Form:	BRS-I Imaging Follow-up v2.0

CDE ID	CDE Description
* 1063	Site Participant ID (Go To: 422)
* 422	EDRN Site ID (Go To: 1219)
* 1219	Date of contact (MM/DD/YYYY): (Go To: 423)
* 423	EDRN Protocol ID (Go To: 929)
* 929	EDRN Staff ID of the person who collected the data: (Go To: 955)
* 955	Date of imaging test (MM/DD/YYYY): (Go To: 4761)
* 4761	Image type (breast) (Go To: 3144)
	Permissible Values (value): Full field digital mammography FFDM/2D (1)
	Digital breast tomosynthesis DBT/3D (2)
* 3144	Number of loops: (Go To: 3200)
	Permissible Values (value): 1 (1)
	2 (2)
	3 (3)
	4 (4)
	5 (5)
	6 (6)
	7 (7)
	8 (8)
	9 (9)
	10 (10)
	11 (11)
	12 (12)
	13 (13)
	14 (14)
	15 (15)
* 3200	Line number or identifier (system-generated): (Go To: 4762)
4762	Identifier linking to associated image file (Go To: 4763)
4763	Identifier linking to associated file (Go To: 4897)
* 4897	Breast lesion rating (Go To: 4881)
* 4881	Final action associated with the ROI (Go To: 4764)
	Permissible Values (value): Biopsy (1)
	Resolved with ultrasound (2)
	Resolved with MRI (3)
	Resolved with mammogram (4)
	Resolved by other means (95)
	Unknown (99)
* 4764	Type of finding (check all that apply) (Go To: 4746)
	Permissible Values (value): Mass (1) (Go To: 4746)
	Calcification (2) (Go To: 4750)
	Architectural distortion (6) (Go To: 2289)
	Other, specify: (97) (Go To: 4765)
* 4765	Type of finding (other, specify) (Go To: 2289)
* 4746	Shape of breast mass (Go To: 4747)
	Permissible Values (value): Oval (1)
	Round (2)
	Irregular (3)
	Not reported (90)
* 4747	Margin type of mass (Go To: 4748)
	Permissible Values (value): Circumscribed (1)
	Obscured (2)
	Microlobulated (3)
	Indistinct (4)
	Spiculated (5)
	Not reported (90)
* 4748	Density of mass (Go To: 4750)
	Permissible Values (value): High density (1)
	Equal density (2)
	Low density (3)
	Fat containing (4)
	Not reported (90)
* 4750	Benign breast calcification type (Go To: 4752)
	Permissible Values (value): Skin (1)
	Vascular (2)
	Course or popcorn like (3)
	Large rod like (4)
	Round (5)
	Rim (6)
	Dystrophic (7)
	Milk of calcium (8)
	Suture (9)
	Not applicable (98)
* 4752	Calcification morphology type (Go To: 4753)
	Permissible Values (value): Amorphous (1)
	Coarse heterogeneous (2)
	Fine pleomorphic (3)
	Fine linear or fine linear branching (4)
	Not applicable (98)
* 4753	Calcification distribution (Go To: 2289)
	Permissible Values (value): Diffuse (1)
	Regional (2)
	Grouped (3)
	Linear (4)
	Segmental (5)
	Not applicable (98)
* 2289	Body laterality: (Go To: 4745)
	Permissible Values (value): Right (1)
	Left (2)
	Not reported (90)
* 4745	Depth of lesion or anomaly (Go To: 3390)
	Permissible Values (value): Anterior (1)
	Middle (2)
	Posterior (3)
	Not reported (90)
* 3390	Breast quadrant(s) of procedure: (Go To: 4766)
	Permissible Values (value): Upper inner (1)
	Upper outer (2)
	Lower inner (3)
	Lower outer (4)
	Not reported (90)
* 4766	Clock face value (check all that apply) (Go To: 4759)
	Permissible Values (value): 1:00 (1)
	2:00 (2)
	3:00 (3)
	4:00 (4)
	5:00 (5)
	6:00 (6)
	7:00 (7)
	8:00 (8)
	9:00 (9)
	10:00 (10)
	11:00 (11)
	12:00 (12)
	Central (13)
	Not reported (90)
* 4759	Distance from the nipple (cm) (Go To: 3158)
3158	Loop-specific comments: (Go To: 4744)
* 4744	Breast composition (Go To: 4754)
	Permissible Values (value): Almost entirely fatty (1)
	Fibroglandular density (2)
	Heterogeneously dense (3)
	Extremely dense (4)
* 4754	Architectural distortion detected? (Go To: 4755)
	Permissible Values (value): No (0)
	Yes (1) (Go To: 4767)
	Not reported (90)
* 4767	Architectural asymmetries (check all that apply) (Go To: 4755)
	Permissible Values (value): Asymmetry (1)
	Global asymmetry (2)
	Focal asymmetry (3)
	Developing asymmetry (4)
	Not reported (90)
* 4755	Intramammary lymph nodes detected? (Go To: 4756)
	Permissible Values (value): Yes (1)
	Not reported (90)
* 4756	Skin lesions detected? (Go To: 4757)
	Permissible Values (value): Yes (1)
	Not reported (90)
* 4757	Solitary dilated duct detected? (Go To: 4758)
	Permissible Values (value): Yes (1)
	Not reported (90)
* 4758	Associated features (Check all that apply) (Go To: 1097)
	Permissible Values (value): None (0)
	Skin retraction (1)
	Nipple retraction (2)
	Trabecular thickening (3)
	Skin thickening (4)
	Axillary adenopathy (5)
	Architectural distortion (6)
	Calcifications (7)
1097	Comments (do not include any participant identifiers) (Go To: End of Form)