Form:MSA Follow-up Urine Cytology Results v1.0


CDE IDCDE Description
* 421EDRN Participant ID (Go To: 878)
* 878Date urine collected for cytology (MM/DD/YYYY): (Go To: 422)
* 422EDRN Site ID (Go To: 423)
* 423EDRN Protocol ID (Go To: 929)
* 929EDRN Staff ID of the person who collected the data: (Go To: 773)
* 773Visit code (Go To: 852)
 
Permissible Values (value):F03 (5)
 
 F06 (6)
 
 F09 (7)
 
 F12 (8)
 
 F15 (9)
 
 F18 (10)
 
 F21 (11)
 
 F24 (12)
   852Date of cytology report (MM/DD/YYYY): (Go To: 853)
* 853Cytology results: (Go To: End of Form)
 
Permissible Values (value):Negative for malignancy (1)
 
 Positive for malignancy (3)