Form:	P-MRI Clinical v5.0

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: 1219)
* 1219	Date of contact (MM/DD/YYYY): (Go To: 4780)
* 4780	Has the participant had any prior urine test(s) for prostate conditions (Go To: 3317)
	Permissible Values (value): No (0)
	Yes (1)
	Unknown (99)
* 3317	PSA tests performed? (Go To: 4895)
	Permissible Values (value): No (0)
	Yes (1) (Go To: 3144)
	Unknown (99)
* 3144	Number of loops: (Go To: 3200)
	Permissible Values (value): 1 (1)
	2 (2)
	3 (3)
	4 (4)
	5 (5)
	6 (6)
	7 (7)
	8 (8)
	9 (9)
	10 (10)
	11 (11)
	12 (12)
	13 (13)
	14 (14)
	15 (15)
	16 (16)
	17 (17)
	18 (18)
	19 (19)
	20 (20)
	21 (21)
	22 (22)
	23 (23)
	24 (24)
	25 (25)
	26 (26)
	27 (27)
	28 (28)
	29 (29)
	30 (30)
* 3200	Line number or identifier (system-generated): (Go To: 1582)
* 1582	Date of PSA: (Go To: 947)
* 947	PSA (ng/ml) (Go To: 2502)
* 2502	PSA test used: (Go To: 3158)
	Permissible Values (value): Bayer Immuno-1 PSA Test (1)
	Hybritech PSA Test (3)
	Roche Diagnostics Free PSA Test (4)
	Abbott Diagnostics (Architect, AxSYM) (5)
	Beckman Coulter, Inc (Access, UniCel Dxl) (6)
	Beckman Coulter, Inc. (WHO standardized) (7)
	Ortho Clinical Diagnostics (Vitros ECi) (8)
	Roche Diagnostics (Elecsys 2010, e411, e601, E170) (9)
	Siemens ADVIA Centaur (10)
	Siemens Dimension HM (11)
	Siemens Immulite (12)
	Siemens Immulite, third generation (13)
	Tosoh Bioscience (14)
	Other, specify: (97) (Go To: 2503)
	Unknown (99)
* 2503	PSA test used (Other, specify): (Go To: 3158)
3158	Loop-specific comments: (Go To: 4895)
* 4895	Digital rectal exam (DRE) performed? (Go To: 1097)
	Permissible Values (value): No (0)
	Yes (1) (Go To: 3214)
	Unknown (99)
* 3214	Number of subform loops to record 2: (Go To: 3201)
	Permissible Values (value): 1 (1)
	2 (2)
	3 (3)
	4 (4)
	5 (5)
	6 (6)
	7 (7)
	8 (8)
	9 (9)
	10 (10)
* 3201	Line number or identifier 2 (system-generated): (Go To: 979)
* 979	Date of digital rectal exam (DRE) (MM/DD/YYYY): (Go To: 976)
* 976	Digital rectal exam results: (Go To: 2173)
	Permissible Values (value): Normal (1) (Go To: 3163)
	Abnormal (2)
	Abnormal, clearly suspicious for cancer (6)
	Unknown (99)
* 2173	Amount of induration/nodularity on digital rectal exam (DRE), if not normal: (Go To: 3163)
	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)
3163	Loop-specific comments 2: (Go To: 1097)
1097	Comments (do not include any participant identifiers) (Go To: End of Form)