Core Clinical Research Policies, Standards and Procedures
The matrix below identifies core clinical research policies, standards, and procedures that pertains to UNC-Chapel Hill (“University”) and UNC Health.
Note: While the matrix offers a comprehensive compilation of policies, standards and procedures, it is not exhaustive.
Type | Functional Area | Title | Applicability | Responsible Unit |
---|---|---|---|---|
University Policy | Research Conduct | Research Code of Conduct Policy | University | Office of the Vice Chancellor for Research |
University Standard | Research Conduct | Research Code of Conduct Standard | University | Office of the Vice Chancellor for Research |
University Policy | IRB and Human Research Ethics | Policy on Research Involving Human Participants | University | Office of the Vice Chancellor for Research |
University Policy | Conflicts of Interest | Policy on Individual Conflicts of Interest and Commitment | University | Conflict of Interest Office |
University Policy | Reporting - Wrongful conduct | Whistleblower Policy | University | Division of Institutional Integrity and Risk Management |
University Policy | Research Misconduct | Responding to Allegations of Research Misconduct Policy | University | Office of the Vice Chancellor for Research |
University Policy | Clinical Research Management | Managing Clinical Research Administrative Data Policy | University | Office of the Vice Chancellor for Research |
University Standard | Clinical Research Management | Managing Clinical Research Administrative Data Standard | University | Office of the Vice Chancellor for Research |
University Policy | Research Billing | Policy on Research Billing | University | Office of the Vice Chancellor for Research |
University Policy | Records | Records Management Policy | University | University Libraries, University Archives & Records Management Services |
University Policy | Records | Policy on Public Records Requests | University | University Communications |
University Policy | Environmental Health and Safety | Biological Safety Manual | University | Environment, Health and Safety |
University Policy | Environmental Health and Safety | Laboratory Safety Manual | University | Environment, Health and Safety |
University Policy | Environmental Health and Safety | Laser Safety Manual | University | Environment, Health and Safety |
University Policy | Environmental Health and Safety | Laboratory Safety Manual | University | Environment, Health and Safety |
University Policy | HIPAA - Privacy | HIPAA Research Policy | University | Institutional Privacy Office |
University Policy & Procedure | HIPAA - Privacy | HIPAA Training Policy and Procedure | University | Institutional Privacy Office |
University Policy | HIPAA - Privacy | Privacy of Protected Health Information Policy | University | Institutional Privacy Office |
University Policy | HIPAA - Privacy | Accessing, Inspecting and Obtaining a Copy of Protected Health Information (PHI) | University | Institutional Privacy Office |
University Policy | HIPAA - Privacy | Accounting of Disclosures of Protected Health Information (PHI) Policy | University | Institutional Privacy Office |
University Policy | HIPAA - Privacy | The "Minimum Necessary" Standard for Accessing, Disclosing and Requesting Protected Health Information | University | Institutional Privacy Office |
University Procedure | HIPAA - Privacy | HIPAA Complaint Procedure for Protected Health Information (PHI) | University | Institutional Privacy Office |
University Standard | HIPAA - Privacy | Standard on HIPAA Sanctions | University | Institutional Privacy Office |
University Policy | Digital Accessibility | Digital Accessibility Policy | University | ITS, Digital Accessibility Office |
University Standard | Digital Accessibility | Accessibility of Digital Content and Materials Standard | University | ITS, Digital Accessibility Office |
University Standard | Digital Accessibility | Accessibility Standards for Procurement of Digital Content and Materials | University | ITS, Digital Accessibility Office |
University Standard | Information Security | Information Classification Standard | University | Information Technology Services |
University Standard | Information Technology | Information Technology Vendor Management Standard | University | Information Technology Services |
University Standard | Information Security | Transmission of Sensitive Information Standard | University | Information Technology Services |
University Policy | Information Security | Information Security Policy | University | Information Technology Services |
University Standard | Information Security | Information Security Controls Standard | University | Information Technology Services |
University Standard | Information Security | Information Security Incident Management Standard | University | Information Technology Services |
University Policy | Information Technology | Information Technology Acceptable Use Policy | University | Information Technology Services |
Unit Policy - School of Medicine | Information Security | School of Medicine: Policy on the Use of Computing Devices | School of Medicine | School of Medicine |
University Standard | Sponsored Research | Office of Sponsored Programs Operating Standards | University | Office of Sponsored Programs |
University Policy | Export Controls | Policy on Export Controls | University | Export Controls Office |
University Policy | Technology Commercialization | Equity Acquisition in Technology Licensing Arrangements Policy | University | Office of Technology Commercialization |
University Policy | Human Embryonic Stem Cells | University of North Carolina at Chapel Hill Policy on Use of Human Embryonic Stem Cells in Research | University | Office of the Vice Chancellor for Research |
