The Patient Profile page contains both standard and study-specific information about a patient. The fields in the following table are examples of standard information usually included in the patient profile if the Call Center is enabled. The Patient Profile page for your study might contain all or none of these fields as well as additional study-specific fields.
If the study is designed to blind Personal/Protected Health Information to specific users, and your user account is not permitted to view Personal/Protected Health Information, you cannot view the Patient Profile page.
The following tasks use this page:
Fields in the Patient Profile page
Field | Description | Note |
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Call Center fields |
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Preferred Method of Contact | Survey completion mode: Web, Phone, or Paper. | Required.
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First Name | First name of the patient. | Required. |
Middle Name | Middle name of the patient. |
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Last Name | Last name of the patient. | Required. |
Language | Language of the patient. After you make a change and submit, all forms that have been translated to the selected language appear in the selected language. | Required.
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Email address for notifications. This is also the user name for the patient. | Required if the Preferred Method of Contact is Web. Maximum length: 40 characters. The ending must be standard for an email address, such as .com, .org, or .edu. | |
Phone | Phone number to contact the patient. | Required if the Preferred Method of Contact is Web or Phone. |
Confirm Phone | Confirmation of phone number to contact the patient. | Required if the Preferred Method of Contact is Web or Phone. |
Time Zone | Time zone in which the patient resides. After you make a change and submit, time values use the selected time zone. | Required if the Preferred Method of Contact is Web or Phone.
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Preferred Time of Contact | Set a contact range by moving the sliding controls to the start and end times of the preferred range. | Required if the Preferred Method of Contact is Web or Phone.
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Address1 | Mailing address of the patient. |
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Address2 | Mailing address of the patient. |
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City | City where the patient is located. |
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Zip Code | ZIP code where the patient is located. |
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State | State where the patient is located. |
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Country | Country of residence. |
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Patient Profile Core Data fields These fields appear if ShowPatientProfileCoreData is set to Y. For more information, see Configure Study Settings page. | ||
Site ID | Unique identifier of the site to which the patient is assigned. |
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Patient ID | Unique identifier assigned to the patient. |
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Last 4 of the SSN | The last four digits of the patient Social Security Number. |
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Legally Authorized Representative (optional) | Name of an individual legally responsible for the patient. |
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Legally Authorized Representative telephone number (optional) | Telephone number of the representative. |
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Email Address | Email address for notifications. This is also the user name. |
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User Name | Email address of the patient. | Read-only. |
Memorable Date | Month and year of significance to the patient. Used to authenticate patient identity by Help Desk personnel. |
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Site Name Site Number Organization | The name of the site, its number, and the name of the organization of which the site is a part. | Read-only. |
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