Form:P-MRI DRE Follow-up v5.0


CDE IDCDE Description
* 421EDRN Participant ID (Go To: 979)
* 979Date of digital rectal exam (DRE) (MM/DD/YYYY): (Go To: 2176)
* 2176Visit code (Go To: 423)
 
Permissible Values (value):Y1V06 (20)
 
 Y1V12 (21)
 
 Y2V06 (22)
 
 Y2V12 (23)
 
 Y3V06 (24)
 
 Y3V12 (25)
 
 Y4V06 (26)
 
 Y4V12 (27)
 
 Y5V06 (28)
 
 Y5V12 (29)
* 423EDRN Protocol ID (Go To: 422)
* 422EDRN Site ID (Go To: 929)
* 929EDRN Staff ID of the person who collected the data: (Go To: 976)
* 976Digital rectal exam results: (Go To: 2173)
 
Permissible Values (value):Normal (1) (Go To: 1097)
 
 Abnormal (2)
 
 Abnormal, clearly suspicious for cancer (6)
 
 Unknown (99) (Go To: 1097)
* 2173Amount of induration/nodularity on digital rectal exam (DRE), if not normal: (Go To: 1097)
 
Permissible Values (value):< 50% right (1)
 
 ≥ 50% right (2)
 
 < 50% left (3)
 
 ≥ 50% left (4)
 
 Bilateral (5)
 
 Abnormal DRE but extent not specified (6)
 
 Unknown (99)
   1097Comments (do not include any participant identifiers) (Go To: End of Form)