170-47aa-b24d-c727539f745f\",\"displayName\":\"Félix Gélinas-Gascon\",\"avatar\":\"https://secure.gravatar.com/avatar/92875707aef1cae2f1eff55c0fc3d495?d\\u003dhttps%3A%2F%2Favatar-management--avatars.us-west-2.prod.public.atl-paas.net%2Finitials%2FFG-2.png\"},{\"id\":\"5e962b9b1302f40c0eddea6e\",\"accountId\":\"5e962b9b1302f40c0eddea6e\",\"displayName\":\"Mylene Bertrand\",\"avatar\":\"https://avatar-management--avatars.us-west-2.prod.public.atl-paas.net/5e962b9b1302f40c0eddea6e/4e5e0fc7-4d16-47d2-b5c6-90c787ed3faf/16\"}]","autoCompleteUrl":"https://cirrus-iucpq.atlassian.net/rest/api/1.0/users/picker?fieldName=customfield_10099&showAvatar=true&query="}],"userOrganisations":[],"canBrowseUsers":false,"requestCreateBaseUrl":"/servicedesk/customer/portal/1/create/16","requestValidateBaseUrl":"/servicedesk/customer/portal/1/validate/16","calendarParams":{"firstDay":0,"date":"2026-07-22T13:01:38-0400","useISO8601WeekNumbers":false,"dateIfFormat":"%e/%b/%y","dateTimeIfFormat":"%e/%b/%y %I:%M %p","timeFormat":"12"},"kbs":{"kbEnabled":true,"kbLink":{"appLinkId":"61b3e1ce-c71f-358e-8356-5d322bbde9bf","appLinkName":"","appLinkUrl":"","spaceKey":"SC","spaceName":"CIRRUS","spaceUrl":"","isServer":false},"labels":[],"projectKey":"CIRRUS","serviceDeskId":1,"kbLinkDomainURLs":["https://cirrus-iucpq.atlassian.net"]},"canRaiseOnBehalf":false,"canSignupCustomers":false,"canCreateAttachments":true,"attachmentRequiredField":false,"hasGroups":true,"canSubmitWithEmailAddress":false,"showRecaptcha":true,"siteKey":"6LePXLkdAAAAAF4gCNalrL1IvZcqbNbZf_Zakudd","mediaApiUploadInformation":{"token":"eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI2ODRjNDBkMi05ZTk0LTQ5MGUtOThmMi01Yzg1YTk3Yzc5NjYiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTp1cGxvYWQ6KiI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y29sbGVjdGlvbjp1cGxvYWQtdXNlci1jb2xsZWN0aW9uLS0xNzMwOTkzMDU5IjpbInJlYWQiLCJjcmVhdGUiLCJ1cGRhdGUiXSwidXJuOmZpbGVzdG9yZTpjaHVuazoqIjpbInJlYWQiLCJjcmVhdGUiXX0sImV4cCI6MTc4NDc0MDg5OCwibmJmIjoxNzg0NzM5Njk4LCJhbm9uSWQiOiJhbm9uLXVzZXIiLCJodHRwczovL2lkLmF0bGFzc2lhbi5jb20vYXBwQWNjcmVkaXRlZCI6ZmFsc2V9.J5NccKGC4UlvYIz2Xtdz5g7qJGG-2Yp6x6-tZlzMMB4","targetCollection":"upload-user-collection--1730993059","endpointUrl":"https://api.media.atlassian.com","clientId":"684c40d2-9e94-490e-98f2-5c85a97c7966","tokenDurationInMins":20},"hasProformaForm":true,"proformaTemplateForm":{"id":6,"updated":"2026-05-15T17:33:23.308542531Z","publish":{"jira":{"submitOnCreate":true,"validateOnCreate":true},"portal":{"portalRequestTypeIds":[16],"submitOnCreate":true,"validateOnCreate":true}},"design":{"settings":{"templateId":6,"name":"Qualité de l'acte - Médecins","submit":{"lock":false,"pdf":false},"language":"fr","templateFormUuid":"a0a5eb2b-c114-429f-97ab-fc7d82fac7af"},"layout":[{"version":1,"type":"doc","content":[{"type":"heading","attrs":{"level":1,"localId":"9c9183bc-b334-4f03-92df-ded1cfc88267"},"content":[{"type":"text","text":"Important","marks":[{"type":"strong"},{"type":"textColor","attrs":{"color":"#4c9aff"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":28},"layout":"default","localId":"264e056b-c96c-4006-b51f-80dc8f3919e1"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":29},"layout":"default","localId":"868b9efa-e1dd-47e8-bb56-d5dd6d4d3c91"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":30},"layout":"default","localId":"bbb858ca-e8bc-4073-8e50-9ec485087e21"}}]},{"version":1,"type":"doc","content":[{"type":"heading","attrs":{"level":1,"localId":"f37100e4-8b55-4d9f-b604-a16ec9d85e21"},"content":[{"type":"text","text":"Requérant","marks":[{"type":"strong"},{"type":"textColor","attrs":{"color":"#4c9aff"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":24},"layout":"default","localId":"bea528f9-e078-478f-bbb4-7908dd2aa533"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":25},"layout":"default","localId":"af71755d-e511-4316-a013-ef30eb73ab6d"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":26},"layout":"default","localId":"d81150b2-ec44-4a32-bd8e-a15388b3d76c"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":42},"layout":"default","localId":"4d229d0c-4bf8-4a81-be12-209a4272e070"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":7},"layout":"default","localId":"359ac854-f199-4566-9c83-49ed82db0a50"}},{"type":"rule"},{"type":"heading","attrs":{"level":1,"localId":"5d5186ba-f094-4001-9dac-f2f2bec7370f"},"content":[{"type":"text","text":"Projet