Form:Prostate Reference Set Specimen v1.3


CDE IDCDE Description
* 2751NCI Frederick BSI ID: (Go To: 1063)
* 1063Site Participant ID (Go To: 422)
* 422EDRN Site ID (Go To: 423)
   423EDRN Protocol ID (Go To: 2753)
   2753NCI Frederick Subject ID: (Go To: 1270)
   2752NCI Frederick original label (Go To: 2871)
   2871NCI Frederick current label: (Go To: 1270)
* 1270Specimen stored (type) (Go To: 569)
 
Permissible Values (value):Serum (2)
 
 EDTA plasma (31)
 
 Citrate plasma (32)
 
 EDTA cellular fraction (33)
 
 Citrate cellular fraction (34)
   569Date of specimen collection (Go To: 530)
   530Approximate total amount stored (Go To: 746)
   746Approximate total amount stored (Unit) (Go To: 2754)
 
Permissible Values (value):Microliters (uL or mcl) (1)
 
 Milliliters (mL or ml) (2)
 
 Unknown/refused (99)
   2754Specimen use: (Go To: 1599)
* 1599Was blood collected after the DRE performed on the same day as specimen collection? (Go To: 2744)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown/refused (9)
   2744Specimen clotted according to protocol? (Go To: 2745)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
   2745Specimen inverted according to protocol? (Go To: 2746)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
   2746Specimen vortexed according to protocol? (Go To: 2740)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
   2740Specimen centrifuged according to protocol? (Go To: 2741)
   2741Time from collection to final storage: (4-18 hours) (Go To: 2742)
   2742Time from collection to final storage, hours: (Go To: 2747)
 
Permissible Values (value):Less than 1 hour (0)
 
 1 (1)
 
 2 (2)
 
 3 (3)
 
 4 (4)
 
 5 (5)
 
 6 (6)
 
 7 (7)
 
 8 (8)
 
 9 (9)
 
 10 (10)
   2747Specimen processed according to protocol? (Go To: 2748)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
   2748Specimen stored according to protocol? (Go To: 1097)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
   1097Comments (do not include any participant identifiers) (Go To: 2749)
   2749Coordinating center data comments: (Go To: End of Form)