CDASH

Collection Date	Collection Date TUDAT TUDTC	_________________
	Lesion Identification Test Name TUTEST Hidden/pre-populated	Lesion Location Identification <TUTEST codelist>
	Result TUORRES Hidden/pre-populated	Identified
	What was the location of the lesion based on the assessment of the image? TURESLOC	_________________ <LOC codelist>
	If applicable, what was the laterality of the anatomical location? TURESLAT	_________________ <LAT codelist>
	If applicable, provide further details of the location TURESLDL	_________________
	Error! Neither question text nor prompt given. Not Collected Not Submitted	_________________
	Error! Neither question text nor prompt given. Not Collected Not Submitted	_________________
	Error! Neither question text nor prompt given. Not Collected Not Submitted	_________________

Order	Type	CDASHIG Variable	Question Text	Prompt	CRF Completion Instructions	SDTMIG Target	Controlled Terminology Codelist Name	Implementation Notes	Pre-populated Value	Query Display	Hidden
1	text	TUDAT	Collection Date		Collection Date	TUDTC	N/A			Prompt
2	text	TUTEST	What was the lesion identification test name?	Lesion Identification Test Name	Record the name of the TU test, if not printed on the CRF. If collected on the CRF, the sponsor may provide additional instructions to ensure the data is entered as intended.	TUTEST	(TUTEST)	Required to identify to which test the result relates. It is recommended that test names be preprinted on the CRF rather than collected in a field that requires the site to enter text. If the form is laid out as a grid, then words such as Test can be included as the column header.	Lesion Location Identification		Y
3	text	TUORRES		Result		TUORRES	N/A		Identified		Y
4	text	TURESLOC	What was the location of the lesion based on the assessment of the image?	Result Anatomical Location		TURESLOC	(LOC)
5	text	TURESLAT	If applicable, what was the laterality of the anatomical location?	Result Location Laterality		TURESLAT	(LAT)
6	text	TURESLDL	If applicable, provide further details of the location	Result Location directionality		TURESLDL	N/A

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