| CDE ID | CDE Description | | * 421 | EDRN Participant ID (Go To: 773) |
| * 773 | Visit code (Go To: 423) |
| | | Permissible Values (value): | BLN1 (1) |
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| * 423 | EDRN Protocol ID (Go To: 422) |
| * 422 | EDRN Site ID (Go To: 969) |
| 969 | Date of AFP (MM/DD/YYYY): (Go To: 1004) |
| 1035 | AFP(ng/ml): (Go To: 1199) |
| * 1199 | Are all remaining laboratory results dated within 3 months prior to the date the participant signed the consent form? (Go To: End of Form) |
| | | Permissible Values (value): | No (0) |
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| * 1016 | INR: (Go To: 1009) |
| * 1009 | Serum creatinine concentration (mg/dl): (Go To: 1015) |
| 1015 | Sodium level (mEq/l): (Go To: 1014) |
| * 1014 | Albumin count (gm/dl): (Go To: 1011) |
| 1011 | Alkaline phosphatase concentration (IU/L): (Go To: 1010) |
| * 1010 | Total bilirubin concentration (mg/dl) (Go To: 1012) |
| 1012 | Serum alanine transferase (ALT) concentration (IU/L): (Go To: 1013) |
| 1013 | Serum aspartate aminotransferase (AST) concentration (IU/L): (Go To: 1008) |
| 1008 | Hematocrit (HCT) count (%): (Go To: 1007) |
| 1007 | Hemoglobin (HGB) count (gm/dl): (Go To: 1005) |
| 1005 | Platelet count (K/mm3): (Go To: 1006) |
| 1006 | White blood cell (WBC) count (K/mm3): (Go To: 1097) |
| 1097 | Comments (do not include any participant identifiers) (Go To: End of Form) |