| When (Pacific) | Who | Participant | Form | Action | Changes (old → new) |
|---|---|---|---|---|---|
| 11/12/2026 17:17 | Local (login disabled) local | TLIC-004 | Source Data Worksheet | Reviewed | Marked reviewed (✓) while the section was still incomplete |
| 11/12/2026 17:11 | Local (login disabled) local | TLIC-004 | Source Data Worksheet | Reviewed | Marked reviewed (✓) while the section was still incomplete |
| 11/12/2026 17:11 | Local (login disabled) local | TLIC-004 | Source Data Worksheet | Saved | Consent process 1: Each section of the study consent form was reviewed with the subject.: — → Yes Consent process 2: The subject was given an opportunity to ask questions.: — → Yes Consent process 3: The subject understands the risks and benefits of the study.: — → Yes Consent process 4: The California Bill of Rights was provided to the subject.: — → Yes Consent process 5: HIPAA Consent was signed and dated.: — → Yes Consent process 6: A copy of the signed Consent Form was provided to the subject.: — → Yes |
| 11/12/2026 17:10 | Local (login disabled) local | TLIC-004 | Patient Consent | Signed | Signature of Subject (18 years and older) — Authorization: — → Amit Johanis · 11/12/2026 |
| 11/12/2026 17:10 | Local (login disabled) local | TLIC-004 | Patient Consent | Signed | Signature of Person Conducting Informed Consent Discussion: — → Local (login disabled) · 11/12/2026 |
| 11/12/2026 17:09 | Local (login disabled) local | TLIC-004 | Patient Consent | Saved | Impartial witness used: No → Yes |
| 11/12/2026 17:09 | Local (login disabled) local | TLIC-004 | Patient Consent | Saved | Impartial witness used: Yes → No |
| 11/12/2026 17:09 | Local (login disabled) local | TLIC-004 | Patient Consent | Saved | Impartial witness used: No → Yes |
| 11/12/2026 17:09 | Local (login disabled) local | TLIC-004 | Patient Consent | Saved | Impartial witness used: Yes → No |
| 11/12/2026 17:08 | Local (login disabled) local | TLIC-004 | Patient Consent | Saved | Impartial witness used: No → Yes |
| 11/12/2026 17:08 | Local (login disabled) local | TLIC-004 | Patient Consent | Saved | Impartial witness used: Yes → No |
| 11/12/2026 17:08 | Local (login disabled) local | TLIC-004 | Patient Consent | Signed | Signature of Subject (18 years and older) — Consent: — → Amit Johanis · 11/12/2026 |
| 11/12/2026 17:08 | Local (login disabled) local | TLIC-004 | Patient Consent | Signed | |
| 11/12/2026 17:08 | Local (login disabled) local | TLIC-004 | Patient Consent | Signed | Signature of Participant — Yes, I agree to be contacted for future research studies: — → Amit Johanis · 11/12/2026 Signature of Participant — No, I do not want to be contacted for future research studies: Amit Johanis · 11/12/2026 → — |
| 11/12/2026 17:07 | Local (login disabled) local | TLIC-004 | Patient Consent | Signed | Signature of Participant — No, I do not want to be contacted for future research studies: — → Amit Johanis · 11/12/2026 Signature of Participant — Yes, I agree to be contacted for future research studies: Amit Johanis · 11/12/2026 → — |
| 11/12/2026 17:07 | Local (login disabled) local | TLIC-004 | Patient Consent | Signed | Signature of Participant — Yes, I agree to be contacted for future research studies: — → Amit Johanis · 11/12/2026 |
| 11/12/2026 17:07 | Local (login disabled) local | TLIC-004 | Patient Consent | Saved | Impartial witness used: No → Yes |
| 11/12/2026 17:07 | Local (login disabled) local | TLIC-004 | Patient Consent | Saved | Impartial witness used: Yes → No |
| 11/12/2026 17:07 | Local (login disabled) local | TLIC-004 | Patient Consent | Saved | Impartial witness used: No → Yes |
| 11/12/2026 17:07 | Local (login disabled) local | TLIC-004 | Patient Consent | Saved | Impartial witness used: Yes → No |
| 11/12/2026 17:07 | Local (login disabled) local | TLIC-004 | Patient Consent | Saved | Impartial witness used: No → Yes |
| 11/12/2026 17:07 | Local (login disabled) local | TLIC-004 | Patient Consent | Saved | Impartial witness used: Yes → No |
| 11/12/2026 17:07 | Local (login disabled) local | TLIC-004 | Patient Consent | Saved | Impartial witness used: No → Yes |
| 11/12/2026 17:07 | Local (login disabled) local | TLIC-004 | Patient Consent | Saved | Impartial witness used: Yes → No |
| 11/12/2026 17:07 | Local (login disabled) local | TLIC-004 | Patient Consent | Created | Impartial witness used: — → Yes |
| 11/12/2026 17:07 | Local (login disabled) local | TLIC-004 | Source Data Worksheet | Created | Visit Date: — → 11/12/2026 Consent Signed: — → No Staff Initials: — → cd Consent Date: — → 11/12/2026 First Name: — → Amit Last Name: — → Johanis |
