| Form: | Canary: PASS PSA v3.0 |
|---|
| CDE ID | CDE Description |
|---|---|
| * 421 | EDRN Participant ID (Go To: 1219) |
| * 1219 | Date of contact (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: 2156) |
| * 2156 | Number of PSAs performed: (Go To: 3200) |
| * 3200 | Line number or identifier (system-generated): (Go To: 1582) |
| * 1582 | Date of PSA: (Go To: 947) |
| * 947 | PSA (ng/ml) (Go To: 1097) |
| 1097 | Comments (do not include any participant identifiers) (Go To: End of Form) |