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Original file line number Diff line number Diff line change
Expand Up @@ -3,7 +3,8 @@
"service": "zenDesk",
"configuration": {
"zendeskSubdomainName": "heal-support"
}
},
"submissionSubjectLine": "Study registration access request for"
},
"disclaimer": "Information provided on this page will be used for correspondence regarding your request and may be shared with the NIH and/or the HEAL Data Stewards.",
"form": [
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Original file line number Diff line number Diff line change
@@ -0,0 +1,106 @@
{
"remoteSupportService": {
"service": "zenDesk",
"configuration": {
"zendeskSubdomainName": "heal-support"
},
"submissionSubjectLine": "Data dictionary submission access request for"
},
"disclaimer": "Information provided on this page will be used for correspondence regarding your request and may be shared with the NIH and/or the HEAL Data Stewards.",
"form": [
{
"type": "markdown",
"text": "### Data Dictionary Submission Request"
},
{
"type": "markdown",
"text": "Please fill out this form to request access to submit data dictionaries to your study on the HEAL Platform.",
"className": "text-sm"
},
{
"type": "Textarea",
"label": "Study Name - Grant Number",
"initialValue": "studyName",
"disabled": true,
"required": true,
"variable": "studyName",
"autosize": true
},
{
"type": "TextInput",
"label": "Registrant First Name",
"required": true,
"variable": "registrantFirstName"
},
{
"type": "TextInput",
"label": "Registrant Last Name",
"required": true,
"variable": "registrantLastName"
},
{
"type": "Email",
"label": "E-mail Address",
"required": true,
"variable": "emailAddress"
},
{
"type": "TextInput",
"label": "Affiliated Institution",
"required": true,
"variable": "affiliatedInstituation"
},
{
"type": "RadioGroup",
"label": "Role on Project",
"text": [
"Principal Investigator",
"Co-Principal Investigator",
"Co-Investigator",
"Administrator",
"Clinical Collaborator",
"Clinical Coordinator",
"Data Analyst",
"Data Manager",
"Research Coordinator",
"Other..."
],
"required": true,
"variable": "roleOnProject"
}
],
"success": {
"content": [
{
"type": "markdown",
"text": [
"# Your access request has been submitted!",
"Thank you for your submission. Requests take up to 1 business day to complete. You will be notified when approved. If you do not receive notification within 1 business day of your request, please reach out to [heal-support@gen3.org](mailto:heal-support@gen3.org)."
],
"className": "text-center"
}
],
"button": {
"variant": "filled",
"href": "/Discovery",
"text": "Go to Discovery Page"
}
},
"duplicateSubmission": {
"content": [
{
"type": "markdown",
"text": [
"# A problem has occurred while submitting the request!",
" There is already a pending request for this study/user combination, please wait while we are processing your request."
],
"className": "text-center"
}
],
"button": {
"variant": "filled",
"href": "/Discovery",
"text": "Go to Discovery Page"
}
}
}
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