| CDASH Variable | Order | Question Text | Prompt | CRF Completion Instructions | Type | SDTMIG Target Variable | SDTM Target Mapping | Controlled Terminology Code List Name | Permissible Values | Pre-Populated Value | Query Display | List Style | Hidden |
| SCPERF | 1 | Were subject characteristics collected? | Subject Characteristics Collected | Indicate if subject characteristics information was collected. If Yes, record the appropriate details. | Text | SCSTAT | If SCPERF = "Y", NOT SUBMITTED. If SCPERF = "N", SCSTAT where SCTESTCD = "SCALL". | (NY) | Yes; No |
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| EDLEVEL_SCORRES | 2 | What is the subject's education level? | Education Level | Indicate the subject's education level. | Text | SCORRES;SCTEST;SCTESTCD | SCORRES WHERE SCTESTCD = "EDLEVEL" |
| Did not complete Secondary School or Less than High School; Some Secondary School or High School Education; High School or Secondary School Degree Complete; Associate’s or Technical Degree Complete; College or Baccalaureate Degree Complete; Doctoral or Postgraduate Education |
| prompt | radio |
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| JOBCLAS_SCORRES | 3 | What is the subject’s employment status? | Employment Status | Indicate the subject's employment status. | Text | SCORRES;SCTEST;SCTESTCD | SCORRES WHERE SCTESTCD = "JOBCLAS" | (EMPSTAT) | Full-time; Part-time; Not employed |
| prompt | radio |
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| MARISTAT_SCORRES | 4 | What is the subject's marital status? | Marital Status | Indicate the subject's marital status. | Text | SCORRES;SCTEST;SCTESTCD | SCORRES WHERE SCTESTCD = "MARISTAT" | (MARISTAT) | Never Married; Married; Legally Divorced; Divorced; Widowed |
| prompt | radio |
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| NATORIG_SCORRES | 5 | What is the subject's national origin status? | National Origin | Indicate the subject's national origin | Text | SCORRES;SCTEST;SCTESTCD | SCORRES WHERE SCTESTCD = "NATORIG" |
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| JOBCLAS_SCORRES | 6 | What is the subject’s employment status? | Employment Status | Indicate the subject's employment status. | Text | SCORRES;SCTEST;SCTESTCD | SCORRES WHERE SCTESTCD = "JOBCLAS" | (EMPSTAT) | Full-time; Part-time; Not employed |
| prompt | radio | MILTSTAT_SCORRES | 7 | What is the subject’s employment status? | Military Status | Indicate the subject's Military Status | Text | SCORRES;SCTEST;SCTESTCD | SCORRES WHERE SCTESTCD = "MILTSTAT" | (????) | No Military Service; Active Military Status; Retired Veteran; | prompt | ratio |
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