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Oracle ® Clinical Remote Data Capture v4.6 CRA - Monitor User Guide If you experience any problems with OC RDC, contact the PPD Clinical Systems Support Toll free numbers can be found at https://support.ppdi.com Page 1 of 43 Version 1.2 PPD Proprietary Oracle is a registered trademark of Oracle Corporation. 10-June-2017 e OC RDC 4.6 C C R R A A - - M M o o n n i i t t o o r r User Guide

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Page 1: OC RDC 4.6 CCRRAA -- MMoonniittoorr User Guide · Remote Data Capture v4.6 CRA - Monitor User Guide ACCESSING OC RDC Steps for Obtaining Access PPD CRAs Only: In order to gain access

Oracle® Clinical Remote Data Capture v4.6

CRA - Monitor User Guide

If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

Page 1 of 43 Version 1.2

PPD Proprietary Oracle is a registered trademark of Oracle Corporation.

10-June-2017

e

OC RDC 4.6

CCRRAA -- MMoonniittoorr User Guide

Page 2: OC RDC 4.6 CCRRAA -- MMoonniittoorr User Guide · Remote Data Capture v4.6 CRA - Monitor User Guide ACCESSING OC RDC Steps for Obtaining Access PPD CRAs Only: In order to gain access

Oracle® Clinical Remote Data Capture v4.6

CRA - Monitor User Guide

If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

Page 2 of 43 Version 1.2

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10-June-2017

TABLE OF CONTENTS

ACCESSING OC RDC.......................................................................................... 4 Steps for Obtaining Access ............................................................................... 4 Logging On....................................................................................................... . 5 Password Changes ........................................................................................... 6 Computer System and Security......................................................................... 6

NAVIGATING OC RDC......................................................................................... 8 Study and Site ................................................................................................... 8 Selecting and Opening a Casebook Spreadsheet............................................. 9 Icons for eCRFs .............................................................................................. 11 Selecting and Opening an eCRF..................................................................... 12 Opening Multiple eCRFs ................................................................................. 12 OC RDC Tools ................................................................................................ 14

Navigation Buttons....................................................................................... 14 Toolbar Icons ............................................................................................... 14 Right-Click Functionality .............................................................................. 15

Flexible Study Designs .................................................................................... 15 Visit Handling in Flexible Study Designs...................................................... 16 eCRF Handling in Flexible Study Designs ................................................... 16 Example of Flexible Study Design ............................................................... 17

DISCREPANCY MANAGEMENT ....................................................................... 18 System Generated Discrepancies ................................................................... 18 Manual Discrepancy ........................................................................................ 18 Discrepancy Colors ......................................................................................... 19 Viewing Discrepancy Details ........................................................................... 20 Routing Discrepancies .................................................................................... 21 Closing Discrepancies ..................................................................................... 22 Viewing Discrepancy History ........................................................................... 24

CRA VERIFICATION PROCESS........................................................................ 25 Verify an eCRF................................................................................................ 25 Un-Verify an eCRF .......................................................................................... 26 Re-Verify an eCRF .......................................................................................... 27 Group Verify eCRFs ........................................................................................ 29

OC RDC FEATURES.......................................................................................... 31 Viewing Investigator Comments ...................................................................... 31 Viewing Audit History ...................................................................................... 32 CRF Search Criteria ........................................................................................ 33 Accessing Special Listings .............................................................................. 35 Patient Validation ............................................................................................ 36

PRINCIPAL INVESTIGATOR APPROVAL PROCESS....................................... 38 LOGGING OUT OF OC RDC ............................................................................. 41

Page 3: OC RDC 4.6 CCRRAA -- MMoonniittoorr User Guide · Remote Data Capture v4.6 CRA - Monitor User Guide ACCESSING OC RDC Steps for Obtaining Access PPD CRAs Only: In order to gain access

Oracle® Clinical Remote Data Capture v4.6

CRA - Monitor User Guide

If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

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10-June-2017

OC RDC TRAINING SUPPORT ......................................................................... 42 Training Options & Access Requests .............................................................. 42 Training Materials ............................................................................................ 42

Page 4: OC RDC 4.6 CCRRAA -- MMoonniittoorr User Guide · Remote Data Capture v4.6 CRA - Monitor User Guide ACCESSING OC RDC Steps for Obtaining Access PPD CRAs Only: In order to gain access

If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

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ACCESSING OC RDC

Steps for Obtaining Access

PPD CRAs Only: In order to gain access to Oracle Clinical Remote Data Capture 4.6 for this clinical trial, you must:

1. Complete SOP EDC-01 for Electronic Data Capture in LMS. 2. Add Oracle Clinical RDC v4.6 (CLN3-02275) to your LMS Learning Plan and

complete the online training for your role via the link in LMS. 3. Complete the competency test in LMS and verify training completion. 4. Notify your PM/CTM so they can request an account and study access for

you via eFusion.

