Form:Pancreatic Cystic Fluid Reference Set: Follow-up Abstraction v2.0


CDE IDCDE Description
* 421EDRN Participant ID (Go To: 1219)
* 1219Date of contact (MM/DD/YYYY): (Go To: 423)
* 423EDRN Protocol ID (Go To: 422)
* 422EDRN Site ID (Go To: 929)
* 929EDRN Staff ID of the person who collected the data: (Go To: 1272)
* 1272Living status: (Go To: 1218)
 
Permissible Values (value):Alive (0)
 
 Dead (3) (Go To: 1336)
 
 Unknown (99)
* 1336Date of death (MM/DD/YYYY): (Go To: 1332)
* 1332Cause of death: (Go To: 3301)
* 1218Last date known alive (MM/DD/YYYY): (Go To: 3301)
* 3301EUS performed? (Go To: 3302)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
* 3302Imaging procedure performed? (Go To: 3303)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
* 3303Surgery performed? (Go To: 3304)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
* 3304Diagnosis changed? (Go To: 1097)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
   1097Comments (do not include any participant identifiers) (Go To: End of Form)