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I th<strong>in</strong>k what we concluded was that it would<br />

elicit to obta<strong>in</strong> such an open ended general consent to<br />

research <strong>in</strong> conjunction with the specific consent to the<br />

specific research provided that that open ended referred to<br />

future studies conducted <strong>in</strong> an anonymized manner.<br />

Okay. So that is how that box comes about so<br />

even though it says general what we mean is the specific<br />

study consent plus an open ended general consent with the<br />

opportunity there to say but not research of this nature or<br />

not research of that, that it cannot be given to a<br />

commercial firm, it cannot be used for whatever because you<br />

are <strong>in</strong> a research context.<br />

So the question about collaps<strong>in</strong>g them is now<br />

when you look at that which is collected <strong>in</strong> the cl<strong>in</strong>ical<br />

context clearly there is no research protocol you are<br />

describ<strong>in</strong>g. All right. The pr<strong>in</strong>ciple of if there can be<br />

general consent to open ended studies is on the table. All<br />

right. We th<strong>in</strong>k it can be. All right. We th<strong>in</strong>k provided<br />

aga<strong>in</strong> that it is conducted <strong>in</strong> an anonymized fashion.<br />

The question then becomes to some extent a<br />

pragmatic question about what level of detailed and consent<br />

one can engage <strong>in</strong> and should engage <strong>in</strong>, <strong>in</strong> the cl<strong>in</strong>ical<br />

context where we have heard much discussion about be<strong>in</strong>g<br />

sensitive to the patient. All right. That is the last

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