| CDE ID | CDE Description | | * 1063 | Site Participant ID (Go To: 422) |
| * 422 | EDRN Site ID (Go To: 2159) |
| * 2159 | Specimen line number or identifier (system-generated): (Go To: 423) |
| * 423 | EDRN Protocol ID (Go To: 1234) |
| 1234 | Chest X-ray date (MM/DD/YYYY): (Go To: 1235) |
| 1235 | Chest X-ray nodule size (cm): (Go To: 1236) |
| 1236 | Chest X-ray nodule location: (Go To: 2656) |
| 2656 | Chest X-ray nodule shape: (Go To: 1237) |
| | | Permissible Values (value): | Smooth (0) |
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| 1237 | Chest CT date: (Go To: 1238) |
| 1238 | Chest CT nodule size (cm): (Go To: 1239) |
| 1239 | Chest CT nodule location: (Go To: 2657) |
| 2657 | CT nodule shape: (Go To: 1257) |
| | | Permissible Values (value): | Smooth (0) |
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| 1257 | Histologic type (lung): (Go To: 1241) |
| | | Permissible Values (value): | Squamous cell carcinoma (1) |
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| | | | Papillary squamous cell carcinoma (2) |
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| | | | Clear cell squamous cell carcinoma (3) |
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| | | | Small cell squamous cell carcinoma (4) |
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| | | | Basaloid squamous cell carcinoma (5) |
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| | | | Combined small cell carcinoma (7) |
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| | | | Acinar adenocarcinoma (9) |
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| | | | Papillary adenocarcinoma (10) |
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| | | | Bronchioloalveolar carcinoma (11) |
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| | | | Mixed mucinous and non-mucinous or indeterminate (14) |
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| | | | Solid adenocarcinoma with mucin formation (15) |
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| | | | Adenocarcinoma with mixed subtypes (16) |
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| | | | Large cell carcinoma (17) |
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| 1241 | Histologic dimensions - height (cm): (Go To: 1242) |
| 1242 | Histologic dimensions - width (cm): (Go To: 1243) |
| 1243 | Histologic dimensions - depth (cm): (Go To: 1244) |
| 1244 | Histologic dimensions - volume (ml): (Go To: 1245) |
| 1245 | Distance/pleural margin (mm): (Go To: 1246) |
| 1246 | Distance/bronchial margin (mm): (Go To: 720) |
| 720 | Anatomical site (Go To: 1097) |
| | | Permissible Values (value): | Bladder (1) |
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| | | | Bowel peritoneum/serosa (3) |
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| | | | Peritoneum/uterine serosa (12) |
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| | | | Responses are organ-specific (999) |
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| 1097 | Comments (do not include any participant identifiers) (Go To: End of Form) |