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1. 
! 
hypothesis: data at scale 
demands new methodology.
not just solo labs, but 
communities.
TCGA Pan-Cancer Consortium
TCGA Pan-Cancer Consortium
TCGA Pan-Cancer Consortium
the problem: the 
tacit knowledge used 
to analyze data is not 
captured.
it’s a science practice 
problem. it is not a 
technology problem.
TCGA Pan-Cancer Consortium 
doi:10.7303/syn1710680.4
combining new 
practice with version 
control and 
provenance…
TCGA Pan-Cancer Consortium 
N1PG 8papers 248 c6ore pr8ojects researchers 28 institutions 1070 datasets 1723 results
gained users from 
across TCGA
15
16 
groups datasets subtypes 
A 
B 
C 
D 
E 
F 
1 
2 
3 
4 
5 
6
17 
A 
B 
C 
D 
E 
F 
1 
2 
3 
4 
5 
6 
G ...
http://synapse.org 
https://github.com/Sage- 
Bionetworks/Synapse-Repository- 
Services
not just solo labs, but 
challenges.
code sharing a prerequisite. 
http://synapse.org
76% accurate. 
22
generated an entire 
suite of available math 
models attacking the 
problem.
2. 
! 
hypothesis: we are capable of 
engaging the general public.
IRB approved for 
100,000 participants
just submitted: post-chemo 
cognitive impact
patricia ganz, ucla 
ann partridge, dana farber 
kathryn schmitz, u penn
3. 
! 
hypothesis: we must design 
better informed consent 
experiences
the problem: we use to 
consent to offload 
liability, not to engage in 
a new kind of science.
written by a doctor 
edited by a lawyer 
re-edited by a committee 
presented to a participant 
for zero-sum game
written by a doctor 
edited by a lawyer 
re-edited by a committee 
presented to a participant 
for zero-sum game
comprehension 
language 
time 
format 
regulatory issues 
liability fears
41
42
43
key insights: 
! 
make the interface visual 
! 
bring the experience into the 
consent process itself
1. initial metaphor
46 
2. initial design
47 
3. second revision
48
49
50
51
52
53
54
55
56
57
58
4. 
! 
the participant-centered 
consent toolkit
60 
PCC Visual Language 
PCC consent workflows 
Sample clinical documents 
Implementation support 
! 
Attribution-only licensing
61 
everything needed to create visual 
consent interfaces…
62 
currently support: 
surveys / PRO tools 
mobile / sensors 
basic study concepts 
! 
looking for driving projects to 
extend support…
https://www.scienceexchange.com/
if anyone wants to stand 
up an app-based study…
67 
filed umbrella protocol for 3rd party 
support…
68 
(the price is data becomes open 
over time)
user interface to 
consent 
informed consent 
document 
map between 
form and interface 
IRB 
reviews for ethical 
and scientific propriety 
reviews for effectiveness 
in informing 
mobile clinical 
use standard, vetted interface study protocol 
and open source software 
code for consent 
write locally appropriate 
consent forms
we want to work with you.
thank you. 
! 
@wilbanks 
john.wilbanks@sagebase.org

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A New Model for Informed Consent - Participant Centered Consent - Broad Institute