Form:NOD Ineligibility v5.0


CDE IDCDE Description
* 421EDRN Participant ID (Go To: 1832)
   1832Participant initials: (Go To: 423)
* 423EDRN Protocol ID (Go To: 422)
* 422EDRN Site ID (Go To: 929)
* 929EDRN Staff ID of the person who collected the data: (Go To: 1066)
* 1066Date participant was determined to be ineligible (MM/DD/YYYY): (Go To: 2186)
* 2186Reason(s) for ineligibility: (Go To: 1097)
 
Permissible Values (value):Collected less than minimum set of specimens (42)
 
 Participant did not meet age requirement (45)
 
 Participant did not complete the required questionnaires (111)
 
 Participant had one or more co-morbidity that limited their participation (112)
 
 Participant has an active cancer (excluding non-melanoma skin cancer or carcinoma in-situ of the cervix) (117)
 
 Participant has a history of pancreatic cancer (118)
 
 Participant is taking non-allowed steroids (119)
 
 Participant’s blood sugar was measured in a stressful situation (120)
 
 Participant has a significant medical illnesses that would compromise their study participation (121)
 
 Participant has a non-elevated confirmatory test (140)
 
 Participant did not meet criteria for NOD or hyperglycemia (150)
 
 Participant signed consent more than 90 days after the index PDM (151)
 
 Participant used anti-DM medication in the 548 days prior to the index lab (152)
 
 Participant did not have one or more glycemic parameters measured during the 548 days prior to the index lab without meeting inclusion criteria A, B, or C (153)
 
 Participant had a known past history of hyperglycemia and/or diabetes as defined by inclusion criteria A, B, or C (154)
 
 Other, specify: (97) (Go To: 2184)
* 2184Reason for ineligibility (Other, specify): (Go To: 1097)
   1097Comments (do not include any participant identifiers) (Go To: End of Form)