d’évaluation de la qualité de l’acte","marks":[{"type":"strong"},{"type":"textColor","attrs":{"color":"#4c9aff"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":20},"layout":"default","localId":"f9deb893-69b2-4335-8ed1-b922e442c3b8"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":21},"layout":"default","localId":"9676da58-310b-4695-80a2-fe28d5f82fb6"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":36},"layout":"default","localId":"2ac74406-bb38-4c9d-b002-45dec8177616"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":31},"layout":"default","localId":"03a8cb68-3663-4eee-bae3-9baa49b7e762"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":32},"layout":"default","localId":"b2db68bc-e549-40bd-845e-dc80643de679"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":33},"layout":"default","localId":"f6243f3e-2ee9-4fe5-b0e8-186f1d512aa4"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":37},"layout":"default","localId":"9a9aae7f-fd29-44b9-aeb4-9624b070043e"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":39},"layout":"default","localId":"2913e748-b740-4fd9-b3e6-7a92582e3241"}},{"type":"rule"},{"type":"heading","attrs":{"level":1,"localId":"c4282f5c-9414-4e6d-b0a9-83394b66617d"},"content":[{"type":"text","text":"Publication ou présentation à l’extérieur de l’Institut ","marks":[{"type":"strong"},{"type":"textColor","attrs":{"color":"#4c9aff"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":40},"layout":"default","localId":"8bb0edaa-4772-4a1a-804e-f73be1ffc045"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":41},"layout":"default","localId":"2ae14c10-e6d4-4013-a5ff-90180f035799"}},{"type":"heading","attrs":{"level":1,"localId":"bde3898d-f7bb-4f1c-95a4-6690462e8e09"},"content":[{"type":"text","text":"Si non : advenant un changement, vous devrez obtenir l’autorisation du DMSP.","marks":[{"type":"strong"},{"type":"textColor","attrs":{"color":"#0747a6"}}]}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}],"conditions":{},"sections":{"1":{"conditions":[]}},"questions":{"40":{"type":"cs","label":"Est-ce que vous envisagez publier un écrit ou faire une présentation des résultats du projet d’évaluation de la qualité de l’acte à l’extérieur de l’Institut ? ","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Oui","other":false},{"id":"2","label":"Non","other":false}],"questionKey":""},"33":{"type":"rt","label":"Qui sont vos collaborateurs dans ce projet (collègues, résidents, employés, etc.) ?","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"24":{"type":"tl","label":"Nom du professionnel","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"21":{"type":"rt","label":"Description détaillée du projet ","description":"","validation":{"rq":true,"mnc":50,"mxc":5000},"jiraField":"description","questionKey":""},"32":{"type":"cs","label":"Votre projet nécessite-t-il la consultation de notes manuscrites ou de données de texte ouvert ?","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Oui","other":false},{"id":"2","label":"Non","other":false}],"questionKey":""},"25":{"type":"te","label":"Adresse courriel","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"31":{"type":"tl","label":"Période visée","description":"Indiquez la ou les périodes ainsi que les années visées.","validation":{"rq":true,"mnc":5,"mxc":250},"choices":[],"questionKey":""},"42":{"type":"cd","label":"Axes","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Pneumologie","other":false},{"id":"2","label":"Cardiologie","other":false},{"id":"3","label":"Obésité","other":false},{"id":"0","label":"Other...","other":true}],"questionKey":""},"20":{"type":"tl","label":"Titre du projet","description":"SVP indiquer le nom complet de votre projet","validation":{"rq":true},"choices":[],"questionKey":""},"28":{"type":"cs","label":"Je comprends que les résultats obtenus à la suite du projet d’évaluation de l’acte ne peuvent faire l’objet d’une publication ou d’une présentation à l’extérieur de l’Institut, à moins d’avoir obtenu l’autorisation du