| CDE ID | CDE Description | | * 421 | EDRN Participant ID (Go To: 2176) |
| * 2176 | Visit code (Go To: 423) |
| | | Permissible Values (value): | BLN1 (1) |
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| * 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: 4940) |
| * 4940 | Participant is willing to sign informed consent. (Go To: 4941) |
| | | Permissible Values (value): | No (0) (Go To: End of Form) |
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| * 4941 | Participant is physically able to tolerate the blood draw required by the study (Go To: 4834) |
| | | Permissible Values (value): | No (0) (Go To: End of Form) |
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| * 4834 | Does the participant meets the age requirements for the study? (Go To: 4942) |
| | | Permissible Values (value): | No (0) (Go To: End of Form) |
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| * 4942 | Participant is willing and able to provide stool specimens for the study. (Go To: 4943) |
| | | Permissible Values (value): | No (0) (Go To: End of Form) |
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| * 4943 | The participant is scheduled for a procedure that meets the study parameters (Go To: 4944) |
| | | Permissible Values (value): | No (0) (Go To: End of Form) |
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| * 4944 | The participant has had any treatment for their study-related cancer. (Go To: 4857) |
| | | Permissible Values (value): | No (0) |
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| | | | Yes (1) (Go To: End of Form) |
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| * 4857 | Does the participant meet exclusion criteria for cancer treatment and/or recurrence? (Go To: 4950) |
| | | Permissible Values (value): | No (0) |
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| | | | Yes (1) (Go To: End of Form) |
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| * 4950 | Is the participant currently on active chemotherapy or radiation treatment for any reason? (Go To: 2973) |
| | | Permissible Values (value): | No (0) |
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| | | | Yes (1) (Go To: End of Form) |
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| * 2973 | History of Inflammatory Bowel Disease, such as Crohn’s Disease or colitis? (Go To: 2968) |
| | | Permissible Values (value): | No (0) |
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| | | | Yes (1) (Go To: End of Form) |
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| * 2968 | Has a doctor ever diagnosed you with Familial Adenomatous Polyposis (FAP) (Gardner’s Syndrome), or Hereditary Non-Polyposis Colon Syndrome (HNPCC), also called Lynch Syndrome? (Go To: 4945) |
| | | Permissible Values (value): | No (0) |
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| | | | Yes (1) (Go To: End of Form) |
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| * 4945 | The participant has known HIV or chronic viral hepatitis. (Go To: 4946) |
| | | Permissible Values (value): | No (0) |
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| | | | Yes (1) (Go To: End of Form) |
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| * 4946 | The participant is unable to sign informed consent (Go To: 2594) |
| | | Permissible Values (value): | No (0) |
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| | | | Yes (1) (Go To: End of Form) |
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| * 2594 | Currently pregnant? (Go To: 1097) |
| | | Permissible Values (value): | No (0) |
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| | | | Yes (1) (Go To: End of Form) |
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| 1097 | Comments (do not include any participant identifiers) (Go To: End of Form) |