Form:Canary: PASS Follow-up Biopsy v3.0


CDE IDCDE Description
* 421EDRN Participant ID (Go To: 973)
* 973Date of prostate biopsy (MM/DD/YYYY): (Go To: 423)
* 423EDRN Protocol ID (Go To: 422)
* 422EDRN Site ID (Go To: 929)
* 929EDRN Staff ID of the person who collected the data: (Go To: 578)
* 578Age at specimen collection (Go To: 839)
   839ID number of local pathology report: (Go To: 2714)
* 2714Procedure performed at the study site? (Go To: 1692)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
* 1692Prostate size (by TRUS): (Go To: 980)
* 980Total number of cores taken: (Go To: 2872)
* 2872Total number of cores with cancer: (Go To: 4538)
 
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)
 
 11 (11)
 
 12 (12)
 
 13 (13)
 
 14 (14)
 
 15 (15)
 
 16 (16)
 
 17 (17)
 
 18 (18)
 
 19 (19)
 
 20 (20)
 
 >20 (40)
 
 Unknown (99)
   4538Number of systematic cores: (Go To: 4540)
   4540Number of targeted cores: (Go To: 4541)
* 4541Was a MRI/US Fusion Biopsy performed? (Go To: 2158)
 
Permissible Values (value):No (0)
 
 Yes (1) (Go To: 955)
 
 No, in-gantry (2)
 
 Unknown (99)
   955Date of imaging test (MM/DD/YYYY): (Go To: 2158)
* 2158Number of specimens: (Go To: 2159)
* 2159Specimen line number or identifier (system-generated): (Go To: 2709)
* 2709Specimen identifier: (Go To: 2160)
* 2160Tissue position (laterality): (Go To: 2211)
 
Permissible Values (value):Right (1)
 
 Left (2)
 
 Unknown/refused (99)
   2211Tissue position (zone): (Go To: 2213)
 
Permissible Values (value):Transition Zone (TZ) (1)
 
 Seminal vesicle (2)
 
 Anterior zone (3)
 
 Posterior zone (5)
   2213Tissue position (regionality): (Go To: 2212)
 
Permissible Values (value):Apex (A) (1)
 
 Middle (M) (2)
 
 Base (B) (3)
   2212Tissue position (position within region): (Go To: 4539)
 
Permissible Values (value):Lateral (lat) (1)
 
 Medial (med) (2)
   4539Type of tissue targeting (Go To: 2712)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
* 2712Specimen status (normal or abnormal): (Go To: 1097)
 
Permissible Values (value):Normal (1)
 
 Positive for malignancy (3) (Go To: 2210)
 
 Abnormal but negative for malignancy (4)
 
 Unknown (99)
   2210Percent of cancer in tissue: (Go To: 2209)
   2209Length of tissue specimen (mm): (Go To: 2208)
   2208Length of cancer in tissue specimen (mm): (Go To: 4596)
   4596ISUP prostate histopathologic grade: (Go To: 1589)
 
Permissible Values (value):Grade Group 1 (1)
 
 Grade Group 2 (2)
 
 Grade Group 3 (3)
 
 Grade Group 4 (4)
 
 Grade Group 5 (5)
 
 Not applicable (98)
* 1589Primary Gleason grade: (Go To: 1590)
* 1590Secondary Gleason grade: (Go To: 1697)
   1697Overall Gleason Score: (Go To: 1097)
   1097Comments (do not include any participant identifiers) (Go To: End of Form)