Form:Canary Never Smoker Specimen Data v1.0


CDE IDCDE Description
* 1063Site Participant ID (Go To: 422)
* 422EDRN Site ID (Go To: 1064)
* 1064Site Specimen ID (Go To: 423)
* 423EDRN Protocol ID (Go To: 2840)
   2840ID of site receiving specimen(s): (Go To: 2851)
   2851Specimen label in addition to ID: (Go To: 2852)
   2852Specimen source: (Go To: 2842)
* 1270Specimen stored (type) (Go To: 2842)
 
Permissible Values (value):Serum (2)
 
 Plasma (3)
 
 DNA (9)
 
 RNA (10)
 
 Cell line (45)
 
 Other (95)
   2842KRAS result: (Go To: 2843)
 
Permissible Values (value):Wild type (1)
 
 Mutant (2)
   2843EGFR result: (Go To: 2844)
 
Permissible Values (value):Wild type (1)
 
 Mutant (2)
   2844Specimen source; normal or tumor (Go To: 1054)
 
Permissible Values (value):Normal (1)
 
 Tumor (2)
   1054Specimen collection date (MM/DD/YYYY): (Go To: 578)
   578Age at specimen collection (Go To: 2742)
   2742Time from collection to final storage, hours: (Go To: 945)
 
Permissible Values (value):Less than 1 hour (0)
 
 1 (1)
 
 2 (2)
   945Number of freeze-thaws: (Go To: 1097)
   1097Comments (do not include any participant identifiers) (Go To: 2749)
   2749Coordinating center data comments: (Go To: End of Form)