You will receive your login information, via e-mail within 5 business days. If you do not receive your access information within 5 business days, please contact the EDC Support Center.

For detailed instructions refer to the OC RDC 4.6 LMS Registration Steps document on the EDC Website in the User Reference Materials link.

External CRAs: Perform 4.6 training via the https://rdc.ppdi.com/ website and complete the Training Completion Form and Account Request Form. Follow instructions in the Access Request Steps document that can be found at this url. https://rdc.ppdi.com/user_ref_site.htm

NOTES:

• PPD OC RDC 4.6 Training is only required to be performed once, regardless of the number of PPD OC RDC 4.6 studies you participate in.

• If you will be participating in User Acceptance Testing (UAT) for your study, you must complete training and submit all required forms prior to test access being granted.

• Add your study URL to your Internet Explorer Favorites folder list for rapid access to your study website.

Page 5: OC RDC 4.6 CCRRAA -- MMoonniittoorr User Guide · Remote Data Capture v4.6 CRA - Monitor User Guide ACCESSING OC RDC Steps for Obtaining Access PPD CRAs Only: In order to gain access

If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

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A. PPD CRAs only: when working in a PPD office, access your study database from the intranet.

B. External CRAs/PPD CRAs working outside of a PPD office: access your study database via the external website for your study. Use of the external website will increase system performance because you will not be crossing firewalls multiple times to access your study. PPD CRAs are recommended to work NOT connected to the PPD VPN.

Click Login button to access the Logon window

Logging On

PPD CRAs: Inform your PM/CTM once you have completed your training through LMS and they will request your access via eFusion. You will receive your login information, via e-mail within 5 business days.

External CRAs: You will receive your user name and study URL, via email. Your password will be the one that you submitted in your Account Access Request Form. If you forget your password call the EDC Support Center.

• Navigate to the correct URL for your study.

• Click the Login button on the edc.ppdi.com/46 website specific to your study

• Enter the OC RDC Username and Password. o Text is not case sensitive. o Passwords will expire ever 90 days. o Passwords can not be reused. o The user is allowed three log on attempts after which the account will lock

Page 6: OC RDC 4.6 CCRRAA -- MMoonniittoorr User Guide · Remote Data Capture v4.6 CRA - Monitor User Guide ACCESSING OC RDC Steps for Obtaining Access PPD CRAs Only: In order to gain access

If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

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- call the EDC Support Center to unlock the account. o DO NOT share your login information with anyone.

• Click the Login button.

Password Changes

There are instances in which users are required to change their password:

• Upon initial log in

• Every 90 days

• As needed if there is a potential breach in security

To change your password:

• Click the Change Password link at the top any page.

• Enter your Old Password.

• Enter your New Password.

• Re-enter the New Password for confirmation.

• Click on the Apply button.

Computer System and Security

Security is an important issue when working with a remote data capture (RDC) system. To limit unauthorized access, security features have been incorporated in the OC RDC system. Users should log off of the OC RDC if they need to step away from the computer.

If the computer is inactive (no keyboard or mouse activity) for a specified amount of time, the system automatically times out. Users will lose any unsaved work and they will need to log back into the system to continue working. The following message box displays:

Page 7: OC RDC 4.6 CCRRAA -- MMoonniittoorr User Guide · Remote Data Capture v4.6 CRA - Monitor User Guide ACCESSING OC RDC Steps for Obtaining Access PPD CRAs Only: In order to gain access

If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

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The window will have to be closed to log in again.

Page 8: OC RDC 4.6 CCRRAA -- MMoonniittoorr User Guide · Remote Data Capture v4.6 CRA - Monitor User Guide ACCESSING OC RDC Steps for Obtaining Access PPD CRAs Only: In order to gain access

If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

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NAVIGATING OC RDC

Study and Site

The RDC Home tab displays after users have logged into OC RDC HTML, and will be the starting point for all activities.

The RDC Home Tab is used to select the patient(s) and data that you wish to view on the RDC main spreadsheet. The Home tab can be accessed at any time during the OC RDC HTML session.

The RDC Home Tab will display with a default Study and Site Patient Selection List. Other studies and/or sites can be accessed from the drop-down list(s).

Summary information can be viewed by clicking on the Study and Site Summary link on the upper right-side of the Home Tab.

Patient summary information can be viewed by clicking on any given patient icon.

Page 9: OC RDC 4.6 CCRRAA -- MMoonniittoorr User Guide · Remote Data Capture v4.6 CRA - Monitor User Guide ACCESSING OC RDC Steps for Obtaining Access PPD CRAs Only: In order to gain access

If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

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Also note that the icons have color coding, which indicate the presence or absence of discrepancies (data errors):

• Red indicates a discrepancy actionable to the person or user group logged

into the system. • Yellow indicates a discrepancy actionable to someone within a different user

group (i.e. CRA, DM or PVG). • White indicates there are no discrepancies on the patient data.

