Form:	P-MRI Missed Visit v5.0

CDE ID	CDE Description
* 421	EDRN Participant ID (Go To: 2176)
* 2176	Visit 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)
* 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: 1389)
* 1389	Reason for missed visit: (Go To: 1097)
	Permissible Values (value): Participant too ill (1)
	Participant temporarily away from area (2)
	Scheduling problem (3)
	Unable to contact participant (4)
	The site failed to make attempt to contact participant during visit window (5)
	Other, specify: (97) (Go To: 2185)
* 2185	Reason for missed visit (Other, specify): (Go To: 1097)
1097	Comments (do not include any participant identifiers) (Go To: End of Form)