Sync template from atomicqms-style deployment
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# License Requirements Checklist
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| Form ID | FRM-LIC-001 |
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|---------|-------------|
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| Form Title | License Requirements Checklist |
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| Version | 1.0 |
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| Effective Date | [DATE] |
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---
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## Measure Information
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| Field | Information |
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|-------|-------------|
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| Measure Name | |
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| Version/Form | |
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| Measure Type | ☐ PRO ☐ ClinRO ☐ ObsRO ☐ PerfO |
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| Purpose/Study | |
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| Protocol Number | |
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## Copyright Status
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| Field | Response |
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|-------|----------|
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| Copyright Holder | |
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| Copyright Holder Contact | |
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| Website | |
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### Copyright Classification
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☐ **Public Domain**
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- No copyright restrictions
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- Free to use without permission
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- No license required
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☐ **Open Access with Attribution**
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- Free to use
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- Attribution required
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- Specific citation format: _____________________
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☐ **Proprietary - License Required**
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- Paid license required
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- License type needed: ☐ Academic ☐ Commercial ☐ Clinical
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- Proceed to License Requirements section
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☐ **Special Permission Required**
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- Must contact copyright holder for permission
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- Restrictions on use: _____________________
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## License Requirements (if applicable)
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### License Type Options
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| License Type | Cost | Terms | Notes |
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|--------------|------|-------|-------|
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| Single Study | | | |
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| Multi-Study | | | |
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| Institutional | | | |
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| Commercial | | | |
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### Scope of Use
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Number of Participants: _________
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Study Sites/Locations: _________________________________________
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Countries: ___________________________________________________
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Study Duration: From __________ to __________
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### Administration Mode
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☐ Paper-based
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☐ Electronic (eCOA)
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- Platform: _____________________
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- Additional fees for electronic use? ☐ Yes ☐ No
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### Translation Requirements
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Languages needed: _____________________________________________
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☐ Official translations available
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☐ New translation required (see SOP-TRN-001)
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☐ Translation included in license
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☐ Translation requires additional fee
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### Special Requirements/Restrictions
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☐ Training/certification required for administrators
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☐ Restrictions on modifications
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☐ Requirements for result reporting to copyright holder
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☐ Publication acknowledgment required
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☐ Royalty fees for commercial use
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Details: ________________________________________________________
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________________________________________________________________
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________________________________________________________________
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## Action Items
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| Action | Responsible | Target Date | Status |
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|--------|-------------|-------------|--------|
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| Contact copyright holder | | | |
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| Obtain license application | | | |
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| Complete application | | | |
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| Legal review | | | |
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| Obtain approval signatures | | | |
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| Submit payment | | | |
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| File executed license | | | |
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## Documentation Checklist
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☐ Copyright holder contact information verified
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☐ License application obtained
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☐ License terms reviewed
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☐ Legal review completed (if required)
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☐ Budget approved for license fees
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☐ License application submitted
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☐ License agreement received and executed
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☐ Payment processed
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☐ License filed in License Tracking Database (FRM-LIC-002)
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☐ Project team notified of license status
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## Notes/Additional Information
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________________________________________________________________
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________________________________________________________________
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________________________________________________________________
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________________________________________________________________
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---
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## Signatures
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| Role | Name | Signature | Date |
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|------|------|-----------|------|
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| Completed By | | | |
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| Reviewed By | | | |
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---
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**Related Documents:**
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- SOP-LIC-001: License Management for Proprietary Outcome Measures
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- FRM-LIC-002: License Tracking Database
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- SOP-VAL-001: Measure Selection and Validation
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113
Forms/License-Tracking/FRM-LIC-002-License-Tracking-Database.md
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113
Forms/License-Tracking/FRM-LIC-002-License-Tracking-Database.md
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# License Tracking Database
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| Form ID | FRM-LIC-002 |
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|---------|-------------|
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| Form Title | License Tracking Database |
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| Version | 1.0 |
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| Effective Date | [DATE] |
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---
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## Purpose
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This database tracks all active licenses for proprietary clinical outcome measures to ensure compliance with license terms and timely renewals.
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## Instructions
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1. Create a new entry for each measure license
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2. Update status as actions are completed
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3. Set calendar reminders for renewal dates (90 days, 30 days, expiration)
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4. Review quarterly for accuracy and upcoming renewals
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5. Archive completed entries when measures are no longer in use
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---
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## License Tracking Table
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| Measure Name | Copyright Holder | License Number | License Type | Execution Date | Expiration Date | Covered Studies/Protocols | Cost | Payment Status | Renewal Status | File Location | Notes |
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|--------------|------------------|----------------|--------------|----------------|-----------------|---------------------------|------|----------------|----------------|---------------|-------|
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| | | | | | | | | | | | |
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## Field Definitions
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**Measure Name:** Full name and version of outcome measure
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**Copyright Holder:** Name of organization or individual holding copyright
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**License Number:** Unique identifier assigned by copyright holder
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**License Type:**
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- Single Study
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- Multi-Study
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- Institutional
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- Commercial
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- Other
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**Execution Date:** Date license agreement was signed
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**Expiration Date:** Date license expires (leave blank for perpetual licenses)
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**Covered Studies/Protocols:** List of protocols covered under this license
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**Cost:** Total license fee
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**Payment Status:**
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- Pending
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- Paid
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- Overdue
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**Renewal Status:**
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- Active
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- Renewal in Progress
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- Renewal Needed (90 days)
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- Renewal Urgent (30 days)
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- Expired
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- Discontinued
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**File Location:** Where executed license agreement is stored
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**Notes:** Restrictions, special terms, administrator requirements, etc.
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---
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## Quarterly Review
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Review Date: __________ Reviewed By: __________
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### Licenses Expiring in Next 90 Days
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| Measure | Expiration Date | Action Plan |
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|---------|----------------|-------------|
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### Issues Identified
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| Issue | Measure | Resolution Plan | Target Date |
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|-------|---------|----------------|-------------|
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### Action Items
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☐ Renewal reminders sent
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☐ All licenses current and compliant
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☐ Payment status verified
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☐ File locations confirmed accessible
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☐ New measures added to tracking
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☐ Discontinued measures archived
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Reviewer Signature: ________________ Date: __________
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---
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**Related Documents:**
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- SOP-LIC-001: License Management for Proprietary Outcome Measures
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- FRM-LIC-001: License Requirements Checklist
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- FRM-LIC-003: License Renewal Request Form
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Reference in New Lab Ticket
Block a user