• A grey question mark indicates a patient number without data.

Selecting and Opening a Casebook Spreadsheet

• Navigate to the Patient Search area.

• Use the + sign to expand the Patient Search section.

• Enter your assigned subject number in the first Range field, or use the Magnifying glass icon to select a patient number from the List of Values available.

• Click the Go button.

• Place a checkmark in the box to the left of the desired patient number.

• Click the Go button.

Page 10: OC RDC 4.6 CCRRAA -- MMoonniittoorr User Guide · Remote Data Capture v4.6 CRA - Monitor User Guide ACCESSING OC RDC Steps for Obtaining Access PPD CRAs Only: In order to gain access

If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

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NOTE: Patients can also be selected directly from the Patient list area for the study site, as illustrated bellow. Using the Next 50 drop-down list or hyperlink is another way to display a different set of patient numbers:

• Place a checkmark in the box to the left of the desired patient number.

• Click the Go button.

The Casebook Spreadsheet for the selected patient will display, once the Go button is clicked.

Page 11: OC RDC 4.6 CCRRAA -- MMoonniittoorr User Guide · Remote Data Capture v4.6 CRA - Monitor User Guide ACCESSING OC RDC Steps for Obtaining Access PPD CRAs Only: In order to gain access

If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

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The Casebook Spreadsheet is the only page where you can initiate data entry for an electronic eCRF.

The eCRF icons appear on the Casebook Spreadsheet. The eCRF is opened by clicking on its associated icon.

Icons for eCRFs

Icon Description Icon Description

Blank CRF

The eCRF has been marked as blank.

Other

Discrepancy

The eCRF has at least one open discrepancy that requires another users’ attention.

Entry

expected

No data has been entered yet.

Verified

The eCRF has been source verified by the CRA.

Created

Header information present but no response data has been entered.

Requires Re-

verification

The data on the page has been changed since CRA verification.

Entry

complete

All required eCRF header and Section header information is complete and at least one question area response field is completed.

Approved

The eCRF has been approved by the Investigator.

Batch Loaded

The data has been entered electronically via batch data load into the database by data management. (i.e. Central Lab, ECG) In some instances, batch loaded data may not be visible.

Requires

Re-Approval

Data on the page has been changed since Investigator approval.

Active

Discrepancy

The eCRF has at least one open discrepancy that requires the current users’ attention.

Locked

All eCRF data has been collected and verified. A locked eCRF may be viewed in a read-only mode and its data cannot be updated. The locking task is typically performed by a data manager.

Page 12: OC RDC 4.6 CCRRAA -- MMoonniittoorr User Guide · Remote Data Capture v4.6 CRA - Monitor User Guide ACCESSING OC RDC Steps for Obtaining Access PPD CRAs Only: In order to gain access

If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

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Selecting and Opening an eCRF

• Click the Visit drop-down list.

• Select the desired visit from the list.

• Click on the desired eCRF icon to open the page.

• Maximize the eCRF window.

NOTE: The patient drop-down list in the Set Visit Focus area of the Casebook Spreadsheet is present for all studies, but only enabled for flexible study designs (see later section).

Opening Multiple eCRFs

There may be times when you would like to enter or compare data on multiple eCRFs. OC RDC allows you to open a maximum of three eCRFs at once to do data comparison. An example could include cross-checking dates on an Adverse Events page and a Concomitant Medications page. You can compare data on eCRFs across one visit for multiple patients, as well as across multiple visits for one patient.

To open up to 3 pages simultaneously in OC RDC:

• From the Casebook tab or the Review tab, click on the first desired eCRF icon to be opened. The eCRF is displayed.

• Click on the Minimize button, to uncover the Casebook or Review Tab.

Page 13: OC RDC 4.6 CCRRAA -- MMoonniittoorr User Guide · Remote Data Capture v4.6 CRA - Monitor User Guide ACCESSING OC RDC Steps for Obtaining Access PPD CRAs Only: In order to gain access

If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

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• From the Casebook tab or the Review tab, click on the second desired eCRF

icon to be opened. • Click on the Minimize button, to uncover the Casebook or Review Tab.

• From the Casebook tab or the Review tab, click on the third desired eCRF icon to be opened.

• With all three desired eCRFs open, you can then alternate move and/or resizing the eCRF windows to view and compare the data.

NOTE: If you attempt to open a fourth eCRF page, the system will return an error/alert message window to inform that the maximum amount of data entry windows is open.

