{"xsrfToken":"b06428aab58aa9cc13b195172982120c58d535a5_lout","branding":{"id":"9","key":"synsd","name":"Synapse Service Desk","portalBaseUrl":"/servicedesk/customer/portal/9"},"helpCenterBranding":{"logoUrl":"https://api.media.atlassian.com/file/09392171-04f3-4a46-b595-dbde5f429be1/image?token=eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI2MzNhMzIzMC1mNzYxLTQ2YjEtYWI5Ny1jMmQ3OTY1MDYzNmMiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpmaWxlOjA5MzkyMTcxLTA0ZjMtNGE0Ni1iNTk1LWRiZGU1ZjQyOWJlMSI6WyJyZWFkIl19LCJleHAiOjE3MzE0ODAyMjksIm5iZiI6MTczMTQ3OTYyOX0.31HEaKIOERKBud0y-B7kzttDfpoLnPKXedJJpnYMrvc&client=633a3230-f761-46b1-ab97-c2d79650636c&mode=fit","logoId":"09392171-04f3-4a46-b595-dbde5f429be1","isLogoAvailable":true,"helpCenterTitle":"Welcome to the Help Center","sharedPortalName":"Sage Bionetworks Help Center","userInitialAnnouncementHeader":"","userInitialAnnouncementMessageWiki":"","translations":{"en-US":{"helpCenterTitle":"Welcome to the Help Center","sharedPortalName":"Sage Bionetworks Help Center","localeDisplayName":"English (United States)"}},"canEditAnnouncement":false,"siteDefaultLanguageTag":"en-US","userLanguageTag":"en-US","portalThemeColor":"#1a7dbb","helpCenterTitleColor":"#ffffff","bannerMediaApiUrl":"https://api.media.atlassian.com/file/94ae2c2d-c05c-4595-a455-aa8cd622181e/image?token=eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI2MzNhMzIzMC1mNzYxLTQ2YjEtYWI5Ny1jMmQ3OTY1MDYzNmMiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpmaWxlOjk0YWUyYzJkLWMwNWMtNDU5NS1hNDU1LWFhOGNkNjIyMTgxZSI6WyJyZWFkIl19LCJleHAiOjE3MzE0ODAyMjksIm5iZiI6MTczMTQ3OTYyOX0.44EftdWIelU4yW47KdUyPHszXiNXwxmkO5kapgQTdUM&client=633a3230-f761-46b1-ab97-c2d79650636c&height=300&mode=fit","bannerMediaApiFileId":"94ae2c2d-c05c-4595-a455-aa8cd622181e","useDefaultBanner":false,"isBannerAvailable":true},"portal":{"id":"9","key":"synsd","projectId":12173,"serviceDeskId":9,"name":"Synapse Service Desk","description":"<p>This is the help desk for Synapse, supported by Sage Bionetworks.</p>\n<p>To reach out to the broader user community you may prefer the Synapse discussion forum:<br> <a href=\"https://www.synapse.org/#!SynapseForum:default\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">https://www.synapse.org/#!SynapseForum:default</a></p>\n<p>If your question is about a specific challenge, please post it on the challenge's Synapse forum.</p>\n<p>If your question is about the PsychENCODE Knowledge Portal, please post the question here: <a href=\"https://www.synapse.org/#!Synapse:syn4921369/discussion/default\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">https://www.synapse.org/#!Synapse:syn4921369/discussion/default</a></p>","portalBaseUrl":"/servicedesk/customer/portal/9","onlyPortal":false,"reqTypes":[{"id":"85","name":"Ask a question","descriptionHtml":"","callToAction":"Ask a question","introHtml":"<p>Have a question? Submit it here.</p>","icon":12769,"iconUrl":"https://sagebionetworks.jira.com/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/12769","groups":[16],"key":""},{"id":"84","name":"Submit a request or incident","descriptionHtml":"","callToAction":"Submit a request or incident","introHtml":"<p>Submit a request or report a problem.</p>","icon":12760,"iconUrl":"https://sagebionetworks.jira.com/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/12760","groups":[16],"key":""},{"id":"162","name":"Synapse Data Management & Sharing Request","descriptionHtml":"","callToAction":"Synapse Data Management & Sharing Request","introHtml":"","icon":12770,"iconUrl":"https://sagebionetworks.jira.com/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/12770","groups":[26],"key":""},{"id":"206","name":"Synapse Python Client Support","descriptionHtml":"","callToAction":"Synapse Python Client Support","introHtml":"<p>Have a question/problem specific to the Synapse Python Client? Submit it here.