Form:Lung Reference Specimen Set C v1.0


CDE IDCDE Description
* 1063Site Participant ID (Go To: 422)
* 422EDRN Site ID (Go To: 1270)
* 1270Specimen stored (type) (Go To: 423)
 
Permissible Values (value):Serum (2)
 
 Plasma (3)
 
 Mononuclear cells (25)
 
 Other (95)
   423EDRN Protocol ID (Go To: 1064)
   1064Site Specimen ID (Go To: 2733)
* 2733Proposed study group (Go To: 1054)
 
Permissible Values (value):Set C Cases: Lung cancer (prospective) (21)
 
 Set C Controls: High Risk (prospective) (23)
 
 Set C Controls: Other cancers (prospective) (25)
   1054Specimen collection date (MM/DD/YYYY): (Go To: 578)
   578Age at specimen collection (Go To: 747)
   747Additive used in blood collection? (Go To: 751)
 
Permissible Values (value):EDTA (1)
 
 Heparin (2)
 
 Citrate (3)
 
 None (4)
 
 Other, specify: (97)
 
 Unknown/refused (99)
   751Original blood sample was collected as: (Go To: 1248)
 
Permissible Values (value):Fasting (1)
 
 Random (2)
 
 Unknown/refused (9)
   1248Was sample collected and processed according to Standard Operating Procedures (SOPs)? (Go To: 945)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown/refused (9)
   945Number of freeze-thaws: (Go To: 1247)
   1247Time from blood draw to first freeze: (value) (Go To: 1097)
   1097Comments (do not include any participant identifiers) (Go To: End of Form)