Form:Canary: PASS Missed Measure v3.0


CDE IDCDE Description
* 421EDRN Participant ID (Go To: 2176)
* 2176Visit code (Go To: 423)
 
Permissible Values (value):Baseline (19)
 
 Y1V06 (20)
 
 Y1V12 (21)
 
 Y2V06 (22)
 
 Y2V12 (23)
 
 Y3V06 (24)
 
 Y3V12 (25)
 
 Y4V06 (26)
 
 Y4V12 (27)
 
 Y5V06 (28)
 
 Y5V12 (29)
 
 Y6V12 (51)
 
 Y7V12 (53)
 
 Y8V12 (55)
 
 Y9V12 (57)
 
 Y10V12 (59)
* 423EDRN Protocol ID (Go To: 422)
* 422EDRN Site ID (Go To: 929)
* 929EDRN Staff ID of the person who collected the data: (Go To: 2644)
* 2644Measure missed: (Go To: 2645)
 
Permissible Values (value):PSA (1)
 
 Raw urine (21)
 
 Serum (30)
 
 EDTA plasma (31)
 
 Buffy coat (35)
 
 Unwashed pellet (sediment) (44)
* 2645Reason(s) for missed measure: (Go To: 1097)
   1097Comments (do not include any participant identifiers) (Go To: End of Form)