Form:NOD PDAC Adjudication v5.0


CDE IDCDE Description
* 421EDRN Participant ID (Go To: 422)
* 422EDRN Site ID (Go To: 423)
* 423EDRN Protocol ID (Go To: 5684)
* 5684Date of adjudication decision (Go To: 2596)
   2596Date of biopsy (MM/DD/YYYY) (Go To: 3302)
* 3302Imaging procedure performed? (Go To: 4823)
 
Permissible Values (value):No (0)
 
 Yes (1) (Go To: 3144)
* 3144Number of loops: (Go To: 3200)
 
Permissible Values (value):0 (0)
 
 1 (1)
 
 2 (2)
 
 3 (3)
 
 4 (4)
 
 5 (5)
 
 6 (6)
 
 7 (7)
 
 8 (8)
 
 9 (9)
 
 10 (10)
* 3200Line number or identifier (system-generated): (Go To: 955)
* 955Date of imaging test (MM/DD/YYYY): (Go To: 956)
* 956Type of abdominal imaging: (Go To: 4823)
 
Permissible Values (value):Ultrasound (1)
 
 CT scan (2)
 
 MRI (4)
 
 EUS (5)
 
 Other (95)
   4823CA 19-9, IU/mL (Go To: 5145)
   5145CA 19-9 date (MM/DD/YYYY) (Go To: 1837)
* 1837Date of cancer diagnosis (MM/DD/YYYY): (Go To: 5141)
   5141Pancreatic T-stage, clinical (Go To: 5142)
 
Permissible Values (value):TX (7)
 
 T0 (9)
 
 Tis (10)
 
 T1 (11)
 
 T1a (14)
 
 T1b (15)
 
 T1c (16)
 
 T2 (20)
 
 T3 (30)
 
 T4 (40)
 
 Not reported (90)
   5142Pancreatic N-stage, clinical (Go To: 5143)
 
Permissible Values (value):NX (1)
 
 N0 (2)
 
 N1 (10)
 
 N2 (20)
 
 Not reported (90)
   5143Pancreatic M-stage, clinical (Go To: 5138)
 
Permissible Values (value):MX (1)
 
 cM0 (11)
 
 cM1 (12)
 
 pM1 (13)
 
 Not reported (90)
   5138Pancreatic stage group, clinical (Go To: 3307)
 
Permissible Values (value):Stage 0 (0)
 
 Stage IA (11)
 
 Stage IB (14)
 
 Stage IIA (21)
 
 Stage IIB (25)
 
 Stage III (30)
 
 Stage IV (40)
 
 Not reported (90)
   3307Pancreatic T-stage, pathologic: (Go To: 3308)
 
Permissible Values (value):TX (7)
 
 T0 (9)
 
 Tis (10)
 
 T1 (11)
 
 T1a (14)
 
 T1b (15)
 
 T1c (16)
 
 T2 (20)
 
 T3 (30)
 
 T4 (40)
 
 Not reported (90)
   3308Pancreatic N-stage, pathologic: (Go To: 4874)
 
Permissible Values (value):NX (1)
 
 N0 (2)
 
 N1 (10)
 
 N2 (20)
 
 Not reported (90)
   4874Pancreatic M-stage, pathologic (Go To: 4875)
 
Permissible Values (value):M0 (1)
 
 M1 (10)
 
 cM0 (11)
 
 cM1 (12)
 
 pM1 (13)
 
 Not reported (90)
   4875Stage group, pancreatic (Go To: 5685)
 
Permissible Values (value):Stage 0 (0)
 
 Stage IA (11)
 
 Stage IB (14)
 
 Stage IIA (21)
 
 Stage IIB (25)
 
 Stage III (30)
 
 Stage IV (40)
 
 Not reported (90)
   5685Description of symptoms at enrollment (Go To: 5686)
   5686Baseline physician assessment (Go To: 5698)
   5698Description of abnormal imaging (Go To: 5687)
   5687Description of abnormal labs and/or imaging (Go To: 5688)
   5688Adjudication summary text (Go To: 5051)
   5051Diagnosis status (pancreatic) (Go To: 1097)
 
Permissible Values (value):Definite (1)
 
 Probable (2)
 
 Possible (3)
 
 Unknown (99)
   1097Comments (do not include any participant identifiers) (Go To: End of Form)