</p>","icon":12827,"iconUrl":"https://sagebionetworks.jira.com/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/12827","groups":[16],"key":""},{"id":"86","name":"Emailed request","descriptionHtml":"","callToAction":"Emailed request","introHtml":"<p>Request received from your email support channel.</p>","icon":12747,"iconUrl":"https://sagebionetworks.jira.com/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/12747","groups":[],"key":""}],"reqGroups":[{"id":16,"name":"General"},{"id":26,"name":"Sage Plans Request"}],"orderMapping":{"16":[84,85,206],"26":[162]},"kbs":{"kbEnabled":true,"kbLink":{"appLinkId":"a3b8e349-e434-3cd6-99b4-fcec3e545028","appLinkName":"System Confluence","appLinkUrl":"https://sagebionetworks.jira.com/wiki","spaceKey":"SYNSD","spaceName":"Synapse Service Desk","spaceUrl":"https://sagebionetworks.jira.com/wiki/spaces/SYNSD","isServer":false},"labels":[],"projectKey":"SYNSD","serviceDeskId":9,"kbLinkDomainURLs":["https://sagebionetworks.jira.com"]},"createPermission":true,"portalAnnouncement":{"portalId":9,"canEditAnnouncement":false,"canAdministerProject":false,"portalProjectKey":"SYNSD","userLanguageHeader":"","userLanguageMessageWiki":"","defaultLanguageHeader":"","defaultLanguageMessage":"","defaultLanguageDisplayName":"English (United States)","isUsingLanguageSupport":false,"translations":{}},"canViewCreateRequestForm":true,"isProjectSimplified":false,"mediaApiUploadInformation":{"token":"eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI2MzNhMzIzMC1mNzYxLTQ2YjEtYWI5Ny1jMmQ3OTY1MDYzNmMiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTp1cGxvYWQ6KiI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y2h1bms6KiI6WyJyZWFkIiwiY3JlYXRlIl0sInVybjpmaWxlc3RvcmU6Y29sbGVjdGlvbjp1cGxvYWQtcHJvamVjdC0xMjE3MyI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl19LCJleHAiOjE3MzE0ODA4MjksIm5iZiI6MTczMTQ3OTYyOX0.Gl2Q-pY8_vdxXQxPLK4u-uP4o1L-I3O0TxTI_TGNBLY","targetCollection":"upload-project-12173","endpointUrl":"https://api.media.atlassian.com","clientId":"633a3230-f761-46b1-ab97-c2d79650636c","tokenDurationInMins":20}},"reqCreate":{"id":162,"projectId":12173,"form":{"name":"Synapse Data Management & Sharing Request","descriptionHtml":"","callToAction":"Synapse Data Management & Sharing Request","intro":"","instructions":"","icon":12770,"iconUrl":"https://sagebionetworks.jira.com/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/12770","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":"Summary","description":"","descriptionHtml":"","required":true,"displayed":false,"presetValues":["NIH Data Management Policy Request"]}],"userOrganisations":[],"canBrowseUsers":false,"requestCreateBaseUrl":"/servicedesk/customer/portal/9/create/162","requestValidateBaseUrl":"/servicedesk/customer/portal/9/validate/162","calendarParams":{"firstDay":0,"date":"2024-11-12T22:33:50-0800","useISO8601WeekNumbers":false,"dateIfFormat":"%e/%b/%y","dateTimeIfFormat":"%e/%b/%y %I:%M %p","timeFormat":"12"},"kbs":{"kbEnabled":true,"kbLink":{"appLinkId":"a3b8e349-e434-3cd6-99b4-fcec3e545028","appLinkName":"System Confluence","appLinkUrl":"https://sagebionetworks.jira.com/wiki","spaceKey":"SYNSD","spaceName":"Synapse Service Desk","spaceUrl":"https://sagebionetworks.jira.com/wiki/spaces/SYNSD","isServer":false},"labels":[],"projectKey":"SYNSD","serviceDeskId":9,"kbLinkDomainURLs":["https://sagebionetworks.jira.com"]},"canRaiseOnBehalf":false,"canSignupCustomers":false,"canCreateAttachments":true,"attachmentRequiredField":false,"hasGroups":true,"canSubmitWithEmailAddress":false,"showRecaptcha":true,"siteKey":"6LePXLkdAAAAAF4gCNalrL1IvZcqbNbZf_Zakudd","mediaApiUploadInformation":{"token":"eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI2MzNhMzIzMC1mNzYxLTQ2YjEtYWI5Ny1jMmQ3OTY1MDYzNmMiