| 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: 1319) |
| * 1319 | Date participant signed consent form (MM/DD/YYYY): (Go To: 1219) |
| * 1219 | Date of contact (MM/DD/YYYY): (Go To: 2493) |
| * 2493 | Has the participant authorized the use of their specimens for this study? (Go To: End of Form) |
| | | Permissible Values (value): | No (0) |
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| * 2491 | Has the participant authorized the use of their specimens for future cancer research? (Go To: 2492) |
| | | Permissible Values (value): | No (0) |
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| * 2492 | Has the participant authorized the use of their specimens for future research? (Go To: 2631) |
| | | Permissible Values (value): | No (0) |
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| * 2631 | Has the participant authorized future contact for research purposes? (Go To: 2824) |
| | | Permissible Values (value): | No (0) |
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| * 2824 | Has the participant authorized sending his or her genetic information to one or more databases for future research? (Go To: 5515) |
| | | Permissible Values (value): | No (0) |
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| * 5515 | Has the participant authorized the release of personal information? (Go To: 4736) |
| | | Permissible Values (value): | No (0) |
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| * 4736 | Has the participant authorized the use of diagnostic tissue for research? (Go To: 2632) |
| | | Permissible Values (value): | No (0) |
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| * 2632 | Consent form identifier: (Go To: 2635) |
| * 2635 | Protocol version number: (Go To: 4632) |
| * 4632 | Consent status for long term follow-up: (Go To: 1097) |
| | | Permissible Values (value): | No long term follow-up allowed (0) |
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| | | | Only medical record abstraction allowed (1) |
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| | | | Participant contact and abstraction allowed (2) |
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| 1097 | Comments (do not include any participant identifiers) (Go To: End of Form) |