| CDE ID | CDE Description | | * 421 | EDRN Participant ID (Go To: 1066) |
| * 1066 | Date participant was determined to be ineligible (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: 1056) |
| * 1056 | Proposed study group (Go To: 1077) |
| | | Permissible Values (value): | Control Group 1 (1) |
|
| | | | Control Group 2 (2) (Go To: 1078) |
|
| | | | Cases Group 3 (3) (Go To: 1079) |
|
| 1077 | Reason(s) for Group 1 ineligibility: (Check all that apply.) (Go To: 1080) |
| | | Permissible Values (value): | Lab results are not within Healthy Control limits (1) |
|
| 1078 | Reason(s) for Group 2 ineligibility: (Check all that apply.) (Go To: 1080) |
| | | Permissible Values (value): | Urinalysis report is normal (2) |
|
| | | | Urinalysis indicates possible current infection (3) |
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| | | | Culture and Sensitivity not done, or report does not document the presence of an infection that occurred at least 2 weeks but no more than 3 months ago (4) |
|
| 1079 | Reason(s) for Group 3 ineligibility: (Check all that apply.) (Go To: 1080) |
| | | Permissible Values (value): | Cancer is invasive to the muscularis propria (5) |
|
| | | | Not urothelial cell carcinoma (6) |
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| | | | Cystoscopy did not generate a pathology report and TURBT will not be performed (7) |
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| | | | No bladder malignancy found (during cystoscopy, TURBT, or other procedure (8) |
|
| 1080 | General reason(s) for ineligibility: (Check all that apply.) (Go To: End of Form) |
| | | Permissible Values (value): | Unable to collect voided urine (9) |
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| | | | Participant decided not to participate (10) |
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| | |
| 1081 | Reason(s) why participant is ineligible (other, specify): (Go To: End of Form) |