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTp1cGxvYWQ6KiI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y2h1bms6KiI6WyJyZWFkIiwiY3JlYXRlIl0sInVybjpmaWxlc3RvcmU6Y29sbGVjdGlvbjp1cGxvYWQtcHJvamVjdC0xMjE3MyI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl19LCJleHAiOjE3MzE0ODA4MzAsIm5iZiI6MTczMTQ3OTYzMH0.3Ydr4kek1hS0GkIGDXB9AqJyaD6vVgGB2CFBrAdIfLw","targetCollection":"upload-project-12173","endpointUrl":"https://api.media.atlassian.com","clientId":"633a3230-f761-46b1-ab97-c2d79650636c","tokenDurationInMins":20},"hasProformaForm":true,"proformaTemplateForm":{"id":3,"updated":"2024-05-15T23:24:17.628900491Z","publish":{"jira":{"submitOnCreate":true,"validateOnCreate":true},"portal":{"portalRequestTypeIds":[162],"submitOnCreate":true,"validateOnCreate":true}},"design":{"settings":{"templateId":3,"name":"Synapse Plan Request","submit":{"lock":false,"pdf":false},"templateFormUuid":"4b580ef7-d9e9-485f-9b06-4ed9823178ac"},"layout":[{"version":1,"type":"doc","content":[{"type":"paragraph","content":[{"type":"text","text":"Sage offers the following "},{"type":"text","text":"service plans","marks":[{"type":"link","attrs":{"href":"https://www.synapse.org/"}}]},{"type":"text","text":" to the scientific community: Basic, Self-managed and Data Coordination Plans. The Sage "},{"type":"text","text":"Terms and Conditions of Use ","marks":[{"type":"link","attrs":{"href":"https://s3.amazonaws.com/static.synapse.org/governance/SageBionetworksSynapseTermsandConditionsofUse.pdf?v=5"}}]},{"type":"text","text":"apply to each of these plans unless otherwise noted. Additional governance terms may apply. The information you provide on this form will enable us to better understand the services you will need for managing and sharing your data."}]},{"type":"paragraph","content":[]},{"type":"paragraph","content":[{"type":"text","text":"Please tell us more about the data you intend to share. "}]},{"type":"paragraph","content":[]},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":1},"layout":"default","localId":"4f034f02-76fb-4a49-b2b6-0487a8cf50e8"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":2},"layout":"default","localId":"b1a6fe49-0b98-40a4-aac0-a7872ffaf04b"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":19},"layout":"default","localId":"136c9306-e26a-4366-a5e2-21265d467aae"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":4},"layout":"default","localId":"7b5d1efa-954f-43fe-accf-2c39b1947706"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":68},"layout":"default","localId":"ff845550-ccc7-426d-9976-beaa4e647b71"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":70},"layout":"default","localId":"e6061ceb-4c5b-4878-aba1-bc7ba5181ddd"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":37},"layout":"default","localId":"84d23743-15a1-4c6c-a759-4838627e238d"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":52},"layout":"default","localId":"c1e26d68-a753-4fcf-9afc-c71c53bfc106"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":55},"layout":"default","localId":"419c060f-b240-42b3-b22e-96276067f392"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":59},"layout":"default","localId":"1cbe947e-9898-4445-be56-daa78d7f03e1"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":60},"layout":"default","localId":"59f1c66b-ff60-474b-be09-c1f755889e5c"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":5},"layout":"default","localId":"1d67fc93-07cf-4da3-940e-5ebcf6bfb86d"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":20},"layout":"default","localId":"cca33bd9-e148-4cea-bdad-0187cadd346d"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":21},"layout":"default","localId":"aac50b17-67f0-4679-afa8-a709a9970e85"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":39},"layout":"default","localId":"922ba059-51ce-4cb1-a25a-e2ecd6