HTA Core Model® Online

1. Registrant type Required

"Registrant" means the user of the HTA Core Model®

Not-for-profit organisation or company
For-profit organisation or company
Private individual
Other, please specify

2. Registrant name Required

3a. Registrant mail address Required

Please include city, postal code etc.

3b. Registrant country Required

3c. Registrant telephone

Enter phone number with country code, for example +44 1234567

3d. Registrant e-mail address Required

4. Contact person Required

Same as registrant
Different, please specify

4a. Contact person name

4b. Contact person mail address

Please include city, postal code etc.

4c. Contact person country

4d. Contact person telephone

Enter phone number with country code, for example +44 1234567

4e. Contact person e-mail address

5. Model application(s)

Which application(s) of the HTA Core Model® will be used in the work this registration applies to?

HTA Core Model application for medical and surgical interventions
HTA Core Model application for diagnostic technologies
HTA Core Model application for pharmaceuticals
HTA Core Model application for screening technologies
HTA Core Model application for relative effectiveness assessment (REA)

6. Purpose of use Required

Please indicate the purposes known to the registrant at this point. A new registration is required if the purpose(s) change over time.

For producing and/or publishing information that you consider "HTA information" (e.g. HTA report, rapid HTA report, or a scientific article)
For producing and/or publishing information that you consider other type of scientific information on health technologies, but not as "HTA information" (e.g. a study on efficacy or effectiveness of a technology)
For producing and/or publishing other type of information (e.g. a scientific article or report on research methodology)
As part of an information system or other system designed for producing and/or publishing HTA information

Please provide a brief overview of the system you develop/manage (including a URL of more information if available)

7. Licence agreement Required

The registrant hereby agrees to follow and implement the following principles outlined in the Terms of Use of the HTA Core Model®

I/we will use and adhere to the HTA Core Model Licence

8. Confidentiality Required

We would like to let people know where and for what purposes the HTA Core Model is used. Hence we ask here your permission to make public the following data you have provided in this registration: Type, Name and Country of registrant (questions 1, 2, 3b), Name and E-mail address of Contact person (questions 4a and 3d/4e), model application(s) used, purpose and nature of use (questions 5 and 6). The data can be made public on relevant EUnetHTA documentation and information services, such as the EUnetHTA main web site (www.eunethta.eu). This allows other users and potential users of the Model to exchange experiences. If you prefer not to make your data public, we will keep it confidential within the HTA Core Model host organisation, the Northern Ostrobothnia Hospital district, Finland. You must agree, however, to our policy of sharing all the information you provide with members of the EUnetHTA Executive Committee and the EUnetHTA Secretariat (see www.eunethta.eu for more information on EUnetHTA structure).

I agree to making public the parts of this registration listed above
I prefer keeping all of this registration confidential within Northern Ostrobothnia Hospital district and EUnetHTA Executive Committee and the EUnetHTA Secretariat

9. Other information

Any other information you would like us to know

Verification Required

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HTA Core Model^® Online

Registration of Use