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            <!-- The "Length" is the character length as how the value is stored in the database,
 i.e. "F" or "M" -->

            <ItemDef Name="DM - SexSEX" OID="I_IT.SEX" DataType="text" Length="1">
                <Description>
                    <TranslatedText xml:lang="en" type="text/plain">Sex/gender of the subject</TranslatedText>
                </Description>
                <!-- The question as will be presented to the user (e.g. CRF) -->
                <Question>
                    <TranslatedText xml:lang="en" type="text/plain">Sex</TranslatedText>
                    <TranslatedText xml:lang="fr" type="text/plain">Genre</TranslatedText>
                    <TranslatedText xml:lang="de" type="text/plain">Geschlecht</TranslatedText>
                    <TranslatedText xml:lang="ko" type="text/plain">성별</TranslatedText>
                </Question>
                <CodeListRef CodeListOID="CL_SEX"/>
                <!-- TODO: Should this go into "Coding"? -->
                <Alias Context="SDTM" Name="DM.SEX"/>
            </ItemDef>
            
            <CodeList OID="CL_SEX" Name="Sex CodeList" DataType="text">
                <CodeListItem CodedValue="F">
                    <Decode>
                        <TranslatedText xml:lang="en" type="text/plain">Female</TranslatedText>
                        <TranslatedText xml:lang="fr" type="text/plain">Féminin</TranslatedText>
                        <TranslatedText xml:lang="de" type="text/plain">Weiblich</TranslatedText>
                        <TranslatedText xml:lang="ko" type="text/plain">여자</TranslatedText>
                    </Decode>
                    <!-- CDISC Code for "Female" -->
                    <Coding Code="C16576" System="https://www.cdisc.org/standards/terminology" SystemName="CDISC/NCI CT" SystemVersion="2019-12-20"/>
                    <!-- SNOMED-CT code for "Female" - can be useful for EHR extraction -->
                    <Coding Code="248152002" System="http://snomed.info/sct" SystemName="SNOMED-CT" SystemVersion="2019.10.03"/>
                </CodeListItem>
                <CodeListItem CodedValue="M">
                    <Decode>
                        <TranslatedText xml:lang="en" type="text/plain">Male</TranslatedText>
                        <TranslatedText xml:lang="fr" type="text/plain">Masculin</TranslatedText>
                        <TranslatedText xml:lang="de" type="text/plain">Männlich</TranslatedText>
                        <TranslatedText xml:lang="ko" type="text/plain">남성</TranslatedText>
                    </Decode>
                    <!-- CDISC Code for "Female" -->
                    <Coding Code="C20197" System="https://www.cdisc.org/standards/terminology" SystemName="CDISC/NCI CT" SystemVersion="2019-12-20"/>
                    <!-- SNOMED-CT code for "Male" - can be useful for EHR extraction -->
                    <Coding Code="248153007" System="http://snomed.info/sct" SystemName="SNOMED-CT" SystemVersion="2019.10.03"/>
                </CodeListItem>
                <!-- CDISC CodeList "SEX" -->
                <Coding Code="C66731" System="https://www.cdisc.org/standards/terminology" SystemName="CDISC/NCI CT" SystemVersion="2019-12-20"/>
                <!-- SNOMED-CT code for "Sex" - can be useful for EHR extraction -->
                <Coding Code="263495000" System="http://snomed.info/sct" SystemName="SNOMED-CT" SystemVersion="2019.10.03"/>
            </CodeList>