Page 14: OC RDC 4.6 CCRRAA -- MMoonniittoorr User Guide · Remote Data Capture v4.6 CRA - Monitor User Guide ACCESSING OC RDC Steps for Obtaining Access PPD CRAs Only: In order to gain access

If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

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Toolbar Icons

Name

Description

Add Discrepancy Allows users to create new discrepancies or edit existing ones.

Investigator Comment

Allows site users to add comments to data fields.

Delete Row Allows site users to delete rows of data.

Blank Flag Tool Allows site users to mark the entire eCRF or one or more individual sections blank.

Verification (History)

Allows CRAs to mark eCRFs as verified and users to view verification history.

Approval (History) Allows investigators or designee to electronically approve eCRFs and users to view approval history.

Delete CRF

Allows site users to delete eCRFs.

Print

Allows users to print eCRF.

Save (Alt+S)

Allows users to save their work.

OC RDC Tools

Once the eCRF window is open a number of icons, links, and navigation buttons are available.

Navigation Buttons

• To navigate through an eCRF that contains multiple pages, Navigation tools appear at the bottom of the eCRF.

• The navigation tool that appears at the top right corner of the eCRF is a toggle button for moving to the Previous CRF or the Next CRF.

• The TAB key moves the curser form field to field on the eCRF page.

• Clicking in a data field using the mouse moves the cursor to the selected data field

• Use the scroll bars to navigate through and view the eCRF fields.

Toolbar Icons

Toolbar icons are used as described below:

Page 15: OC RDC 4.6 CCRRAA -- MMoonniittoorr User Guide · Remote Data Capture v4.6 CRA - Monitor User Guide ACCESSING OC RDC Steps for Obtaining Access PPD CRAs Only: In order to gain access

If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

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Right-Click Functionality

Right-click functionality is available when working in an eCRF. The pop-up menu that displays provides some of the same options as the Toolbar icons. On an open eCRF:

• Right-click on a data field to display the list.

• Select the desired option from the list and proceed with the action selected.

Flexible Study Designs

THIS SECTION IS ONLY APPLICABLE TO STUDIES WHICH ARE DEFINED AS FLEXIBLE IN OC RDC

The visit(s) and assessment(s) that a patient is expected to complete sometimes vary for different patients within the same trial. For example, patients in different cohorts or treatment arms may follow different visit schedules, or Oncology patients assessed as having a rapidly progressing disease state may be dosed more frequently.

The OC RDC flexible study design feature supports efficient navigation and data entry within such complex trial designs. Selected visits and/or CRFs are enabled by rules defined in the background based on the response to a specific ‘trigger’ question.

If a visit or CRF is not enabled, it may indicate that the trigger question has not been answered, or that the response does not meet the appropriate criteria. The user is notified during the save procedure when a data change has an impact on the expected CRFs for a patient:

Page 16: OC RDC 4.6 CCRRAA -- MMoonniittoorr User Guide · Remote Data Capture v4.6 CRA - Monitor User Guide ACCESSING OC RDC Steps for Obtaining Access PPD CRAs Only: In order to gain access

If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

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Visit Handling in Flexible Study Designs

The response to a specific question may trigger a visit, or a group of related visits (known as an interval) to be enabled. In studies where intervals have been defined, the interval name may be displayed as a prefix to the visit name (this is an OC RDC option):

The visits that a patient is expected to perform can be identified using the Set Visit Focus filters in the Casebook Spreadsheet. When a specific patient is selected from the Patient: drop-down list, only the casebook(s) and/or visit(s) currently expected for that patient can be selected from the subsequent drop- down lists:

NOTE: The patient drop-down list in the Set Visit Focus area is present for all studies, but only enabled for flexible study designs.

eCRF Handling in Flexible Study Designs

The response to a specific question may trigger an eCRF to be enabled at one visit, or at all visits in which that eCRF appears.

Within an expected visit, a dash (-) indicates that an eCRF is not currently expected for the patient in question:

If an eCRF is completed and then subsequently the data changes such that the eCRF is no longer expected, the data on that eCRF will remain. A small N will be displayed to the bottom right of the eCRF icon as an indication that the entered data is no longer expected:

Page 17: OC RDC 4.6 CCRRAA -- MMoonniittoorr User Guide · Remote Data Capture v4.6 CRA - Monitor User Guide ACCESSING OC RDC Steps for Obtaining Access PPD CRAs Only: In order to gain access

If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

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Example of Flexible Study Design

In the trial illustrated below, a number of the patients will participate in a sub- study. These patients will have a PK sample drawn at each clinic visit, as well as at 4 additional interim visits. The Sub-Study eCRF at Visit 1 indicates whether the patient will be participating in the sub-study – observe the differences in the visit drop-down list and the PK eCRF shown in the screenshots below:

Non-Substudy Patient

Substudy Patient

NOTE: This functionality only applies to the user interface – the Patient Data and Blank Casebook reports will display CRFs and/or Visits regardless of whether they are enabled (exception: if the CRF is hidden to the user who executes the report then it will not be included).

