| CDE ID | CDE Description | | * 421 | EDRN Participant ID (Go To: 773) |
| * 855 | Date of upper tract imaging (MM/DD/YYYY): (Go To: 422) |
| * 422 | EDRN Site ID (Go To: 423) |
| * 423 | EDRN Protocol ID (Go To: 929) |
| * 929 | EDRN Staff ID of the person who collected the data: (Go To: 773) |
| * 773 | Visit code (Go To: 901) |
| | | Permissible Values (value): | F03 (5) |
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| 901 | Date upper tract imaging report completed (MM/DD/YYYY): (Go To: 856) |
| 856 | Type of upper tract imaging performed: (Go To: 857) |
| | | Permissible Values (value): | IVP (1) |
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| 1074 | Upper tract imaging results: (Go To: End of Form) |
| | | Permissible Values (value): | Cancer absent in upper tract (1) |
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| | | | Cancer present in upper tract (2) |
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