Form:	MSA Missed Visit v1.0

CDE ID	CDE Description
* 421	EDRN Participant ID (Go To: 896)
* 896	Follow-up visit missed: (Go To: 422)
	Permissible Values (value): F03 (5)
	F06 (6)
	F09 (7)
	F12 (8)
	F15 (9)
	F18 (10)
	F21 (11)
	F24 (12)
* 422	EDRN Site ID (Go To: 423)
* 423	EDRN Protocol ID (Go To: 929)
* 929	EDRN Staff ID of the person who collected the data: (Go To: 895)
* 895	Reason for missed visit: (Go To: End of Form)
	Permissible Values (value): Participant too ill (1)
	Participant temporarily away from area (2)
	Scheduling problem (3)
	Unable to contact participant (4)
	Other (95)