Form:DCP Consent v1.1


CDE IDCDE Description
* 421EDRN Participant ID (Go To: 773)
* 773Visit code (Go To: 1056)
 
Permissible Values (value):BLN1 (1)
 
 BLN2 (2)
 
 BLN3 (3)
 
 BLN4 (4)
* 1056Proposed study group (Go To: 423)
 
Permissible Values (value):Cases group 1 (1)
 
 Control Group 2 (2)
* 423EDRN Protocol ID (Go To: 422)
* 422EDRN Site ID (Go To: 929)
* 929EDRN Staff ID of the person who collected the data: (Go To: 796)
* 796Date participant signed consent form (Go To: 942)
* 942Has participant authorized the use of their blood for DCP study? (Go To: 883)
 
Permissible Values (value):No (0)
 
 Yes (1)
* 883Has participant authorized the use of their blood for future research? (Go To: 1097)
 
Permissible Values (value):No (0)
 
 Yes (1)
   1097Comments (do not include any participant identifiers) (Go To: End of Form)