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Single Institutional Review Board Project (sIRB) (PSS in Confluence)

Basics

Single Institutional Review Board Project (sIRB) (PSS in Confluence)

1540
Ballot - Informative


FHIR Implementation Guide; FHIR Profile

White Paper (Balloted Informative), Implementation Guide

Details

We will develop, test and evaluate data standards to move data and documents from clinical research sites to a single ethics review board in support of the 'NIH Policy on the Use of a Single Institutional Review Board for Multi-Site Research.' The scope of this project will consist of two phases.

Phase I - While some standards exist and will be leveraged, significant gaps remain. We will perform an analysis identifying and addressing standards gaps to support comprehensive data and document exchange between sites and sIRBs and providing for re-use of data and documents within clinical studies. Stakeholders from the public and private sectors will vet the analysis through the IRB vendors administrators using the balloting process.

Phase II - Develop standards, prototype and demonstrate automated single internal review board (sIRB) data and document exchange. Where needed the following standards will be developed. Existing FHIR resources will be utilized when appropriate, FHIR documents to support the following data collection and exchange (1) Structured (IRB) Reliance Agreement based on National IRB reliance models, (2) Study protocols, (3) Structured recruitment materials and (4) Structured informed consent documents and (5) Reportable medical (Unanticipated events, Adverse Events and Serious Adverse Events) and non-medical events and (6) Continuing Review and Final Progress Report form. FHIR resources will be utilized when appropriate. Implementation Guides will be created.

We will review and consider existing standards such as ICSR, other Adverse Event standards (CDISC, ICH E2B) and BRIDG.


The Common Rule was updated and the necessary standards do not exist to support required data exchange. The vast majority of federally funded research in the United States will require use of a single IRB and will be impacted by the new sIRB Policy. Currently, independent IRB reviews involve redundant work at the local site and local IRB level and inviting the potential for conflicting decisions, requirements and oversight. The new NIH sIRB policy changes this by eliminating the redundancy and opportunity for conflicting reviews, ultimately increasing the efficiency of clinical studies. The creation and implementation of standards will support the new policy. These standards are needed to maintain the rigor of the ethics review while reducing regulatory burden and research costs.

Funding provided by National Center for Advancing Translational Sciences (NCATS)



Submit Project Scope Statement - Target: 2019 May 23 Gap analysis between needs and existing standards - Target: 2019 March Development of Implementation Guide/s - Target: 2020 February Notification of Intent to Informative Ballot of Implementation Guide - Target: 2019 December Ballot Implementation Guide Informative - Target: 2020 Jan/May Ballot Reconciliation - Target: 2020 Jan/May Request for Publication - Target: 2020 June Project End Date (all objectives have been met) - Target: 2020 June





Regulatory Agency, Standards Development Organizations (SDOs),Healthcare Institutions (hospitals, long term care, home care, mental health); Other (specify in Misc. Notes below),Pharmaceutical

1) Duke University 2) University of Arkansas for Medical Sciences 3) Vanderbilt University

Federal Policy Change - The Common Rule

sIRB Project


Don't Know

N/A

No

2023 March: TSC approved STU Publication Request for HL7 FHIR R4 Implementation Guide: Single Institutional Review Board Project (sIRB), Edition 1- US Realm. Other Providers: Academic Medical Centers (clinical sites) Electronic Data Capture vendors eIRB System vendors, IRB accreditors, IRB Reliance Organizations, Commercial IRBs
Organization & Realm

Realm Specific - Enter "U.S." or name of HL7 Affiliate below

U.S.
People

Anita Walden and Ed Hammond



Biomedical Research and Regulation Work Group

Clinical Interoperability Council Work Group; FHIR Infrastructure Work Group; FHIR Management Group

Status & Dates

Active

STU - Test Period/Accepting Comments

05/21/2019

05/01/2027

2027 May WGM/Ballot

05/01/2027

2027 May WGM/Ballot

2021 Sept Ballot Cycle Info: INFORMATIVE Ballot results: Met basic vote requirements. 4 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: Single Institutional Review Board Project (sIRB), Release 1- US Realm (See Jira Ballot Dashboard) 2020 Sept Ballot Cycle Info: INFORMATIVE Ballot results: Postponed Document Name: HL7 FHIR Implementation Guide: Single Institutional Review Board Project (sIRB), Release 1- US Realm 2020 Feb Ballot Cycle Info: INFORMATIVE Ballot results: Postponed Document Name: HL7 FHIR Implementation Guide: Single Institutional Review Board Project (sIRB), Release 1- US Realm
Approvals

12/02/2019


Received


All Received




System Info