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  1. Select the trial you want to work with by following instructions in Searching for and Selecting Your Trials, and clicking the corresponding NCI Trial Identifier link. The Search Study Subject page appears.
    Search Study Subject page
  2. Click Add New Study Subject.
    The Add Study Subject page appears.
    Add Study Subject page
     
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    5864
    5864


  3. Enter the appropriate demographic information in the text fields and drop-down lists. The following table describes the fields. An asterisk (*) indicates a required field. For a list of valid values and formats for each field, refer to Accrual Data Elements for Complete Trials.

    Descriptions and instructions for study subject demographic data fields

    Study Subject Information

    Instruction/Description

    Study Subject ID*

    Enter the unique Patient ID as per the lead organization or the study site where the subject is registered.

    Study Subject Birth Date*

    Enter the subject's month and year of birth in the format MM/YYYY .

    Study Subject Gender*

    Select the subject’s gender. If gender information is not available, select Unknown.

    Study Subject Race*

    Select one or more values for race.

    Tip

    To select multiple races, select one race, and then press and hold the CTRL/CMD key as you select the other(s).

    Study Subject Ethnicity*

    Select a value for ethnicity.

    Study Subject Country*

    For non-U.S. residents only. This should be used when patient participation from foreign countries is involved. For patients from outside the U.S., enter the foreign country code. Leave blank if the patient is a U.S. resident. CTRP is using the International Standards Organization country codes.  Note: Either Zip code (if U.S resident) or country code (if not U.S resident) is mandatory.

    Study Subject Zip Code

    Enter the study subject’s zip code.  This field is mandatory if the Study Subject Country is the U.S.

    Registration Date*

    Enter the date that the subject was registered for the trial.

    Study Subject Method of Payment

    For United States study subjects only, select the appropriate payment method.

    Site*

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    6136

    Click Look Up, and follow the instructions in Selecting Sites for Study Subject Records Using ICD-O-3 Codes.

    Mandatory for ICD-O-3 trials unless you record a 1CD-O-3 Disease Code. It's required to record both Site and Disease codes.
    Site codes are available at http://training.seer.cancer.gov/head-neck/abstract-code-stage/codes.html.

    Disease*

    Click Look Up, and follow the instructions in Selecting Diseases for Study Subject Records.

    Mandatory for ICD-9 and SDC trials; and for ICD-O-3 trials unless you record a CD1CD-O-3 Site Code.

    Use Histology codes when C codes are not available (for example, for Multiple Myeloma, NHL, Leukemia). for ICD-O-3 as well as Legacy SDC and ICD-10.  It must be Morphology (both histology and behavior) for ICD-O-3

    Participating Site*

    Select the appropriate site from the drop-down list.

  4. Click Save.
    The study subject record appears in the List of Study Subjects.

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