DMSP.","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Oui","other":false},{"id":"2","label":"Non","other":false}],"questionKey":""},"26":{"type":"ts","label":"Numéro de téléphone","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"37":{"type":"ts","label":"Identifiants pour accès aux données","description":"Pour la remise de fichier via notre plateforme de partage MinIO, CIRRUS a besoin des identifiants des personnes qui sont autorisées à accéder aux données. Il s'agit du même identifiant pour l'accès au BVI.","validation":{"rq":false,"mnc":6,"mxc":50},"jiraField":"customfield_10207","questionKey":""},"36":{"type":"ts","label":"Nombre d’usagers concernés (approximatif) ","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"39":{"type":"at","label":"Documents pertinents à la demande (protocole ou autre)","description":"Ajouter la documentation pertinents à la demande","validation":{"rq":false},"choices":[],"questionKey":""},"30":{"type":"cs","label":"Je m’engage à assurer la confidentialité des usagers et à utiliser avec diligence les renseignements personnels collectés afin d’en assurer la protection, conformément aux exigences des lois et règlements en vigueur, des règlements de l’établissement et de mon Code de déontologie.","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Oui","other":false},{"id":"2","label":"Non","other":false}],"questionKey":""},"7":{"type":"cd","label":"Direction ou unité de l'Institut (si applicable)","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"DEAU - Direction de l’enseignement et des affaires universitaires","other":false},{"id":"10","label":"DFPI - Direction de la fluidité et des plateaux d'intervention","other":false},{"id":"2","label":"DQEPETI - Direction de la qualité, de l’évaluation, de la performance, de l’éthique, de la transformation et de l’innovation","other":false},{"id":"3","label":"DRU - Direction de la recherche universitaire","other":false},{"id":"4","label":"DRF - Direction des ressources financières","other":false},{"id":"5","label":"DRH - Direction des ressources humaines","other":false},{"id":"6","label":"DSMSSS - Direction des services multidisciplinaires de santé et de services sociaux","other":false},{"id":"8","label":"DSTL - Direction des services techniques et de la logistique","other":false},{"id":"9","label":"DSI - Direction des soins infirmiers","other":false},{"id":"13","label":"DG - Direction générale","other":false},{"id":"7","label":"DMSP - Direction médicale et des services professionnels","other":false}],"defaultAnswer":{"choices":["7"]},"questionKey":""},"29":{"type":"cs","label":"Je m’engage à transmettre les résultats de mon projet au comité d’évaluation médicale, dentaire et pharmaceutique, à l’adresse suivante : iucpq.cmdp@ssss.gouv.qc.ca , et à en faire la présentation si requise, dans les 18 mois suivant l'approbation de la demande par le DMSP.","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Oui","other":false},{"id":"2","label":"Non","other":false}],"questionKey":""},"41":{"type":"rt","label":"Si oui, sous quelle forme et dans quel contexte ? ","description":"","validation":{"rq":false},"choices":[],"questionKey":""}}},"uuid":"a0a5eb2b-c114-429f-97ab-fc7d82fac7af"},"proforma":{"formExists":true,"formValid":true,"formTemplateData":{"id":6,"updated":"2026-05-15T17:33:23.308542531Z","publish":{"jira":{"submitOnCreate":true,"validateOnCreate":true},"portal":{"portalRequestTypeIds":[16],"submitOnCreate":true,"validateOnCreate":true}},"design":{"settings":{"templateId":6,"name":"Qualité de l'acte - Médecins","submit":{"lock":false,"pdf":false},"language":"fr","templateFormUuid":"a0a5eb2b-c114-429f-97ab-fc7d82fac7af"},"layout":[{"version":1,"type":"doc","content":[{"type":"heading","attrs":{"level":1,"localId":"9c9183bc-b334-4f03-92df-ded1cfc88267"},"content":[{"type":"text","text":"Important","marks":[{"type":"strong"},{"type":"textColor","attrs":{"color":"#4c9aff"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":28},"layout":"default","localId":"264e056b-c96c-4006-b51f-80dc8f3919e1"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":29},"layout":"default","localId":"868b9efa-e1dd-47e8-bb56-d5dd6d4d3c91"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":30},"layout":"default","localId":"bbb858ca-e8bc-4073-