| Form: | Canary: PASS Missed Biopsy v3.0 |
|---|
| CDE ID | CDE Description | ||
|---|---|---|---|
| * 421 | EDRN Participant ID (Go To: 3300) | ||
| * 3300 | Target date of missing procedure (MM/DD/YYYY): (Go To: 423) | ||
| * 423 | EDRN Protocol ID (Go To: 422) | ||
| * 422 | EDRN Site ID (Go To: 929) | ||
| * 929 | EDRN Staff ID of the person who collected the data: (Go To: 2644) | ||
| * 2644 | Measure missed: (Go To: 2645) | ||
| |||
| * 2645 | Reason(s) for missed measure: (Go To: 1097) | ||
| 1097 | Comments (do not include any participant identifiers) (Go To: End of Form) |