University Policy | Postdoctoral Scholars | Postdoctoral Scholar Policy | University | Office of Postdoctoral Affairs |
University Policy | University Resources | Policy on Use of University Resources in Support of Entrepreneurial Activities | University | Office of the Vice Chancellor for Research |
University Policy | University Resources | Standard on Use of University Resources in Support of Entrepreneurial Activities | University | Office of the Vice Chancellor for Research |
University Policy | Reporting - Misuse of University Resources | Policy on Reporting Actual, Attempted, or Suspected Misuse of University Resources | University | Division of Institutional Integrity and Risk Management |
University Policy | Policy | Policy on Policy | University | Ethics and Policy Office |
University Procedure | Research Misconduct | Responding to Allegations of Research Misconduct Procedure | University | Office of the Vice Chancellor for Research |
UNC Health Policy | Equity in Research | Equity in Research | UNCHCS - CAL, CHA, JOH, NAS, PN, REX, WAY | UNC Health Office of Research Support & Compliance (ORSC) |
UNC Health Policy | Conflict of Interest | Individual Conflicts of Interest and Commitment | UNCHCS - CAL, CHA, JOH, NAS, PN, REX, WAY | UNC Health Office of Research Support & Compliance (ORSC) |
UNC Health Policy | Conflict of Interest | Institutional Conflicts of Interest | UNCHCS - CAL, CHA, JOH, NAS, PN, REX, WAY | UNC Health Office of Research Support & Compliance (ORSC) |
UNC Health Policy | Research Administration | Research Administration and Compliance | UNCHCS - CAL, CHA, JOH, NAS, PN, REX, ROC, WAY | UNC Health Office of Research Support & Compliance (ORSC) |
UNC Health Policy | Research Billing | Research Billing | UNCHCS - CAL, CHA, JOH, LEN, NAS, PAR, PN, REX, ROC, WAY | UNC Health Office of Research Support & Compliance (ORSC) |
UNC Health Policy | Research Billing | Research Billing Compliance: Investigational Products | UNCHCS - CAL, CHA, JOH, MC, NAS, PN, REX, WAY | UNC Health Office of Research Support & Compliance (ORSC) |
UNC Health Policy | Research Training | Research Training | UNCHCS - CAL, CHA, JOH, NAS, PN, REX, WAY | UNC Health Office of Research Support & Compliance (ORSC) |
UNC Health Policy | Epic | Second Sign for Research Orders in Epic | UNC Health Care System (all owned and managed entities) | UNC Health Office of Research Support & Compliance (ORSC) |
UNC Health Policy | Investigational Drug Services | Investigational Drug Services | UNC Health Care System (all owned and managed entities) | Pharmacy management |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 0101: UNC-Chapel Hill Human Research Protections Program | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 0201: Quality Assurance | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 0301: Education & Training | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 0401: Institutional Review Board | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 0501: Human Subject Research Determination | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 0601: Exempt Studies | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 0701: IRB Review Process | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 0801: Institution, Investigator, or Sponsor-Initiated Holds | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 0901: Multicenter Research and Reliance Process | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 1001: Documentation of Records | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 1101: Obtaining Informed Consent from Research Subjects | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 1201: Vulnerable Subjects in Research | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 1301: FDA-Regulated Research | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 1401: Promptly Reportable Information | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 1402: IRB Review of Promptly Reportable Information | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 1501: Investigator Responsibilities | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 1601: Sponsored Research | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 1701: Participant Outreach | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 1801: Health Insurance Portability and Accountability Act (HIPAA) | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 1901: Information Security | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 2001: Research Supported by the Department of Defense (DoD) | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 2101: Individual Conflict of Interest in Research | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 2102: IRB Member and Consultant Conflict of Interest | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 2103: Institutional Conflicts of Interest | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 2200: U.S. Department of Justice Supported Research | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 2201: Research Subject to the U.S. Environmental Protection Agency Regulations | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 2301: Research Subject to US Department of Education Regulations | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 2401: Research Subject to US Department of Energy Regulations | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 2501: Case Reports Requiring IRB Review | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 2601: Certificate of Confidentiality | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 2701: Community Partnerships in Research | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 2801: Data or Biological Sample Repositories | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 2901: Family History Research | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 3001: Genetic and Stem Cell Research | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 3101: Research in Educational Settings | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 3201: Internet Research | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 3301: Mandatory Reporting | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 3401: Multi-Site Studies Where UNC-Chapel Hill is the Lead Site or Coordinating Center | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 3501: Oral History | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 3601: Pilot Studies | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 3701: Qualitative Research | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 3801: Research Involving Coded Private Information or Biological Specimens | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 3901: Research Involving Deception or Withholding of Information | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 4001: Research Involving Potentially Addictive Substances | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 4101: Research Involving Radiation | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 4201: Research Using Existing Data and Materials | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 4301: Review Involving Data from Voice, Video, Digital or Image Recordings | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 4401: Survey Research | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 4501: The UNC-Chapel Hill Students and Employees as Research Subjects | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 4502: Self and Family Member Experimentation | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 4601: Trainee or Student Research and Course Projects Involving Human Subjects | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 4701: Transnational Research | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 4801: Pregnancy Testing Requirements | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 4901: Management of Incidental Findings in Research Imaging | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 5001: Emergency Preparedness Plan for the HRPP | University | Office of Human Research Ethics |
University Procedure | IRB and Human Research Ethics | Office of Human Research Ethics SOP 6001: Definitions | University | Office of Human Research Ethics |
Unit Procedures - School of Medicine | Clinical Research Operations | Standard Operating Procedures | School of Medicine | School of Medicine |
UNC Health Procedures | Investigational Drugs | UNC IDS SOP-13 Sponsor and study team expectations | University and UNC Health | UNC Health Investigational Drug Services |
UNC Health Procedures | Investigational Drugs | UNC IDS SOP-14 Authorized Prescribers | University and UNC Health | UNC Health Investigational Drug Services |
UNC Health Procedures | Clinical Research Operations | Standard Operating Procedures for Research | UNC Health Network Entities | UNC Health Office of Research Support & Compliance (ORSC) |
Unit Procedure - School of Medicine, NC TraCS | Clinical Research Operations | Adverse Weather Policy | University and UNC Health | Clinical and Translational Research Center (CTRC) |
Unit Procedure - School of Medicine, NC TraCS | Clinical Research Operations | Collection of Urine Samples | University and UNC Health | Clinical and Translational Research Center (CTRC) |
Unit Procedure - School of Medicine, NC TraCS | Clinical Research Operations | Documentation of Outpatient Care Activities | University and UNC Health | Clinical and Translational Research Center (CTRC) |
Unit Procedure - School of Medicine, NC TraCS | Clinical Research Operations | Levels of Care | University and UNC Health | Clinical and Translational Research Center (CTRC) |
Unit Procedure - School of Medicine, NC TraCS | Clinical Research Operations | New User Orientation & Training | University and UNC Health | Clinical and Translational Research Center (CTRC) |
Unit Procedure - School of Medicine, NC TraCS | Clinical Research Operations | Outpatient Check-in, Triage & Check-out | University and UNC Health | Clinical and Translational Research Center (CTRC) |
Unit Procedure - School of Medicine, NC TraCS | Clinical Research Operations | Pediatric Phlebotomy | University and UNC Health | Clinical and Translational Research Center (CTRC) |
Unit Procedure - School of Medicine, NC TraCS | Clinical Research Operations | Phlebotomy | University and UNC Health | Clinical and Translational Research Center (CTRC) |
Unit Procedure - School of Medicine, NC TraCS | Clinical Research Operations | Scheduling Research Participants | University and UNC Health | Clinical and Translational Research Center (CTRC) |
Unit Procedure - School of Medicine, NC TraCS | Clinical Research Operations | Specimen Processing & Use of Centrifuges | University and UNC Health | Clinical and Translational Research Center (CTRC) |
Unit Procedure - School of Medicine, NC TraCS | Clinical Research Operations | Use of Specimen Storage Facilities | University and UNC Health | Clinical and Translational Research Center (CTRC) |
Unit Procedure - School of Medicine, NC TraCS | Clinical Research Operations | Urine Dipstick Testing | University and UNC Health | Clinical and Translational Research Center (CTRC) |
Unit Procedure - School of Medicine, NC TraCS | Clinical Research Operations | Urine Pregnancy | University and UNC Health | Clinical and Translational Research Center (CTRC) |