8e50-9ec485087e21"}}]},{"version":1,"type":"doc","content":[{"type":"heading","attrs":{"level":1,"localId":"f37100e4-8b55-4d9f-b604-a16ec9d85e21"},"content":[{"type":"text","text":"Requérant","marks":[{"type":"strong"},{"type":"textColor","attrs":{"color":"#4c9aff"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":24},"layout":"default","localId":"bea528f9-e078-478f-bbb4-7908dd2aa533"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":25},"layout":"default","localId":"af71755d-e511-4316-a013-ef30eb73ab6d"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":26},"layout":"default","localId":"d81150b2-ec44-4a32-bd8e-a15388b3d76c"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":42},"layout":"default","localId":"4d229d0c-4bf8-4a81-be12-209a4272e070"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":7},"layout":"default","localId":"359ac854-f199-4566-9c83-49ed82db0a50"}},{"type":"rule"},{"type":"heading","attrs":{"level":1,"localId":"5d5186ba-f094-4001-9dac-f2f2bec7370f"},"content":[{"type":"text","text":"Projet d’évaluation de la qualité de l’acte","marks":[{"type":"strong"},{"type":"textColor","attrs":{"color":"#4c9aff"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":20},"layout":"default","localId":"f9deb893-69b2-4335-8ed1-b922e442c3b8"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":21},"layout":"default","localId":"9676da58-310b-4695-80a2-fe28d5f82fb6"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":36},"layout":"default","localId":"2ac74406-bb38-4c9d-b002-45dec8177616"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":31},"layout":"default","localId":"03a8cb68-3663-4eee-bae3-9baa49b7e762"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":32},"layout":"default","localId":"b2db68bc-e549-40bd-845e-dc80643de679"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":33},"layout":"default","localId":"f6243f3e-2ee9-4fe5-b0e8-186f1d512aa4"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":37},"layout":"default","localId":"9a9aae7f-fd29-44b9-aeb4-9624b070043e"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":39},"layout":"default","localId":"2913e748-b740-4fd9-b3e6-7a92582e3241"}},{"type":"rule"},{"type":"heading","attrs":{"level":1,"localId":"c4282f5c-9414-4e6d-b0a9-83394b66617d"},"content":[{"type":"text","text":"Publication ou présentation à l’extérieur de l’Institut ","marks":[{"type":"strong"},{"type":"textColor","attrs":{"color":"#4c9aff"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":40},"layout":"default","localId":"8bb0edaa-4772-4a1a-804e-f73be1ffc045"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":41},"layout":"default","localId":"2ae14c10-e6d4-4013-a5ff-90180f035799"}},{"type":"heading","attrs":{"level":1,"localId":"bde3898d-f7bb-4f1c-95a4-6690462e8e09"},"content":[{"type":"text","text":"Si non : advenant un changement, vous devrez obtenir l’autorisation du DMSP.","marks":[{"type":"strong"},{"type":"textColor","attrs":{"color":"#0747a6"}}]}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}],"conditions":{},"sections":{"1":{"conditions":[]}},"questions":{"40":{"type":"cs","label":"Est-ce que vous envisagez publier un écrit ou faire une présentation des résultats du projet d’évaluation de la qualité de l’acte à l’extérieur de l’Institut ? ","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Oui","other":false},{"id":"2","label":"Non","other":false}],"questionKey":""},"33":{"type":"rt","label":"Qui sont vos collaborateurs dans ce projet (collègues, résidents, employés, etc.) ?","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"24":{"type":"tl","label":"Nom du professionnel","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"21":{"type":"rt","label":"Description détaillée du projet ","description":"","validation":{"rq":true,"mnc":50,"mxc":5000},"jiraField":"description","questionKey":""},"32":{"type":"cs","label":"Votre projet nécessite-t-il la consultation de notes manuscrites ou de données de texte ouvert ?","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Oui","other":false},{"id":"2","label":"Non","other":false}],"questionKey":""},"25":{"type":"te","label":"Adresse courriel","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"31":{"type":"tl","label":"Période