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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).
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American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
Not Reported
Unknown
White
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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
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User Interface format: MM/DD/YYYY
REST format: YYYY-MM-DD
Batch Upload format: YYYYMMDD
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Click Look Up, and follow the instructions in Selecting Diseases for Study Subject Records.
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Partial Subject:
Disease is not required.
ICD-0-3: If disease is reported, both Site Name and Site Code are required.
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Disease Code is required for all studies, even Prevention studies.
ICD-0-3: Site Name and Site Code are required.
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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:
http://www.iacr.com.fr/index.php?option=com_content&view=category&layout=blog&id=100&Itemid=577
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Partial Subject:
Disease is not required.
ICD-0-3: If disease is reported, both Site Name and Site Code are required.
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Disease Code is required for all studies, even Prevention studies.
ICD-0-3: Site Name and Site Code are required.
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