e12f67"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":65},"layout":"default","localId":"1f776e47-20d1-43f5-a3e9-dbf1572d0a86"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":67},"layout":"default","localId":"d32de3bb-1b1b-4a8f-9ec8-e47b4114bfa3"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":66},"layout":"default","localId":"e3683b64-5935-4e3e-9ee4-0470b3bc0e1b"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":43},"layout":"default","localId":"cc19cff9-afb3-48d9-9bb0-177f9879e0e9"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":8},"layout":"default","localId":"7b41919b-0b7f-490c-a8cb-87f69d698817"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":29},"layout":"default","localId":"0e4bae9b-cda0-4802-be4b-493fbaf2d62e"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":50},"layout":"default","localId":"3cb63ce5-df10-4d73-b6b3-c0438896b777"}}]},{"version":1,"type":"doc","content":[{"type":"paragraph","content":[]},{"type":"paragraph","content":[{"type":"text","text":"Thank you for your responses. Depending on your specific needs and your response times, we may need an average of 10-15 business days to review and process your request."}]},{"type":"paragraph","content":[]}]}],"conditions":{"31":{"t":"sh","i":{"co":{"cIds":{"66":["1","2","0"]}}},"o":{"sIds":["4"]}},"36":{"t":"sh","i":{"co":{"cIds":{"60":["1"]}}},"o":{"sIds":["1"]}},"38":{"t":"sh","i":{"co":{"cIds":{"5":["3"]}}},"o":{"sIds":["2"]}}},"sections":{"4":{"name":"Human Subjects","conditions":["31"]},"5":{"conditions":[]},"1":{"name":"Funding Section","conditions":["36"]},"2":{"name":"Post Award","conditions":["38","36"]},"3":{"conditions":[]}},"questions":{"67":{"type":"cs","label":"Data Access Requirement","description":"Do you wish to make the data available under: (Select one)","validation":{"rq":false},"choices":[{"id":"1","label":"Open Access - Access to data is not restricted","other":false},{"id":"2","label":"Controlled Access - Access to data requires users to register with Synapse and agree to data use conditions","other":false}],"questionKey":""},"66":{"type":"cm","label":"What is (or will be) the source of data?: ","description":"","validation":{"rq":true,"mns":1,"mxs":4},"choices":[{"id":"1","label":"Human Subjects (post-mortem)","other":false},{"id":"2","label":"Human Subjects (living)","other":false},{"id":"3","label":"Animal Models","other":false},{"id":"0","label":"Other...","other":true}],"questionKey":""},"8":{"type":"ts","label":"What countries will data be collected from?","description":"","validation":{"rq":true,"mxw":125},"choices":[],"questionKey":""},"19":{"type":"tu","label":"Your Synapse Profile Link (if you have one)","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"4":{"type":"ts","label":"Institution / Company","description":"Name of your company or institution.","validation":{"rq":true,"mnw":1},"choices":[],"questionKey":""},"55":{"type":"ts","label":"How long will your data need to be stored for? ","description":"(Time in years)","validation":{"rq":true,"mnc":1},"choices":[],"questionKey":""},"5":{"type":"cs","label":"What is the status of your funding: ","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Pre-award (proposal stage)","other":false},{"id":"2","label":"Pre-award (JIT)","other":false},{"id":"3","label":"Post-award","other":false},{"id":"4","label":"Non-grant funded (other)","other":false}],"questionKey":""},"59":{"type":"ts","label":"Your Project SynID (if applicable)","description":"If you have an existing Synapse project, SynID (located under your Project Title)","validation":{"rq":false},"choices":[],"questionKey":""},"21":{"type":"ts","label":"Which RFA/RFP if applicable? ","description":"","validation":{"rq":false,"mnw":1},"choices":[],"questionKey":""},"43":{"type":"cm","label":"Data Types","description":"(Select