Form:BRS-I Ineligibility v2.1


CDE IDCDE Description
* 1063Site Participant ID (Go To: 422)
* 422EDRN Site ID (Go To: 423)
* 423EDRN Protocol 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):Participant decided not to participate (10)
 
 Collected less than minimum set of specimens (42)
 
 Participant did not meet age requirement (45)
 
 Specimens collected outside the time period described in the protocol (67)
 
 Mammography not available for sharing (86)
 
 Current biopsy is not the initial biopsy for this presentation of disease (87)
 
 History of invasive breast or other cancers (88)
 
 Participant is pregnant (89)
 
 Participant is nursing (90)
 
 Recurrence of previous breast cancer (91)
 
 Biopsy finding was not visible on mammography (181)
 
 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)