| CDE ID | CDE Description | | * 421 | EDRN Participant ID (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: 1319) |
| * 1319 | Date participant signed consent form (MM/DD/YYYY): (Go To: 5897) |
| * 5897 | Consent form version number on Hutch IRB stamped consent. (Go To: 5896) |
| * 5896 | Hutch approval stamp date on consent (MM/DD/YYYY): (Go To: 2493) |
| * 2493 | Has the participant authorized the use of their specimens for this study? (Go To: 2491) |
| | | Permissible Values (value): | No (0) |
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| * 2491 | Has the participant authorized the use of their specimens for future cancer research? (Go To: 2492) |
| | | Permissible Values (value): | No (0) |
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| * 2492 | Has the participant authorized the use of their specimens for future research? (Go To: 2631) |
| | | Permissible Values (value): | No (0) |
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| * 2631 | Has the participant authorized future contact for research purposes? (Go To: 2824) |
| | | Permissible Values (value): | No (0) |
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| * 2824 | Has the participant authorized sending his or her genetic information to one or more databases for future research? (Go To: 1097) |
| | | Permissible Values (value): | No (0) |
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| 1097 | Comments (do not include any participant identifiers) (Go To: End of Form) |