Form:	DCIS Team Project Additional Information v1.01

CDE ID	CDE Description
* 2777	Site participant ID (Go To: 422)
* 422	EDRN Site ID (Go To: 929)
* 929	EDRN Staff ID of the person who collected the data: (Go To: 3633)
* 3633	History of breast cancer? (Go To: 1334)
	Permissible Values (value): No (0)
	Right breast only (1)
	Left breast only (2)
	Unilateral, side not specified (3)
	Bilateral, both breasts (4)
	Yes, woman-level information only (5)
	Unknown (99)
* 1334	New primary cancer [other than basal/squamous cell skin cancer] confirmed by a doctor since last routine study contact? (Have you been diagnosed with a new primary cancer [other than basal/squamous cell skin cancer] since your last routine study contact?) (Go To: 4777)
	Permissible Values (value): No (0)
	Yes (1)
	Unknown (99)
* 4777	Has the participant had a bilateral mastectomy in the time period specified? (Go To: 3372)
	Permissible Values (value): No (0)
	Yes (1)
	Unknown (99)
* 3372	Type of surgical procedure: (Go To: 4778)
	Permissible Values (value): Core biopsy (1)
	Excisional biopsy (2)
	Incisional biopsy (3)
	Duct excision (4)
	Mastectomy (5)
	Lumpectomy (6)
	Axillary lymph node dissection (7)
	Sentinel lymph node biopsy (8)
	Core biopsy (needle) (9)
	Unknown (99)
* 3646	Breast density (BI-RADS), overall (Go To: 1362)
	Permissible Values (value): Almost entirely fat (1)
	Scattered fibroglandular densities (2)
	Heterogeneously dense (3)
	Extremely dense (4)
	Not applicable (98)
	Unknown (99)
* 1362	Since your last routine study contact, have your menstrual periods stopped due to natural menopause, hysterectomy, the removal of both ovaries, or radiation or chemotherapy treatment? (Go To: 1097)
	Permissible Values (value): No (0)
	Yes (1)
	Not applicable (98)
	Unknown (99)
1097	Comments (do not include any participant identifiers) (Go To: End of Form)