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Contents

Purpose

Record the patient's medical record number(s).
This CRF is not used for studies that require patient data de-identification.

Field Name

Description / Instructions

Format

Visit Date(m)

Enter the patient's registration date.

DD-MMM-YYYY

Institution(m)

Select one of the CTEP Registering Institutions.

Use pick list.

Patient Medical Record Number(m)

Enter the patient's medical record number for the selected Institution. The Clinical Center's medical record numbers have the following format:
99-99-99-9
For NCINAV and other institutions, enter the medical record number following the institution's format.
These medical record numbers are used to load the patient's lab data.

12 characters

Legend: (d) derived field, (m) RDC mandatory, (c) for CTEP reporting only.

Validations

Code

Description

Resolutions

MRN01

An NCI Institution has been selected (except for NCINAV) and Patient Medical Record Number does not have 10 characters.

For NCI Institutions (except NCINAV) the Patient Medical Record Number must be entered in the following format:
99-99-99-9

MRN02

An NCI Institution has been selected (except for NCINAV) and Patient Medical Record Number checksum is invalid.

Enter the correct Patient Medical Record Number.

MRN03

Patient Medical Record Number is the same for different Institutions.

Verify and correct the Institution and/or Patient Medical Record Number.