Form:URS Consent Documentation v5.0


CDE IDCDE Description
* 421EDRN Participant ID (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: 1319)
* 1319Date participant signed consent form (MM/DD/YYYY): (Go To: 2491)
* 2491Has the participant authorized the use of their specimens for future cancer research? (Go To: 2492)
 
Permissible Values (value):No (0) (Go To: End of Form)
 
 Yes (1)
 
 Refused (88)
 
 Unknown (99)
* 2492Has the participant authorized the use of their specimens for future research? (Go To: 2631)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Refused (88)
 
 Unknown (99)
* 2631Has the participant authorized future contact for research purposes? (Go To: 2824)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Not collected (2)
 
 Refused (88)
 
 Unknown (99)
* 2824Has the participant authorized sending his or her genetic information to one or more databases for future research? (Go To: 1097)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Not collected (2)
 
 Refused (88)
 
 Unknown (99)
   1097Comments (do not include any participant identifiers) (Go To: End of Form)