all that apply)","validation":{"rq":false},"choices":[{"id":"1","label":"-Omic data","other":false},{"id":"2","label":"Assay data","other":false},{"id":"3","label":"Clinical or EHR data","other":false},{"id":"4","label":"Imaging data","other":false},{"id":"5","label":"Recording (audio &/or video)","other":false},{"id":"6","label":"Questionaires or Interviews (i.e., unstructured data)","other":false},{"id":"0","label":"Other...","other":true}],"questionKey":""},"65":{"type":"cs","label":"Is data collection ongoing or has it concluded? (Select one)","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Data collection is ongoing","other":false},{"id":"2","label":"Data collection has concluded","other":false}],"questionKey":""},"60":{"type":"cs","label":"Is the data being submitted as part of a funding application?","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Yes","other":false},{"id":"2","label":"No","other":false}],"questionKey":""},"2":{"type":"ts","label":"Email Address","description":"","validation":{"rq":true,"mnc":3},"choices":[],"questionKey":""},"29":{"type":"cs","label":"How is the data de-identified","description":"How is the data de-identified: (Describe the methods used to de-identify your data. Synapse adheres to HIPAA Safe Harbor de-identification methods. U.S. HIPAA guidance is located at https://www.hhs.gov/hipaa/for-professionals/privacy/special-topics/de-identification/index.html.)","validation":{"rq":false},"choices":[{"id":"1","label":"Data is a HIPAA Limited Dataset","other":false},{"id":"2","label":"Data is de-identified","other":false},{"id":"3","label":"Data is pseudonymized in accordance with GDPR","other":false},{"id":"4","label":"Data is anonymized","other":false},{"id":"0","label":"Other...","other":true}],"questionKey":""},"52":{"type":"no","label":"What is the estimated total size of the data (in GB)?","description":"","validation":{"rq":true,"wh":false},"choices":[],"questionKey":""},"50":{"type":"tl","label":"Special Data Information","description":"Is there anything we should be aware of with regard to the management of this dataset, e.g., data generated with vulnerable populations (e.g., minors, elderly, institutionalized, intellectually challenged, etc) or files containing special categories of data (e.g., ethnic origin, political opinions, religion, etc)?","validation":{"rq":false},"choices":[],"questionKey":""},"37":{"type":"ts","label":"Your Study Name:","description":"Please provide the study name.","validation":{"rq":false},"choices":[],"questionKey":""},"68":{"type":"cs","label":"Is the data collected from multiple sites/institutions?","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Yes","other":false},{"id":"2","label":"No","other":false}],"questionKey":""},"1":{"type":"ts","label":"Name","description":"Your full name","validation":{"rq":true,"mnw":1,"mxc":500},"choices":[],"questionKey":""},"39":{"type":"cm","label":"Is this data associated with a research community currently supported by Sage?","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Alzheimer’s Disease (AD) Knowledge Portal","other":false},{"id":"2","label":"Arthritis and Autoimmune and Related Diseases (ARK) Portal","other":false},{"id":"3","label":"Brain Somatic Mosaicism Network (BSMN) Portal","other":false},{"id":"4","label":"Cancer Complexity Knowledge Portal","other":false},{"id":"5","label":"Digital Health (dHealth) Knowledge Portal","other":false},{"id":"6","label":"Human Tumor Atlas Network (HTAN)","other":false},{"id":"7","label":"Neurofibromatosis (NF) Data Portal","other":false}],"questionKey":""},"20":{"type":"ts","label":"What is the funding agency or sponsor if applicable?","description":"","validation":{"rq":false,"mnw":1},"choices":[],"questionKey":""},"70":{"type":"ts","label":"if Yes, How many