| 11/12/2026 17:03 | Local (login disabled) local | TLIC-003 | Participant | Deleted | Visit Date: 11/12/2026 → — Consent Signed: Yes → — Consent Signed — Paper / eConsent: eConsent → — Staff Initials: ps → — Consent Date: 11/12/2026 → — First Name: Holly → — |
| 11/12/2026 17:03 | Local (login disabled) local | TLIC-003 | Source Data Worksheet | Reviewed | Marked reviewed (✓) while the section was still incomplete |
| 11/12/2026 17:02 | Local (login disabled) local | TLIC-003 | Patient Consent | E-mailed | Signed consent e-mail: — → not sent — e-mail is not configured on the server (RESEND_API_KEY / EMAIL_FROM); the participant has no e-mail on the worksheet — sent to the person conducting consent only |
| 11/12/2026 17:02 | Local (login disabled) local | TLIC-003 | Patient Consent | Signed | Signature of Subject (18 years and older) — Authorization: — → Holly W · 11/12/2026 |
| 11/12/2026 17:02 | Local (login disabled) local | TLIC-003 | Patient Consent | Signed | Signature of Principal Investigator: — → Matthew Budoff, M.D. · 11/12/2026 |
| 11/12/2026 17:02 | Local (login disabled) local | TLIC-003 | Patient Consent | Signed | Signature of Person Conducting Informed Consent Discussion: — → Local (login disabled) · 11/12/2026 |
| 11/12/2026 17:02 | Local (login disabled) local | TLIC-003 | Patient Consent | Signed | Signature of Participant — No, I do not want to be contacted for future research studies: — → Holly W · 11/12/2026 |
| 11/12/2026 17:01 | Local (login disabled) local | TLIC-003 | Patient Consent | Signed | Impartial witness used: — → No Signature of Subject (18 years and older) — Consent: — → Holly W · 11/12/2026 |
| 11/12/2026 17:01 | Local (login disabled) local | TLIC-003 | Source Data Worksheet | Created | Visit Date: — → 11/12/2026 Consent Signed: — → Yes Consent Signed — Paper / eConsent: — → eConsent Staff Initials: — → ps Consent Date: — → 11/12/2026 First Name: — → Holly |
| 11/12/2026 16:59 | Local (login disabled) local | TLIC-002 | Participant | Deleted | Visit Date: 11/12/2026 → — Consent Date: 11/12/2026 → — First Name: Holly → — Last Name: Arthur → — |
| 11/12/2026 14:43 | Local (login disabled) local | TLIC-002 | Patient Consent | Saved | Impartial witness used: Yes → No |
| 11/12/2026 14:41 | Local (login disabled) local | TLIC-002 | Patient Consent | Created | Impartial witness used: — → Yes |
| 11/12/2026 14:41 | Local (login disabled) local | TLIC-002 | Source Data Worksheet | Created | Visit Date: — → 11/12/2026 Consent Date: — → 11/12/2026 First Name: — → Holly Last Name: — → Arthur |
| 11/12/2026 14:41 | Local (login disabled) local | TLIC-001 | Participant | Deleted | Visit Date: 11/12/2026 → — Consent Signed: Yes → — Consent Signed — Paper / eConsent: eConsent → — Staff Initials: PS → — Consent Date: 11/12/2026 → — First Name: Big → — |
| 11/12/2026 14:40 | Local (login disabled) local | TLIC-001 | Patient Consent | E-mailed | Signed consent e-mail: — → not sent — e-mail is not configured on the server (RESEND_API_KEY / EMAIL_FROM); the participant has no e-mail on the worksheet — sent to the person conducting consent only |
| 11/12/2026 14:40 | Local (login disabled) local | TLIC-001 | Patient Consent | Signed | Signature of Subject (18 years and older) — Authorization: — → Big Arthur · 11/12/2026 |
| 11/12/2026 14:39 | Local (login disabled) local | TLIC-001 | Patient Consent | Signed | Signature of Principal Investigator: — → Matthew Budoff, M.D. · 11/12/2026 |
| 11/12/2026 14:39 | Local (login disabled) local | TLIC-001 | Patient Consent | Signed | Signature of Person Conducting Informed Consent Discussion: — → Local (login disabled) · 11/12/2026 |
| 11/12/2026 14:39 | Local (login disabled) local | TLIC-001 | Patient Consent | Signed | Signature of Subject (18 years and older) — Consent: — → Big Arthur · 11/12/2026 |
| 11/12/2026 14:39 | Local (login disabled) local | TLIC-001 | Patient Consent | Signed | Signature of Participant — No, I do not want to be contacted for future research studies: — → Big Arthur · 11/12/2026 Signature of Participant — Yes, I agree to be contacted for future research studies: Big Arthur · 11/12/2026 → — |
| 11/12/2026 14:38 | Local (login disabled) local | TLIC-001 | Patient Consent | Signed | Impartial witness used: — → No Signature of Participant — Yes, I agree to be contacted for future research studies: — → Big Arthur · 11/12/2026 |
| 11/12/2026 14:38 | Local (login disabled) local | TLIC-001 | Source Data Worksheet | Created | Visit Date: — → 11/12/2026 Consent Signed: — → Yes Consent Signed — Paper / eConsent: — → eConsent Staff Initials: — → PS Consent Date: — → 11/12/2026 First Name: — → Big |