Page 18: OC RDC 4.6 CCRRAA -- MMoonniittoorr User Guide · Remote Data Capture v4.6 CRA - Monitor User Guide ACCESSING OC RDC Steps for Obtaining Access PPD CRAs Only: In order to gain access

If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

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DISCREPANCY MANAGEMENT A discrepancy within OC RDC is defined as “Data that falls outside of an expected range of values or is otherwise 'flagged' during the edit check process”. OC RDC automatically raises a discrepancy to alert users to a possible problem with a response value, or a group of response values. The sponsor builds edit checks into the study database that are executed at various points in the data entry process. A discrepancy can be created automatically by the system or manually by a user with appropriate privileges. Also, discrepancies may be created on a single data field or on a section within an eCRF.

System Generated Discrepancies

A system generated discrepancy alerts the user that there may be a problem with data that has been captured or is missing from a data field. OC RDC executes some edit checks upon data entry for you to address immediately or route to your CRA. These are known as univariate or simple discrepancies. Other edit checks are executed when a eCRF is saved or after validation of the data occurs. These are know as multivariate or complex discrepancies.

Examples why system generated discrepancies may appear: • If data captured in a data field is not in the correct format or is not part of the

acceptable list of values (LOV) for that data field. Examples include incorrect date format, missing data, lab values out of range, etc. These discrepancies will appear as soon as the user tabs off of the field containing incorrect data

• Where data comparisons are made against multiple data fields, such as selecting ‘Other’, but not providing a ‘Specify’. Discrepancies will appear as soon as the page has been saved.

• If there is inconsistent or inaccurate data across multiple data pages, such as cross checking information on the adverse event page against the medication page. Discrepancies will not appear until after a validation process is run either during the nightly automatic validation or manual validation by the user.

Manual Discrepancy

A manual discrepancy is created by someone who has the appropriate privilege to do so. Typically, monitors (CRAs), Data Managers, and PVG raise manual discrepancies (or queries) and route them to site users, to respond, based Source Document Verification (SDV) or remote review of the data. Discrepancies can be created on a single data field or on an entire section within the eCRF. CRAs, Data Management and PVG are also able to close manual discrepancies in the system after the site has appropriately addressed the discrepancy.

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If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

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Depending on access privileges, you initiate section discrepancies in association with CRF sections. You can use a section discrepancy to communicate CRF section related issues among site personnel, data managers and monitors. Unlike a field discrepancy, you can associate multiple section discrepancies with a CRF section.

Discrepancy Colors

There is a color scheme associated with the eCRF icons on the OC RDC Casebook Spreadsheet and with the data fields on an open eCRF when a discrepancy is present. The color scheme indicates the status of the discrepancy and who the discrepancy is actionable to.

If a discrepancy has been created on a section within an eCRF, the discrepancy color displays as a colored bar to the left of the data fields associated with the discrepancy.

• A red icon on the OC RDC Casebook Spreadsheet and a red field or bar on

the eCRF indicates the discrepancy requires action by the person logged in or someone else who shares the same role.

• A yellow icon on the OC RDC Casebook Spreadsheet and a yellow eCRF field or bar indicates that the discrepancy is actionable to someone outside of your role.

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If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

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• A white icon on the OC RDC Casebook Spreadsheet and green field or bar indicates the discrepancy is closed.

Actionable discrepancy

Closed discrepancy

Section discrepancy routed to CRA

Viewing Discrepancy Details

The CRF Navigator is a window pane on the right side of an eCRF that contains two tabs, one of which is the Discrepancy Tab. The discrepancy tab lists any discrepancies on the open page allowing the site user the option of resolving or routing the discrepancy.

Page 21: OC RDC 4.6 CCRRAA -- MMoonniittoorr User Guide · Remote Data Capture v4.6 CRA - Monitor User Guide ACCESSING OC RDC Steps for Obtaining Access PPD CRAs Only: In order to gain access

If you experience any problems with OC RDC, contact the PPD Clinical Systems Support

Toll free numbers can be found at https://support.ppdi.com

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NOTE: You may also find that you are prevented from viewing and/or updating selected discrepancies which are intended for other roles.

Routing Discrepancies

When managing discrepancies, the discrepancy may need to be routed to the Investigator for verification and/or clarification.

• From the OC RDC Casebook Spreadsheet, click a red eCRF icon. The eCRF displays.

• Click the Open CRF Navigator button to the right of the eCRF to open the CRF Navigator Pane.

• CLICK on the desired Discrepancy in the List to display the Details below.

• Select Send to Investigator from the Action drop down list.

• Click the Go button.

• The Discrepancy Action – Send to Investigator dialog window displays.

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• Enter a Comment explaining why the discrepancy is being routed.