sites/institutions?","description":"","validation":{"rq":false},"choices":[],"questionKey":""}}},"uuid":"4b580ef7-d9e9-485f-9b06-4ed9823178ac"},"proforma":{"formExists":true,"formValid":true,"formTemplateData":{"id":3,"updated":"2024-05-15T23:24:17.628900491Z","publish":{"jira":{"submitOnCreate":true,"validateOnCreate":true},"portal":{"portalRequestTypeIds":[162],"submitOnCreate":true,"validateOnCreate":true}},"design":{"settings":{"templateId":3,"name":"Synapse Plan Request","submit":{"lock":false,"pdf":false},"templateFormUuid":"4b580ef7-d9e9-485f-9b06-4ed9823178ac"},"layout":[{"version":1,"type":"doc","content":[{"type":"paragraph","content":[{"type":"text","text":"Sage offers the following "},{"type":"text","text":"service plans","marks":[{"type":"link","attrs":{"href":"https://www.synapse.org/"}}]},{"type":"text","text":" to the scientific community: Basic, Self-managed and Data Coordination Plans. The Sage "},{"type":"text","text":"Terms and Conditions of Use ","marks":[{"type":"link","attrs":{"href":"https://s3.amazonaws.com/static.synapse.org/governance/SageBionetworksSynapseTermsandConditionsofUse.pdf?v=5"}}]},{"type":"text","text":"apply to each of these plans unless otherwise noted. Additional governance terms may apply. The information you provide on this form will enable us to better understand the services you will need for managing and sharing your data."}]},{"type":"paragraph","content":[]},{"type":"paragraph","content":[{"type":"text","text":"Please tell us more about the data you intend to share. "}]},{"type":"paragraph","content":[]},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":1},"layout":"default","localId":"4f034f02-76fb-4a49-b2b6-0487a8cf50e8"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":2},"layout":"default","localId":"b1a6fe49-0b98-40a4-aac0-a7872ffaf04b"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":19},"layout":"default","localId":"136c9306-e26a-4366-a5e2-21265d467aae"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":4},"layout":"default","localId":"7b5d1efa-954f-43fe-accf-2c39b1947706"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":68},"layout":"default","localId":"ff845550-ccc7-426d-9976-beaa4e647b71"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":70},"layout":"default","localId":"e6061ceb-4c5b-4878-aba1-bc7ba5181ddd"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":37},"layout":"default","localId":"84d23743-15a1-4c6c-a759-4838627e238d"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":52},"layout":"default","localId":"c1e26d68-a753-4fcf-9afc-c71c53bfc106"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":55},"layout":"default","localId":"419c060f-b240-42b3-b22e-96276067f392"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":59},"layout":"default","localId":"1cbe947e-9898-4445-be56-daa78d7f03e1"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":60},"layout":"default","localId":"59f1c66b-ff60-474b-be09-c1f755889e5c"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":5},"layout":"default","localId":"1d67fc93-07cf-4da3-940e-5ebcf6bfb86d"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":20},"layout":"default","localId":"cca33bd9-e148-4cea-bdad-0187cadd346d"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":21},"layout":"default","localId":"aac50b17-67f0-4679-afa8-a709a9970e85"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":39},"layout":"default","localId":"922ba059-51ce-4cb1-a25a-e2ecd6e12f67"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":65},"layout":"default","localId":"1f776e47-20d1-43f5-a3e9-dbf1572d0a86"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":67},"layout":"default","localId":"d32de3bb-1b1b-4a8f-9ec8-e47b4114bfa3"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":66},"layout":"default","localId":"e3683b64-5935-4e3e-9ee4-0