Form:	Bladder Reference Set Specimen Use v1.02

CDE ID	CDE Description
* 2871	NCI Frederick current label: (Go To: 421)
* 421	EDRN Participant ID (Go To: 423)
* 423	EDRN Protocol ID (Go To: 422)
* 422	EDRN Site ID (Go To: 2603)
* 2603	Study group: (Go To: 1270)
	Permissible Values (value): Healthy (1)
	Bladder Ca (3)
	BPH (4)
	Foreign Bodies (5)
	Hematuria (6)
	Infection (7)
	Ineligible (90)
* 1270	Specimen stored (type) (Go To: 2755)
	Permissible Values (value): Serum (2)
	Whole urine (18)
	DNA from blood (40)
	Urine DNA (79)
2755	NCI Frederick Parent ID: (Go To: 2752)
* 2752	NCI Frederick original label (Go To: 530)
2751	NCI Frederick BSI ID: (Go To: 530)
* 530	Approximate total amount stored (Go To: 746)
* 746	Approximate total amount stored (Unit) (Go To: 533)
	Permissible Values (value): Microliters (uL or mcl) (1)
	Milliliters (mL or ml) (2)
	Tubes (15)
533	Final storage (Go To: 945)
	Permissible Values (value): -70°/-80° (3)
	Unknown/refused (9)
945	Number of freeze-thaws: (Go To: 1054)
1054	Specimen collection date (MM/DD/YYYY): (Go To: 2176)
2176	Visit code (Go To: 4050)
	Permissible Values (value): F03 (5)
	F06 (6)
	F09 (7)
	F12 (8)
	F15 (9)
	F18 (10)
	F21 (11)
	F24 (12)
	F30 (14)
	F36 (16)
	Any baseline visit (100)
4050	Specimen creation date (MM/DD/YYYY): (Go To: 3326)
3326	Was the participant fasting when the original blood was collected? (Go To: 2756)
	Permissible Values (value): No (0)
	Yes (1)
	Unknown (99)
2756	Included in full validation set? (Go To: 2758)
	Permissible Values (value): No (0)
	Yes (1)
2758	Included in a rapid pre-validation set? (Go To: 747)
	Permissible Values (value): No (0)
	Yes (1)
747	Additive used in blood collection? (Go To: 751)
	Permissible Values (value): EDTA (1)
	Citrate (3)
	None (4)
	Gel for serum separation (5)
	Not applicable (98)
	Unknown/refused (99)
1248	Was sample collected and processed according to Standard Operating Procedures (SOPs)? (Go To: 2754)
	Permissible Values (value): No (0)
	Yes (1)
	Unknown/refused (9)
2754	Specimen use: (Go To: 2840)
2840	ID of site receiving specimen(s): (Go To: 2876)
2876	Specimen ID assigned by analysis lab: (Go To: 2728)
2728	Blinded participant ID: (Go To: 1097)
1097	Comments (do not include any participant identifiers) (Go To: 2749)
2749	Coordinating center data comments: (Go To: End of Form)