• Click the OK button. (Field(s) will highlight in Yellow)

• Click the Save icon.

• Click the red X to close the window or navigate to the Previous CRF or Next CRF in this visit using the buttons in the upper right of the window.

Closing Discrepancies

It is appropriate to close discrepancies that have been manually created and resolved by the site user(s).

• From the OC RDC Casebook Spreadsheet, click a red eCRF icon. The eCRF displays.

• Click the Open CRF Navigator button to the right of the eCRF to open the CRF Navigator Pane.

• Click on the desired Discrepancy in the List to display the Details below.

• Select Close-resolved from the Action drop down list.

• Click the Go button.

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• The Discrepancy Action – Close-resolved dialog window displays.

• Enter a Comment if needed

• Select an appropriate resolution reason

• Click the OK button. (Field(s) will highlight in Green)

• Click the Save icon.

• Click the red X to close the window or navigate to the Previous CRF or Next CRF in this visit using the buttons in the upper right of the window.

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Viewing Discrepancy History

Once a discrepancy is saved to an eCRF, users are able to view the history of the discrepancy in the CRF Navigator.

To view the discrepancy history:

• From the OC RDC Casebook Spreadsheet, click the eCRF icon containing a discrepancy of any status. The eCRF displays.

• Click the CRF Navigator button to the right of the eCRF to expand the CRF Navigator Pane.

• CLICK on the desired Discrepancy in the List, to display the details below.

• Click the History button to display the Discrepancy History window.

• When finished viewing the history, click the Close button

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CRA VERIFICATION PROCESS Once the site has finished data capture, saved the eCRFs, and resolved any system generated discrepancies, the eCRFs can be reviewed and source document verified according to the monitoring plan.

Verify an eCRF

• From the OC RDC Casebook Spreadsheet, click the eCRF icon ready for and needing CRA verification. The eCRF displays.

• Verify the responses entered in each data field; be sure to review all fields.

• Click the Verify button. The Verify CRF dialogue window displays.

• Enter a Verification Comment if needed; e.g., SDV to indicate the eCRF has been source verified.

• If desired, place a checkmark in the Remember comment for subsequent CRF Verification operations. Checking this box will allow the verification comment to be included with all other eCRFs verified during the current session – if a checkmark is placed in the box, the comment will be attached to any eCRFs that have been verified.

• Click the Verify button.

• Click the red X to close the window or navigate to the Previous CRF or Next CRF in this visit using the buttons in the upper right of the window.

• The Casebook Spreadsheet will automatically refresh to display the Verified eCRF icon.

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Un-Verify an eCRF

If an eCRF was verified in error, CRAs have the ability to un-verify an eCRF:

• From the OC RDC Casebook Spreadsheet, click the eCRF icon requiring un- verification. The eCRF displays.

• Click the Verify button . The Verify CRF dialogue window displays.

• Enter a Verification Comment if needed.

• If desired, place a checkmark in the Remember comment for subsequent CRF Verification operations. Checking this box will allow the verification comment to be included with all other eCRFs un-verified during the current session – if a checkmark is placed in the box, the comment will be attached to any eCRFs that have been un-verified.

• Click the Undo Verification button.

• Click the red X to close the window or navigate to the Previous CRF or Next CRF in this visit using the buttons in the upper right of the window.

• The Casebook Spreadsheet will automatically refresh to display an unverified eCRF icon.

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Re-Verify an eCRF

If there is a change on an eCRF due to investigator comments or discrepancies being added/modified (changed, added, deleted), or due to a database modification; after an eCRF has been verified, then a re-verification icon displays on the Casebook Spreadsheet, and the eCRF will need to be re-verifed.

• From the OC RDC Casebook Spreadsheet, click the eCRF icon requiring un- verification. The eCRF displays.

• Select the Changed since last verified Highlight, from the Highlight drop-down list.

• Fields that have been modified will be highlighted in blue.

• Click the Verify button. The Verify CRF dialogue window displays.

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• Enter a Verification Comment if needed.

• If desired, place a checkmark in the Remember comment for subsequent CRF Verification operations. Checking this box will allow the verification comment to be included with all other eCRFs verified during the current session – if a checkmark is placed in the box, the comment will be attached to any eCRFs that have been verified.

• Click the Undo Verification button.

• Click the red X to close the window or navigate to the Previous CRF or Next CRF in this visit using the buttons in the upper right of the window.

• The Casebook Spreadsheet will automatically refresh to display an unverified eCRF icon.

NOTE: Users can select the Audit History Highlight to view the history of a data field that was modified. Changes to investigator comments or discrepancies without data changes will not display in the Audit History tool. To view the history of changes to investigator comments or discrepancies, utilize the CRF Navigator in the right window pane. Reference the OC RDC Features section for details regarding Audit History.