470b3bc0e1b"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":43},"layout":"default","localId":"cc19cff9-afb3-48d9-9bb0-177f9879e0e9"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":8},"layout":"default","localId":"7b41919b-0b7f-490c-a8cb-87f69d698817"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":29},"layout":"default","localId":"0e4bae9b-cda0-4802-be4b-493fbaf2d62e"}},{"type":"extension","attrs":{"extensionType":"com.thinktilt.proforma","extensionKey":"question","parameters":{"id":50},"layout":"default","localId":"3cb63ce5-df10-4d73-b6b3-c0438896b777"}}]},{"version":1,"type":"doc","content":[{"type":"paragraph","content":[]},{"type":"paragraph","content":[{"type":"text","text":"Thank you for your responses. Depending on your specific needs and your response times, we may need an average of 10-15 business days to review and process your request."}]},{"type":"paragraph","content":[]}]}],"conditions":{"31":{"t":"sh","i":{"co":{"cIds":{"66":["1","2","0"]}}},"o":{"sIds":["4"]}},"36":{"t":"sh","i":{"co":{"cIds":{"60":["1"]}}},"o":{"sIds":["1"]}},"38":{"t":"sh","i":{"co":{"cIds":{"5":["3"]}}},"o":{"sIds":["2"]}}},"sections":{"4":{"name":"Human Subjects","conditions":["31"]},"5":{"conditions":[]},"1":{"name":"Funding Section","conditions":["36"]},"2":{"name":"Post Award","conditions":["38","36"]},"3":{"conditions":[]}},"questions":{"67":{"type":"cs","label":"Data Access Requirement","description":"Do you wish to make the data available under: (Select one)","validation":{"rq":false},"choices":[{"id":"1","label":"Open Access - Access to data is not restricted","other":false},{"id":"2","label":"Controlled Access - Access to data requires users to register with Synapse and agree to data use conditions","other":false}],"questionKey":""},"66":{"type":"cm","label":"What is (or will be) the source of data?: ","description":"","validation":{"rq":true,"mns":1,"mxs":4},"choices":[{"id":"1","label":"Human Subjects (post-mortem)","other":false},{"id":"2","label":"Human Subjects (living)","other":false},{"id":"3","label":"Animal Models","other":false},{"id":"0","label":"Other...","other":true}],"questionKey":""},"8":{"type":"ts","label":"What countries will data be collected from?","description":"","validation":{"rq":true,"mxw":125},"choices":[],"questionKey":""},"19":{"type":"tu","label":"Your Synapse Profile Link (if you have one)","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"4":{"type":"ts","label":"Institution / Company","description":"Name of your company or institution.","validation":{"rq":true,"mnw":1},"choices":[],"questionKey":""},"55":{"type":"ts","label":"How long will your data need to be stored for? ","description":"(Time in years)","validation":{"rq":true,"mnc":1},"choices":[],"questionKey":""},"5":{"type":"cs","label":"What is the status of your funding: ","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Pre-award (proposal stage)","other":false},{"id":"2","label":"Pre-award (JIT)","other":false},{"id":"3","label":"Post-award","other":false},{"id":"4","label":"Non-grant funded (other)","other":false}],"questionKey":""},"59":{"type":"ts","label":"Your Project SynID (if applicable)","description":"If you have an existing Synapse project, SynID (located under your Project Title)","validation":{"rq":false},"choices":[],"questionKey":""},"21":{"type":"ts","label":"Which RFA/RFP if applicable? ","description":"","validation":{"rq":false,"mnw":1},"choices":[],"questionKey":""},"43":{"type":"cm","label":"Data Types","description":"(Select all that apply)","validation":{"rq":false},"choices":[{"id":"1","label":"-Omic data","other":false},{"id":"2","label":"Assay data","other":false},{"id":"3","label":"Clinical or EHR data","other":false},{"id":"4","label":"Imaging data","other":false},{"id":"5","label":"Recording (audio &/or