This is an example CRF used to collect some basic subject characteristics data.
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<100% poverty guideline.;100-200% poverty guidelines; >200% poverty guidelines;
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NO MILITARY SEVICE;
ACTIVE SERVICE;
VETERAN;
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No Exposure to Second Hand smoke;
Exposure at Home only;
Exposure at work only;
Exposure at Work and Home;
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of the SDTM dataset based on the data collected on the above CRF.
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| Row | STUDYID | DOMAIN | USUBJID | SCSEQ | SCTESTCD | SCTEST | SCORRES | SCSTRESC | SCSTAT | SCDTC |
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| 1 | ABC | SC | ABC-001-001 | 1 | NATORIG | National Origin | UNITED STATES | USA |
| 1999-06-19 | | 2 | ABC | SC | ABC-001-001 | 2 | MARISTAT | Marital Status | DIVORCED | DIVORCED |
| 1999-06-19 | | 3 | ABC | SC | ABC-001-001 | 3 | EDLEVEL | Educational Level | COLLEGE OR BACCALAURETE DEGREE COMPLETE | COLLEGE OR BACCALAURETE DEGREE COMPLETE |
| 1999-06-19 | | 4 | ABC | SC | ABC-001-001 | 4 | MILTSTAT | Military Status Status | VETERAN | VETERAN |
| 1999-06-19 | | 5 | ABC | SC | ABC-001-001 | 5 | JOBCLAS | Employment Status | NOT EMPLOYED | NOT EMPLOYED |
| 1999-06-19 | | 6 | ABC | SC | ABC-001-001 | 6 | SECHNDTBSHSMEXST | Second Hand Smoke | Exposure Exposure Status | EXPOSURE AT WORK AND HOME | EXPOSURE AT WORK AND HOME |
| 1999-06-19 | | 7 | ABC | SC | ABC-001-001 | 7 | INCOME | Income Income | <100% POVERTY GUIDELINES | <100% POVERTY GUIDELINES |
| 1999-06-19 | | 8 | ABC | SC | ABC-001-001 | 8 | AGESTSMK | Age Started Smoking | 16-24 years | 16-24 years |
| 1999-06-19 | | 9 | ABC | SC | ABC-001-001 | 9 | TBCESSCO | Tobacco Cessation Counseling | N | N |
| 1999-06-19 | | | 10 | ABC | SC | ABC-001-001 | 10 | LDURABS | Longest Duration of Abstinence | 1–6 months | 1–6 months |
| 1999-06-19 | | 11 | 7 | ABC | SC | ABC-001-002 | 1 | SCALL | SUBJECT CHARACTERISTICSSubject Characteristics |
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| NOT DONE | 2000-08-19 |
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