CDE ID | CDE Description | * 421 | EDRN Participant ID (Go To: 2176) |
* 2176 | Visit code (Go To: 3020) |
| Permissible Values (value): | BLN1 (1) |
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* 3020 | Colonoscopy date (MM/DD/YYYY): (Go To: 423) |
* 423 | EDRN Protocol ID (Go To: 422) |
* 422 | EDRN Site ID (Go To: 929) |
* 929 | EDRN Staff ID of the person who collected the data: (Go To: 4957) |
* 4957 | Reason(s) for colonoscopy (check all that apply) (Go To: 2986) |
| Permissible Values (value): | First time colonoscopy (1) |
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| | Surveillance (2) (Go To: 4958) |
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| | Routine screening (3) (Go To: 2986) |
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| | Repeat colonoscopy due to poor bowel prep (4) |
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| | Diagnostic colonoscopy (5) (Go To: 4959) |
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| | Other, specify: (97) (Go To: 4960) |
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* 4960 | Reason for colonoscopy (other, specify) (Go To: 2986) |
* 4958 | Reason for surveillance colonoscopy (Go To: 2986) |
| Permissible Values (value): | Colorectal cancer (1) |
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* 4959 | Reason for diagnostic colonoscopy (Go To: 2986) |
| Permissible Values (value): | Flex sig (1) |
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| | Fecal Occult Blood Test (FOBT) (2) (Go To: 4967) |
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| | Exact Sciences multi-marker panel (6) (Go To: 4967) |
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| | Other, specify: (97) (Go To: 4968) |
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* 4968 | Reason for diagnostic colonoscopy (other, specify) (Go To: 2986) |
* 4967 | Date of test (MM/DD/YYYY) (Go To: 2986) |
* 2986 | Type of preparation (main regimen) used for colonosocpy: (Go To: 3162) |
| Permissible Values (value): | Any PEG preparation (1) |
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| | Osmoprep (phosphosoda) (2) |
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| | Other, specify: (97) (Go To: 4704) |
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* 4704 | Type of preparation used for colonoscopy (Other, specify): (Go To: 3162) |
* 3162 | Date on which preparation for colonoscopy began (MM/DD/YYYY): (Go To: 2984) |
* 2984 | Quality of the bowel preparation: (Go To: 3159) |
| Permissible Values (value): | Excellent (0-4% obscured) (1) |
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| | Good (5-15% obscured) (2) |
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| | Poor (greater than 30% obscured) (4) |
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* 3159 | Was the colon completely visualized? (less than 15% obscured, entire colon visualized, and the scope reached the cecum)? (Go To: 2989) |
| Permissible Values (value): | No (0) (Go To: 3160) |
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* 3160 | Reason(s) for incompletely visualized colonoscopy: (Check all that apply) (Go To: 2989) |
| Permissible Values (value): | Poor sedation (1) |
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| | Tortuous colon requiring general anesthesia (2) |
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| | Other, specify: (97) (Go To: 3161) |
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* 3161 | Reason(s) for incompletely visualized colonoscopy: (Other, specify) (Go To: 2989) |
* 2989 | Results of colonoscopy (check all that apply): (Go To: 3146) |
| Permissible Values (value): | Normal colon (1) |
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| | Adenoma polyps (6) (Go To: 2996) |
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| | Hyperplastic polyps (8) (Go To: 2998) |
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| | Other, specify: (97) (Go To: 3010) |
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* 3010 | Results of colonoscopy (Other, specify): (Go To: 3146) |
* 3149 | Colorectal adenocarcinoma, quantity: (Go To: 2159) |
| Permissible Values (value): | 1 (1) |
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* 2159 | Specimen line number or identifier (system-generated): (Go To: 3024) |
* 3024 | Location of lesion (colorectal): (Go To: 3008) |
| Permissible Values (value): | CE=Cecum (1) |
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* 3008 | Colorectal adenocarcinoma, size: (Go To: 3158) |
3158 | Loop-specific comments: (Go To: 4961) |
* 2996 | Adenoma polyps, quantity: (Go To: 3150) |
| Permissible Values (value): | 0 (0) |
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* 3150 | Specimen line number or identifier 2 (system generated): (Go To: 3175) |
* 3175 | Location of polyp (colorectal): (Go To: 3145) |
| Permissible Values (value): | CE=Cecum (1) |
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* 3145 | Colon polyp histology or pathology: (Go To: 4705) |
| Permissible Values (value): | Adenoma (1) |
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| | Tubulovillous adenoma (5) |
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| | Sessile serrated adenoma/polyp (7) |
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| | Traditional serrated adenoma (8) |
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| | Other, specify: (97) (Go To: 3151) |
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* 3151 | Colon polyp histology or pathology (Other, specify): (Go To: 4705) |
* 4705 | % villous features: (Go To: 3009) |
* 3009 | Adenoma polyp size, cm: (Go To: 3163) |
3163 | Loop-specific comments 2: (Go To: 4961) |
* 2998 | Hyperplastic polyps, quantity: (Go To: 3011) |
* 3011 | Hyperplastic polyps, size(s), cm: (Go To: 3756) |
* 3756 | Hyperplastic polyps on the right side of the colon (cecum, ascending, hepatic flexure, or transverse)? (Go To: 4706) |
| Permissible Values (value): | No (0) |
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* 4706 | Pathology notes on hyperplastic polyps: (Go To: 4961) |
* 4961 | Were all lesions removed? (Go To: 3146) |
| Permissible Values (value): | No (0) |
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* 3146 | Incidental findings, colorectal: (Go To: 1097) |
| Permissible Values (value): | Diverticuli (10) |
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| | Other, specify: (97) (Go To: 3147) |
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* 3147 | Incidental findings, colorectal (Other, specify): (Go To: 1097) |
1097 | Comments (do not include any participant identifiers) (Go To: End of Form) |