video)","other":false},{"id":"6","label":"Questionaires or Interviews (i.e., unstructured data)","other":false},{"id":"0","label":"Other...","other":true}],"questionKey":""},"65":{"type":"cs","label":"Is data collection ongoing or has it concluded? (Select one)","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Data collection is ongoing","other":false},{"id":"2","label":"Data collection has concluded","other":false}],"questionKey":""},"60":{"type":"cs","label":"Is the data being submitted as part of a funding application?","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Yes","other":false},{"id":"2","label":"No","other":false}],"questionKey":""},"2":{"type":"ts","label":"Email Address","description":"","validation":{"rq":true,"mnc":3},"choices":[],"questionKey":""},"29":{"type":"cs","label":"How is the data de-identified","description":"How is the data de-identified: (Describe the methods used to de-identify your data. Synapse adheres to HIPAA Safe Harbor de-identification methods. U.S. HIPAA guidance is located at https://www.hhs.gov/hipaa/for-professionals/privacy/special-topics/de-identification/index.html.)","validation":{"rq":false},"choices":[{"id":"1","label":"Data is a HIPAA Limited Dataset","other":false},{"id":"2","label":"Data is de-identified","other":false},{"id":"3","label":"Data is pseudonymized in accordance with GDPR","other":false},{"id":"4","label":"Data is anonymized","other":false},{"id":"0","label":"Other...","other":true}],"questionKey":""},"52":{"type":"no","label":"What is the estimated total size of the data (in GB)?","description":"","validation":{"rq":true,"wh":false},"choices":[],"questionKey":""},"50":{"type":"tl","label":"Special Data Information","description":"Is there anything we should be aware of with regard to the management of this dataset, e.g., data generated with vulnerable populations (e.g., minors, elderly, institutionalized, intellectually challenged, etc) or files containing special categories of data (e.g., ethnic origin, political opinions, religion, etc)?","validation":{"rq":false},"choices":[],"questionKey":""},"37":{"type":"ts","label":"Your Study Name:","description":"Please provide the study name.","validation":{"rq":false},"choices":[],"questionKey":""},"68":{"type":"cs","label":"Is the data collected from multiple sites/institutions?","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Yes","other":false},{"id":"2","label":"No","other":false}],"questionKey":""},"1":{"type":"ts","label":"Name","description":"Your full name","validation":{"rq":true,"mnw":1,"mxc":500},"choices":[],"questionKey":""},"39":{"type":"cm","label":"Is this data associated with a research community currently supported by Sage?","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Alzheimer’s Disease (AD) Knowledge Portal","other":false},{"id":"2","label":"Arthritis and Autoimmune and Related Diseases (ARK) Portal","other":false},{"id":"3","label":"Brain Somatic Mosaicism Network (BSMN) Portal","other":false},{"id":"4","label":"Cancer Complexity Knowledge Portal","other":false},{"id":"5","label":"Digital Health (dHealth) Knowledge Portal","other":false},{"id":"6","label":"Human Tumor Atlas Network (HTAN)","other":false},{"id":"7","label":"Neurofibromatosis (NF) Data Portal","other":false}],"questionKey":""},"20":{"type":"ts","label":"What is the funding agency or sponsor if applicable?","description":"","validation":{"rq":false,"mnw":1},"choices":[],"questionKey":""},"70":{"type":"ts","label":"if Yes, How many sites/institutions?","description":"","validation":{"rq":false},"choices":[],"questionKey":""}}},"uuid":"4b580ef7-d9e9-485f-9b06-4ed9823178ac"},"linkedJiraFields":[]},"key":""},"portalWebFragments":{"headerPanels":[],"subheaderPanels":[],"footerPanels":[],"pagePanels":{"propertyPanels":[],"legacyPropertyPanels":[]}}}