Form:	Chile-US Consent Documentation v1.1

CDE ID	CDE Description
* 421	EDRN Participant ID (Go To: 2176)
* 2176	Visit code (Go To: 423)
	Permissible Values (value): BLN1 (1)
	BLN2 (2)
	BLN3 (3)
	BLN4 (4)
* 423	EDRN Protocol ID (Go To: 422)
* 422	EDRN Site ID (Go To: 929)
* 929	EDRN Staff ID of the person who collected the data: (Go To: 4558)
* 4558	Date participant signed consent form (DD/MM/YYYY): (Go To: 2824)
* 2824	Has the participant authorized sending his or her genetic information to one or more databases for future research? (Go To: 2631)
	Permissible Values (value): No (0)
	Yes (1)
	Not collected (2)
	Refused (88)
	Unknown (99)
* 2631	Has the participant authorized future contact for research purposes? (Go To: 2492)
	Permissible Values (value): No (0)
	Yes (1)
	Not collected (2)
	Refused (88)
	Unknown (99)
* 2492	Has the participant authorized the use of their specimens for future research? (Go To: 1097)
	Permissible Values (value): No (0)
	Yes (1)
	Refused (88)
	Unknown (99)
1097	Comments (do not include any participant identifiers) (Go To: End of Form)