Form:	SELDI II v1.0

CDE ID	CDE Description
* 421	EDRN Participant ID (Go To: 1063)
* 1063	Site Participant ID (Go To: 1064)
* 1064	Site Specimen ID (Go To: 422)
422	EDRN Site ID (Go To: 423)
423	EDRN Protocol ID (Go To: 1056)
1056	Proposed study group (Go To: 434)
	Permissible Values (value): Cases Group 1 high grade (Gleason score greater than or equal to 7) (4)
	Cases Group 2 low grade (Gleason score less than 7) (5)
	Control Group 1 biopsy negative (6)
	Control Group 2 other cancers (7)
	Control Group 3 - Inflammatory diseases (8)
434	Gender (What is your gender?) (Go To: 435)
	Permissible Values (value): Male (1)
	Female (2)
435	Hispanic or Latino (Are you Hispanic or Latino?) (Go To: 436)
	Permissible Values (value): No (0)
	Yes (1)
	Unknown/refused (9)
436	Race (What is your race? Check all that apply.) (Go To: 794)
	Permissible Values (value): White (1)
	Black or African-American (2)
	American Indian or Alaska Native (3)
	Asian (4)
	Native Hawaiian or other Pacific Islander (7)
	Other, specify: (97) (Go To: 793)
	Unknown/refused (99)
793	Race (Other,specify) (Go To: 794)
794	Date of birth: (What is your date of birth?) (Go To: 441)
441	Ever smoke cigarettes regularly, at least one a day for a year or more? (Did you ever smoke cigarettes regularly, at least one a day for a year or more?) (Go To: 443)
	Permissible Values (value): No (0) (Go To: 454)
	Yes (1)
	Unknown/refused (9)
443	Currently smoke at least one cigarette a day? (Do you currently smoke cigarettes regularly, at least one a day?) (Go To: 454)
	Permissible Values (value): No (0) (Go To: 444)
	Yes (1) (Go To: 442)
	Unknown/refused (9) (Go To: 454)
444	Age quit smoking cigarettes? (How old were you when you permanently quit smoking cigarettes?) (Go To: 442)
442	Age first began smoking cigarettes regularly, at least one a day? (How old were you when you began smoking cigarettes regularly, at least one a day?) (Go To: 445)
445	Average number of cigarettes smoked per day? (During the time you have smoked, on average, how many cigarettes did you smoke per day?) (Go To: 454)
454	Have any of the participant's living and deceased first degree blood relatives been diagnosed with cancer? (Have any of your living and deceased first degree blood relatives (parents, siblings, children) been diagnosed with cancer? [Not including half-siblings, step-siblings, or step-children.]) (Go To: 1054)
	Permissible Values (value): No (0)
	Yes (1) (Go To: 817)
	Unknown/refused (9)
817	How many of the participant's living and deceased first degree blood relatives have been diagnosed with cancer? (How many of your living and deceased first degree blood relatives (biological parents, siblings, children) have been diagnosed with cancer? [Not including half-siblings, step-siblings, step-parents, or step-children].) (Go To: 455)
* 455	Relative type (mother, brother, etc) (Go To: 739)
	Permissible Values (value): Brother (1)
	Sister (2)
	Son (3)
	Daughter (4)
	Father (5)
	Mother (6)
* 739	Cancer type/Location (Go To: 1054)
	Permissible Values (value): Bladder (1)
	Bone (2)
	Brain (3)
	Breast (4)
	Cervix (5)
	Colon (6)
	Esophagus (7)
	Head & neck (mouth, nose, and throat) (8)
	Kidney (9)
	Liver (10)
	Leukemia (11)
	Lung (12)
	Lymphoma, including Hodgkins (13)
	Ovary (14)
	Pancreas (15)
	Prostate (16)
	Rectum (17)
	Skin (melanoma, no basal or squamous) (18)
	Stomach (19)
	Thyroid (20)
	Uterus (21)
	Testis (24)
	Vagina (26)
	Other, specify: (97) (Go To: 704)
	Unknown/refused (999)
704	Cancer type/Location (Other, specify) (Go To: 1054)
1054	Specimen collection date (MM/DD/YYYY): (Go To: 530)
530	Approximate total amount stored (Go To: 746)
746	Approximate total amount stored (Unit) (Go To: 533)
	Permissible Values (value): Microliters (uL or mcl) (1)
	Milliliters (mL or ml) (2)
	Liters (l) (6)
	Unknown/refused (99)
533	Final storage (Go To: 945)
	Permissible Values (value): -70°/-80° (3)
945	Number of freeze-thaws: (Go To: 792)
792	Ever had cancer [other than basal/squamous cell skin cancer] confirmed by a doctor? (Have you ever had cancer [other than basal/squamous cell skin cancer] confirmed by a doctor?) (Go To: 973)
	Permissible Values (value): No (0)
	Yes (1) (Go To: 972)
	Unknown/refused (9)
972	Is prostate cancer the only type of cancer (other than basal/squamous cell skin cancer) the participant has ever had? (Go To: 451)
	Permissible Values (value): No (0) (Go To: 743)
	Yes (1)
743	Cancer type/location (Go To: 973)
	Permissible Values (value): Bladder (1)
	Bone (2)
	Brain (3)
	Breast (4)
	Cervix (5)
	Colon (6)
	Esophagus (7)
	Head & neck (mouth, nose, and throat) (8)
	Kidney (9)
	Liver (10)
	Leukemia (11)
	Lung (12)
	Lymphoma, including Hodgkins (13)
	Ovary (14)
	Pancreas (15)
	Prostate (16)
	Rectum (17)
	Skin (melanoma, no basal or squamous) (18)
	Stomach (19)
	Thyroid (20)
	Uterus (21)
	Testis (24)
	Vagina (26)
	Other (95)
	Other, specify: (97) (Go To: 727)
	Unknown/refused (999)
727	Cancer type/location (Other, specify) (Go To: 973)
451	Histologic confirmation? (Go To: 975)
	Permissible Values (value): No (0)
	Yes (1) (Go To: 973)
973	Date of prostate biopsy (MM/DD/YYYY): (Go To: 980)
980	Total number of cores taken: (Go To: 975)
975	Prostate T-Stage, Clinical (Go To: 985)
	Permissible Values (value): T0 (2)
	T1 (3)
	T1a (4)
	T1b (5)
	T1c (6)
	T2 (7)
	T2a (8)
	T2b (9)
	T2c (10)
	T3 (11)
	T3a (12)
	T3b (13)
	T4 (14)
	TX (15)
985	Highest Gleason score (Go To: 984)
984	High grade prostatic intraepithelial neoplasia (PIN)? (Go To: 977)
	Permissible Values (value): No (0)
	Yes (1)
977	Previous prostate cancer? (Go To: 978)
	Permissible Values (value): No (0)
	Yes (1)
978	Previous prostate biopsy? (Go To: 947)
	Permissible Values (value): No (0)
	Yes (1)
947	PSA (ng/ml) (Go To: 979)
979	Date of digital rectal exam (DRE) (MM/DD/YYYY): (Go To: 976)
976	Digital rectal exam results: (Go To: 981)
	Permissible Values (value): Normal (1)
	Abnormal (2)
981	Ever diagnosed with inflammatory disease? (Go To: End of Form)
	Permissible Values (value): No (0)
	Yes (1)
982	Inflammatory disease type: (Go To: End of Form)
	Permissible Values (value): Rheumatoid arthritis (1)
	Lupus (2)
	Crohns disease (3)
	Ulcerative colitis (4)
	Other, specify: (97)
983	Inflammatory disease type (other, specify) (Go To: End of Form)