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titleDemographics Sample aCRF for Race with Additional Granularity

    

Panel

Title : Study Participants Self-reported Race 

Xformpusher
CDASH VariableOrderQuestion TextPromptCRF Completion InstructionsTypeSDTMIG Target VariableSDTM Target MappingControlled Terminology Code List NamePermissible ValuesPre-specified ValueQuery DisplayList StyleHidden
RACE0(n)1Which of the following racial designations best describes you? (Check all that apply RaceStudy participants should self-report race, with race being asked about after ethnicity.TextRACE
(RACE)

WHITE;

BLACK OR AFRICAN AMERICAN ;

AMERICAN INDIAN OR ALASKA NATIVE;



checkbox

If the study participant answered: ASIAN

Xformpusher
CDASH VariableOrderQuestion TextPromptCRF Completion InstructionsTypeSDTMIG Target VariableSDTM Target MappingControlled Terminology Code List NamePermissible ValuesPre-specified ValueQuery DisplayList StyleHidden
CRACE05-CRACE1011Which of the following racial designations best describes you? RaceSelect each value that applies if the subject answered "ASIAN". Check all that apply.TextSUPPDM.QVALFor each value that applies, SUPPDM.QVAL where SUPPDM.QNAM ="CRACEn" and SUPPDM.QLABEL = "Collected Race n" where n is the choice value.(RACEC)

ASIAN AMERICAN; ASIAN INDIAN; BANGLADESHI;  CHINESE; JAPANESE; KOREAN;




checkbox

If the study participant answered: BLACK OR AFRICAN AMERICAN 

Xformpusher
CDASH VariableOrderQuestion TextPromptCRF Completion InstructionsTypeSDTMIG Target VariableSDTM Target MappingControlled Terminology Code List NamePermissible ValuesPre-specified ValueQuery DisplayList StyleHidden
CRACE11-CRACE1712Which of the following racial designations best describes you? RaceSelect each value that applies if the subject answered "BLACK OR AFRICAN AMERICAN". Check all that apply.TextSUPPDM.QVALFor each value that applies, SUPPDM.QVAL where SUPPDM.QNAM ="CRACEn" and SUPPDM.QLABEL = "Collected Race n" where n is the choice value.(RACEC)

AFRICAN; AFRICAN AMERICAN; AFRICAN CARIBBEAN; BAHAMIAN; BARBADIAN; BLACK; BLACK CENTRAL AMERICAN;




checkbox

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