| CDE ID | CDE Description | | * 421 | EDRN Participant ID (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: 1066) |
| * 1066 | Date participant was determined to be ineligible (MM/DD/YYYY): (Go To: 2186) |
| * 2186 | Reason(s) for ineligibility: (Go To: 1097) |
| | | Permissible Values (value): | Participant decided not to participate (10) |
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| | | | Collected less than minimum set of specimens (42) |
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| | |
| | | | Participating in a clinical trial for prostate disease (103) |
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| | | | Prior prostate biopsy (105) |
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| | | | Prior prostate cancer diagnosis (106) |
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| | | | Prior prostate surgery (107) |
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| | | | Prior prostate urine test(s) performed for clinical purpose (108) |
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| | | | Participant has had a bilateral hip replacement (180) |
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| | | | Other, specify: (97) (Go To: 2184) |
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| * 2184 | Reason for ineligibility (Other, specify): (Go To: 1097) |
| 1097 | Comments (do not include any participant identifiers) (Go To: End of Form) |