| Required/Conditional | ||||
|---|---|---|---|---|
| Accrual Data Element | Definition | Subject | Partial Subject | Accepted Values |
| Study Subject ID | Enter the unique Patient ID as per the lead organization or the study site where the subject is registered. | R | R | Any numeric or alphanumeric value |
| Study Subject Birth Date (MM/YYYY) | Enter the subject's month and year of birth in the format MM/YYYY. | R | Accrual application format: MM/YYYY REST Services format: YYYY-MM-DD Batch Upload format: YYYYMM | |
| Study Subject Gender | Select the subject’s biological sex. If biological sex information is not available, select Unknown. | R | Male Female Unspecified Undifferentiated Unknown | |
| Study Subject Race | Select one or more values for race. To select multiple races, select one race, and then press and hold the CTRL/CMD key as you select the other(s). | R | American Indian or Alaska Native | |
| Study Subject Ethnicity | Select a value for ethnicity. | R | Hispanic or Latino Not Hispanic or Latino Not Reported Unknown | |
| Study Subject Country | Select the study subject's country of residence. | R | ||
| Study Subject Zip Code | Enter the study subject’s zip code. | C | C | Required if the Study Subject Country is the US, US territories and outlying islands. Must be in a 5 digit or 9 digit (DDDDD-DDDD) format |
| Registration Date | Enter the date that the subject was registered on the study. | R | R | User Interface format: MM/DD/YYYY |
| Disease | Click Look Up, and follow the instructions in Selecting Diseases for Study Subject Records. | R | Partial Subject: Disease is not required. ICD-0-3: If disease is reported, both Site Name and Site Code are required.
Disease Code is required for all studies, even Prevention studies. ICD-0-3: Site Name and Site Code are required. | |
| Site (for ICD-O-3 Disease Codes) | Click Look Up, and follow the instructions in Selecting Sites for Study Subject Records Using ICD-O-3 Codes. Site Code information is available at: https://seer.cancer.gov/icd-o-3/ | C | Partial Subject: Disease is not required. ICD-0-3: If disease is reported, both Site Name and Site Code are required.
Disease Code is required for all studies, even Prevention studies. ICD-0-3: Site Name and Site Code are required. | |
| Participating Site | Select the appropriate site from the drop-down list. | R | R | |
| Study Subject method of payment | Select the appropriate payment method. | Private Insurance | ||
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