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Study Participant

Category: Entity
Review status: Proposed

A StudyParticipant represents one person’s purpose-limited participation in one Study. It is not a universal patient identity and does not expose the person’s identity to every domain.

Object Meaning
Candidate Recruitment-stage identity before site handoff
ScreeningEpisode One attempt to determine eligibility
ConsentDecision Permission granted, declined, or withdrawn for declared purposes
EligibilityDecision Authorized conclusion against a Protocol Version
Enrollment Formal entry into the Study
ProtocolAssignment Exact Protocol Version governing conduct
TreatmentAssignment Randomized or assigned treatment strategy
ParticipantSchedule Expected activities derived for this participant
ParticipantOutcome Completion, withdrawal, death, or other terminal outcome
Field Type Meaning
identity StudyParticipantIdentity Stable, study-scoped identity
study StudyReference Study in which the person participates
currentSite StudySiteReference Site currently responsible for conduct
identifiers ParticipantIdentifier[] Purpose-specific identifiers and history
screeningEpisodes ScreeningEpisode[] Screening and rescreening history
consents ConsentDecision[] Effective consent history by purpose
enrollment Enrollment? Enrollment decision and date
protocolAssignment ProtocolAssignment? Governing Protocol Version
status ParticipantStatus Current participation state
outcome ParticipantOutcome? Study/intervention outcome
participant.startScreening(consent: EffectiveConsent): ScreeningStarted;
participant.recordScreenFailure(decision: IneligibleDecision): ScreeningFailed;
participant.startRescreening(authorization: RescreenAuthorization): RescreeningStarted;
participant.enroll(input: EnrollmentAssessment): ParticipantEnrolled;
participant.assignProtocol(version: ApplicableProtocolVersion): ProtocolAssigned;
participant.transferTo(site: OpenStudySite, approval: TransferDecision): ParticipantTransferred;
participant.discontinueIntervention(reason: DiscontinuationReason): InterventionDiscontinued;
participant.withdraw(decision: WithdrawalDecision): ParticipantWithdrawn;
participant.complete(outcome: CompletionAssessment): ParticipantCompletedStudy;
  • Screening requires applicable consent for screening activities.
  • Enrollment requires effective consent and a positive eligibility decision.
  • Eligibility is determined against one exact Protocol Version.
  • Study withdrawal and intervention discontinuation are different outcomes.
  • Participant identity remains stable through identifier correction and site transfer.
  • Prior lawful observations and evidence survive withdrawal.
  • Cross-domain identifiers are linked only for an authorized purpose.

ScreeningStarted, ParticipantFoundIneligible, RescreeningStarted, ParticipantEnrolled, ProtocolAssigned, ParticipantTransferred, InterventionDiscontinued, ParticipantWithdrawn, ParticipantCompletedStudy.

  • When is rescreening a new episode versus a new participant identity?
  • Can a participant have concurrent enrollments under a master protocol?
  • Which post-withdrawal data-cleaning and safety activities remain permitted?
  • How should participant transfer affect scheduled activities and investigator attestations?