| CDE ID | CDE Description | | * 421 | EDRN Participant ID (Go To: 773) |
| * 773 | Visit code (Go To: 422) |
| | | Permissible Values (value): | BLN1 (1) |
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| * 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: 878) |
| * 878 | Date urine collected for cytology (MM/DD/YYYY): (Go To: 852) |
| * 852 | Date of cytology report (MM/DD/YYYY): (Go To: 853) |
| * 853 | Cytology results: (Go To: End of Form) |
| | | Permissible Values (value): | Negative for malignancy (1) |
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| | | | Positive for malignancy (3) |
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