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STUDY ENTRY FORM
Enter the patient identifier and the date of entry to the study. The site should be automatically
entered from the drop down box, applicable to your log in.
The patient identifier is the study number assigned to the patient, with the Enter the study
number assigned to the patient, using a 5 digit format with the first two numbers as your
allocated site number.
The last 3 numbers will be the next available number working upwards from 001. A site specific
study number allocation form is provided to keep track of these figures. ‘Patient Identifier’ is a
required field and must be entered to save the Study Entry form.
Entry the date the patient was recruited to the study. “Date of study entry” is a required field
and must be entered to save the Study Entry form.
Figure 17: Study entry form
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