visée","description":"Indiquez la ou les périodes ainsi que les années visées.","validation":{"rq":true,"mnc":5,"mxc":250},"choices":[],"questionKey":""},"42":{"type":"cd","label":"Axes","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Pneumologie","other":false},{"id":"2","label":"Cardiologie","other":false},{"id":"3","label":"Obésité","other":false},{"id":"0","label":"Other...","other":true}],"questionKey":""},"20":{"type":"tl","label":"Titre du projet","description":"SVP indiquer le nom complet de votre projet","validation":{"rq":true},"choices":[],"questionKey":""},"28":{"type":"cs","label":"Je comprends que les résultats obtenus à la suite du projet d’évaluation de l’acte ne peuvent faire l’objet d’une publication ou d’une présentation à l’extérieur de l’Institut, à moins d’avoir obtenu l’autorisation du DMSP.","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Oui","other":false},{"id":"2","label":"Non","other":false}],"questionKey":""},"26":{"type":"ts","label":"Numéro de téléphone","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"37":{"type":"ts","label":"Identifiants pour accès aux données","description":"Pour la remise de fichier via notre plateforme de partage MinIO, CIRRUS a besoin des identifiants des personnes qui sont autorisées à accéder aux données. Il s'agit du même identifiant pour l'accès au BVI.","validation":{"rq":false,"mnc":6,"mxc":50},"jiraField":"customfield_10207","questionKey":""},"36":{"type":"ts","label":"Nombre d’usagers concernés (approximatif) ","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"39":{"type":"at","label":"Documents pertinents à la demande (protocole ou autre)","description":"Ajouter la documentation pertinents à la demande","validation":{"rq":false},"choices":[],"questionKey":""},"30":{"type":"cs","label":"Je m’engage à assurer la confidentialité des usagers et à utiliser avec diligence les renseignements personnels collectés afin d’en assurer la protection, conformément aux exigences des lois et règlements en vigueur, des règlements de l’établissement et de mon Code de déontologie.","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Oui","other":false},{"id":"2","label":"Non","other":false}],"questionKey":""},"7":{"type":"cd","label":"Direction ou unité de l'Institut (si applicable)","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"DEAU - Direction de l’enseignement et des affaires universitaires","other":false},{"id":"10","label":"DFPI - Direction de la fluidité et des plateaux d'intervention","other":false},{"id":"2","label":"DQEPETI - Direction de la qualité, de l’évaluation, de la performance, de l’éthique, de la transformation et de l’innovation","other":false},{"id":"3","label":"DRU - Direction de la recherche universitaire","other":false},{"id":"4","label":"DRF - Direction des ressources financières","other":false},{"id":"5","label":"DRH - Direction des ressources humaines","other":false},{"id":"6","label":"DSMSSS - Direction des services multidisciplinaires de santé et de services sociaux","other":false},{"id":"8","label":"DSTL - Direction des services techniques et de la logistique","other":false},{"id":"9","label":"DSI - Direction des soins infirmiers","other":false},{"id":"13","label":"DG - Direction générale","other":false},{"id":"7","label":"DMSP - Direction médicale et des services professionnels","other":false}],"defaultAnswer":{"choices":["7"]},"questionKey":""},"29":{"type":"cs","label":"Je m’engage à transmettre les résultats de mon projet au comité d’évaluation médicale, dentaire et pharmaceutique, à l’adresse suivante : iucpq.cmdp@ssss.gouv.qc.ca , et à en faire la présentation si requise, dans les 18 mois suivant l'approbation de la demande par le DMSP.","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Oui","other":false},{"id":"2","label":"Non","other":false}],"questionKey":""},"41":{"type":"rt","label":"Si oui, sous quelle forme et dans quel contexte ? ","description":"","validation":{"rq":false},"choices":[],"questionKey":""}}},"uuid":"a0a5eb2b-c114-429f-97ab-fc7d82fac7af"},"linkedJiraFields":["customfield_10207","description"]},"key":""},"portalWebFragments":{"headerPanels":[],"subheaderPanels":[],"footerPanels":[],"pagePanels":{"propertyPanels":[],"legacyPropertyPanels":[]}}}