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titleCDASH DM Metadata Specifications

Section 1 

Metadataspec
OrderQuestion TextPromptCase Report Form Completion InstructionsTypeCollection VariableTabulation Target  Mapping Instructions  Controlled Terminology CodeList NamePermissible ValuesPre-Populated Value
1What is the subject's year of birth?Birth DateRecord the subject's year of birth (e.g., YYYY, a 4-digit year).
BRTHDTCBRTHDAT



2What is the sex of the subject?SexRecord the appropriate sex (e.g., Female, Male).
SEXSEX
(SEX)Male; Female; Unknown; Undifferentiated
3Do you consider yourself Hispanic/Latino or not Hispanic/Latino?EthnicityRecord the participants self-report ethnicity, 
ETHNICETHNIC
(ETHNIC)Hispanic or Latino; Not Hispanic or Latino; Not Reported
4 What is the ethnicity of the subject? (More than 1 choice is acceptable.)EthnicityFor a subject who self-reported ethnicity as Hispanic or Latino, Select each value that applies to the subject.   
CETHNIC01-CETHNIC08SUPPDM.QVAL SUPPDM.QVAL where SUPPDM.QNAM = ETHNIC(n)  and SUPPDM.QLABEL = Collected Ethnicity (n) (ETHNICC)

CENTRAL AMERICAN ; CUBAN AMERICAN; LATIN AMERICAN; MEXICAN; MEXICAN AMERICAN;PUERTO RICAN;SOUTH AMERICAN ; SPANISH



5

Which of the following racial designations best describes you? (More than 1 choice is acceptable.)

RaceRecord the participant self-report race, 
CRACE1-CRACE6SUPPDM.QVALSUPPDM.QVAL where SUPPDM.QNAM = ETHNIC(n)  and SUPPDM.QLABEL = Collected Ethnicity (n) (RACE)AMERICAN INDIAN OR ALASKA NATIVE;ASIAN;BLACK OR AFRICAN AMERICAN;NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER; WHITE;NOT REPORTED;UNKNOWN

Section 2:  If the study participant answered: ASIAN or  "BLACK OR AFRICAN AMERICAN.

Metadataspec
OrderQuestion TextPromptCase Report Form Completion InstructionsTypeCollection VariableTabulation Target  Mapping Instructions  Controlled Terminology CodeList NamePermissible ValuesPre-Populated Value
116Which of the following racial designations best describes you? (More than 1 choice is acceptable.)Raceif the subject answered "ASIAN" Select each value that applies.  TextCRACE05-CRACE10SUPPDM.QVALFor each value that applies, SUPPDM.QVAL where SUPPDM.QNAM ="CRACEn" and SUPPDM.QLABEL = "Collected Race n" where n is the choice value.

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



127Which of the following racial designations best describes you? (More than 1 choice is acceptable.)Raceif the subject answered "BLACK OR AFRICAN AMERICAN".Select each value that applies.  TextCRACE011-CRACE17SUPPDM.QVALFor each value that applies, SUPPDM.QVAL where SUPPDM.QNAM ="CRACEn" and SUPPDM.QLABEL = "Collected Race n" where n is the choice value.

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



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