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Group Verify eCRFs

Since the monitoring plan specifies which data needs to be source document verified, it is useful to have a “verified” status which represents the amount of patient information that was processed or group verified at a particular monitoring visit, rather than represent only the individual eCRFs that were verified against the source.

Group verifying eCRFs per monitoring visit allows CRAs to track the work that they did at a particular site visit. In order to group verify, use the Search window to filter the data that displays on the OC RDC Casebook Spreadsheet.

• Place a check mark in the box to the left of the desired patient icon in the

Casebook Spreadsheet.

• Select Verify from the Select Patients and… drop-down list, and click the Go button.

• Enter a Comment if needed, and keep the default check mark for Skip CRFs with discrepancies.

• Click the Continue button.

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• Click the Yes button in the Verify CRFs Warning window.

• Click the Close button in the Verify CRFs Confirmation window

• The Casebook Spreadsheet displays with the appropriate eCRF Verified icons.

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OC RDC FEATURES

Viewing Investigator Comments

When the CRF Navigator - Investigator Comment tab is selected, all data fields which contain an Investigator comment are listed.

To view a comment:

• On an open eCRF, select the Investigator Comment Highlight, from the drop- down list in the top left corner of the eCRF.

• Any field containing a comment appears in magenta (purple-pink).

• Select the investigator comment item from the List or the eCRF.

• Details of the Investigator comment will display in the CRF Navigator pane.

• Additional information can be reviewed by clicking the History button.

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Viewing Audit History

OC RDC automatically keeps a history of any data changes that have occurred for each field after the eCRF has been saved the first time.

The system prompts users to supply a change reason when data is modified on an eCRF that has been saved. The history contains information on who changed the data, the previous value, the date and time the modification occurred and a reason for the change. Any field that has an audit history displays in blue when the Audit History highlight is selected.

To view the history of a data field:

• On an open eCRF, select the Audit History Highlight, from the drop-down list in the top left corner of the eCRF.

• Any field containing a history displays in blue.

• Click the Audit History button at the bottom of the eCRF to expand the Audit History pane.

• In the Audit History pane, information regarding fields with audit history will display.

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• A separate Audit History Details window can be viewed, by clicking on the

Details button.

CRF Search Criteria

Once data capture has begun for the study, users are able to use search criteria to sub-set or filter data for display. The Search feature in helps you locate specific information from different eCRF pages.

On the Casebook and Review tabs, CRF search criteria fall into two sub- categories:

1. CRF Status Criteria Under this category, you select search parameters based on the status of the eCRF. The various eCRF status parameters are: • Entry: Select the entry status of the eCRF to locate. Your options are- All,

Blank, Entry Complete, and Batch Loaded. • Discrepancy: Select the discrepancy status of the eCRF to locate. Your

options are - All, Active, Other, Open (Active & Other), Clean (None or Closed). The Clean option is replaced by Closed on the Review tab.

• Approval: Select the approval status of the eCRF to locate. Your options are- All, Not Approved, Approved, Awaiting re-approval, and Approval Undone.

• Verification: Select the verification status of the eCRF to locate. Your options are- All, Not Verified, Verified, Awaiting re-verification, and Verification Undone.

2. CRF Source Criteria You can select search parameters based on the source of the eCRF. There are three sources from which to locate a eCRF. • Casebook: Select the casebook used at the time of initial data entry into the

eCRF. Your options are All or individual casebooks in the study, sorted alphabetically in the drop-down selection list. This parameter is useful if patients, whose data was entered using an earlier version of the casebook, are reassigned to a new version of the casebook.

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• Visit: Select the number of the visit during which the eCRF data was collected. If a casebook is specified, OC RDC displays only the visits defined for the selected casebook in the drop-down selection list. If the casebook selection is All, OC RDC displays all visits defined for the study.

• CRF Name: Select the name of the eCRF to review from the drop-down list. This parameter is useful in reviewing all eCRFs of a certain type, for example, all Adverse Events forms, or all Concomitant Medications forms.

The Search features allow users to specify the data display in greater detail. This is a useful tool which has the potential of assisting users with their work flow for data capture and discrepancy management.

• Click the Go button to perform the search and retrieve the desired patient data.

• The Casebook or Review tab will update with the desired CRF Search Criteria.

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Accessing Special Listings

Special Listings display data which is split across multiple eCRFs, such as Adverse Events, Concomitant Medications or Medical History, in a user-friendly tabular format that can be easily sorted to locate a specific entry. The associated eCRF can be accessed directly from the listing.

Special Listings can be accessed directly from the Review tab, or by drilling down from the Home tab or Casebooks tab.

From the Review tab:

• Click the Special Listings sub-tab

• In the Search area, type the assigned patient number or use the Magnifying glass to select a patient from the available list

• Select the desired listing from the Listing Type drop-down list:

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NOTE: In the study environment, the word LISTING will be replaced by the name of the coding dictionary utilized. The available listing options may include MedDRA / AE; WhoDRUG / CM; MedDRA / MH and so on.

