01042
Study Authorizing Provider
2003-08-22
Definition: This field contains the healthcare provider, generally the attending physician, who is accountable that the patient is eligible for the trial and has signed an informed consent. National standard healthcare provider codes should be used when they exist. This field is required for the patient registration trigger event (C01).
Length≤250
23 components
| 1 | O | - | ID Number | |
| 2 | O | - | Family Name | |
| 3 | O | - | Given Name | |
| 4 | O | - | Second and Further Given Names or Initials Thereof | |
| 5 | O | - | Suffix (e.g., JR or III) | |
| 6 | O | - | Prefix (e.g., DR) | |
| 7 | B | Degree (e.g., MD) | ||
| 8 | C | Source Table | ||
| 9 | O | Assigning Authority | ||
| 10 | O | Name Type Code | ||
| 11 | O | - | Identifier Check Digit | |
| 12 | C | Check Digit Scheme | ||
| 13 | O | Identifier Type Code | ||
| 14 | O | - | Assigning Facility | |
| 15 | O | Name Representation Code | ||
| 16 | O | Name Context | ||
| 17 | B | - | Name Validity Range | |
| 18 | O | Name Assembly Order | ||
| 19 | O | - | Effective Date | |
| 20 | O | - | Expiration Date | |
| 21 | O | - | Professional Suffix | |
| 22 | O | - | Assigning Jurisdiction | |
| 23 | O | - | Assigning Agency or Department |