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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).DateBRTHDTCBRTHDAT



2What is the sex of the subject?SexRecord the appropriate sex (e.g., Female, Male).TextSEXSEX
(SEX)Male; Female; Unknown; Undifferentiated
3Do you consider yourself Hispanic/Latino or not Hispanic/Latino?EthnicityRecord the participants self-report ethnicity, TextETHNICETHNIC
(ETHNIC)Hispanic or Latino; Not Hispanic or Latino; Not Reported
4

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

RaceRecord the participant self-report race, TextRACE1-RACE6RACE SUPPDM.QVALRACE or RACE="MULTIPLE" and each Race is represented as a SUPPDM.QVAL where SUPPDM.QNAM = RACE(n)  and SUPPDM.QLABEL = Race (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
5Which 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;



6Which 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.  TextCRACE11-CRACE17SUPPDM.QVALFor each value that applies, SUPPDM.QVAL where SUPPDM.QNAM ="CBACEn" 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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