• Click the Go button to display the listing.

• Click on the headers for the Date, CRF Name, Row or Verbatim Term columns to sort the information in the table. One click sorts in ascending order, a second click reverses to descending order. A small blue arrow next to a column header signifies the current sort filter.

• Click the eCRF icon in the final column to access the eCRF.

From the Home or Casebooks tab:

• Place a checkmark in the box to the left of the desired patient number NOTE: A special listing can only be displayed for one patient at a time.

• Open the Select Patients and... drop-down list

• Select Review desired listing

• Click the Go button to drill down to the Review Special Reports page and display the listing.

Patient Validation

Each database has an automatic validation process to run edit checks on a nightly basis. These edit checks are part of the protocol specific database design and ensure that fields within an eCRF and across multiple eCRFs contain data that corresponds appropriately. If data fields contain data outside of the edit check parameters, a discrepancy will be generated by the system.

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While these nightly edit checks are helpful, there may be instances when a site user would like to confirm that all data fields are correct as entered without waiting for the nightly validation.

The site user is capable of running a manual patient validation.

Patient Validation is a validation on all saved eCRFs in a site. This may include eCRFs that are not part of the current workset. Validating a site allows you to view and manage your discrepancies in real time. If a discrepancy was created by a validation procedure, you must re-validate the data to close/clear the discrepancy.

To validate the eCRFs associated with a site:

• In the Casebook tab, click the check box next to the appropriate patient icon.

• Select Validate from the “Select Patients and…” drop down list.

• Click the Go button.

• Click Continue when the Validate Patients window appears.

• Read the Confirmation dialog window to confirm successful validation.

• Click the Close button.

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PRINCIPAL INVESTIGATOR APPROVAL PROCESS After all discrepancies have been closed, and all eCRFs have been verified by the CRA, the investigator approval process can proceed. The study team will determine when a casebook is complete and ready for approval. The Principal Investigator and/or their designee are the only site staff who will have this access.

The following steps outline the process for approving eCRFs.

• Click the check box next to the patient icon on the Home tab.

• Leave the default selection of Open Patient Casebooks in the “Select Patients and…” drop down list and Click the Go button.

• Click the check box next to the patient icon on the Casebooks tab.

• Select Approve from the “Select Patients and…” drop down list.

• Click the Go button.

• The Approve CRFs dialog window displays, where you are required to

ENTER your username and password and a comment if applicable. • LEAVE default check marks selected. (in most instances)

• CLICK the Continue button.

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• Click Yes when the Approve CRFs warning dialog window appears.

• Click the Close button on the Confirmation window.

• Approved CRFs will display on the Casebook Spreadsheet with the Approved CRF icon.

Re-Approve or Undo Approval at the eCRF Page Level: If a data change occurs on a page due to data being added/modified, or a

database modification, after Investigator Approval, the re-approval icon will appear, and the eCRF will need to be re-approved.

If an eCRF was approved in error, the Principal Investigator can un-approve the eCRF.

The Investigator would conduct the following steps re-approve or undo approval of a single eCRF.

• Open the eCRF in need of re-approval or un-approval.

• Click the Approve icon.

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• CLICK the Re-Approve or Undo Approval button in the Approve CRF window, add a comment if needed.

• Enter username and password in the CRF Approval Signoff dialog window.

• Click the OK button.

• Click the Close button when the CRF Approval Signoff window appears.

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LOGGING OUT OF OC RDC It is important that any work in an eCRF is saved before attempting to log out. Failure to save work results in the data or changes being lost. Properly logging out ensures that your account session is completely terminated.

To Log out:

• Click the Logout link at the top of the screen.

• Close all open windows.

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OC RDC TRAINING SUPPORT

Training Options & Access Requests

OC RDC application training is available for all OC RDC users. Application training covers functionality of OC RDC. • OC RDC is an eCRF and not a direct data entry system; source

documentation is required. • All equipment provided to the site should ONLY be used for OC RDC or other

PPD approved applications. • The PPD EDC Support Center is available 24 hours a day, 5 days a week,

with weekend and holiday pager support. Multilingual translators are available.

• The PPD EDC Support Center is for technical questions only. Please contact the CRA for study protocol or eCRF related questions.

• At the end of the study, a CD of all subject data will be provided to the sites - Investigator confirmation and sign-off is required after receipt of the entire site’s study data on the CD. Until the CD is received, sites must continue to have access to PPD and their OC RDC data.

• All training sessions must be documented before access to a study protocol in the OC RDC application is granted.

Training Materials

The following OC RDC training materials are available for all site users:

• On-line training

• Quick Reference Guide

• Investigator Site User Guide

• Functionality Guides