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This is an example CRF used to collect some basic subject characteristics data. 

Indicate if subject characteristics information was collected. If Yes, record the appropriate details.Were subject characteristics collected?
SCPERF If SCPERF = "Y", NOT SUBMITTED. If SCPERF = "N", SCSTAT where SCTESTCD = "SCALL".
<NY codelist>
Indicate the subject's education level.Education Level
EDLEVEL_SCORRES SCORRES WHERE SCTESTCD = "EDLEVEL"
Indicate the subject's employment status.Employment Status
JOBCLAS_SCORRES SCORRES WHERE SCTESTCD = "JOBCLAS"
<EMPSTAT codelist>
Indicate the subject's income .What is the subject's income?
INCOME_SCORRES SCORRES WHERE SCTESTCD = "INCOME"
Indicate the subject's marital status.Marital Status
MARISTAT_SCORRES SCORRES WHERE SCTESTCD = "MARISTAT"
<MARISTAT codelist>
Indicate the subject's national origin
NATORIG_SCORRES SCORRES WHERE SCTESTCD = "NATORIG"
_________________
Indicate the subject's military status.Military Status
JOBCLAS_SCORRES SCORRES WHERE SCTESTCD = "MILTSTAT"
<xxxxx codelist>
Indicate the subject's exposure to second hand smokeWas the subject exposed to second hand smoke ?
SECHNDTB SCORRES WHERE SCTESTCD = "SECHNDTB"
CDASH VariableOrderQuestion TextPromptCRF Completion InstructionsTypeSDTMIG Target VariableSDTM Target MappingControlled Terminology Code List NamePermissible ValuesPre-Populated ValueQuery DisplayList StyleHidden
SCPERF1Were subject characteristics collected?Subject Characteristics CollectedIndicate if subject characteristics information was collected. If Yes, record the appropriate details.TextSCSTATIf SCPERF = "Y", NOT SUBMITTED. If SCPERF = "N", SCSTAT where SCTESTCD = "SCALL".(NY)Yes; No



EDLEVEL_SCORRES2What is the subject's education level?Education LevelIndicate the subject's education level.TextSCORRES;SCTEST;SCTESTCDSCORRES 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
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JOBCLAS_SCORRES3What is the subject’s employment status?Employment StatusIndicate the subject's employment status.TextSCORRES;SCTEST;SCTESTCDSCORRES WHERE SCTESTCD = "JOBCLAS"(EMPSTAT)Full-time; Part-time; Not employed
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INCOME_SCORRES4What is the subject's income?Income Indicate the subject's  income .TextSCORRES;SCTEST;SCTESTCDSCORRES WHERE SCTESTCD = "INCOME"

<100% poverty guideline.;100-200% poverty guidelines; >200% poverty guidelines;





MARISTAT_SCORRES5What is the subject's marital status?Marital StatusIndicate the subject's marital status.TextSCORRES;SCTEST;SCTESTCDSCORRES WHERE SCTESTCD = "MARISTAT"(MARISTAT)Never Married; Married; Legally Divorced; Divorced; Widowed
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NATORIG_SCORRES6What is the subject's national origin status?National OriginIndicate the subject's national origin TextSCORRES;SCTEST;SCTESTCDSCORRES WHERE SCTESTCD = "NATORIG"





JOBCLAS_SCORRES7What is the subject’s military status ?Military StatusIndicate the subject's military status.TextSCORRES;SCTEST;SCTESTCDSCORRES WHERE SCTESTCD = "MILTSTAT"(xxxxx)

NO MILITARY SEVICE;

ACTIVE SERVICE;

VETERAN;


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SECHNDTB8Was the subject exposed  to second hand smoke ?Second Hand Smoke Exposure  Indicate the subject's exposure to second hand smoke TextSCORRES;SCTEST;SCTESTCDSCORRES WHERE SCTESTCD = "SECHNDTB"

No Exposure to Second Hand smoke; 

Exposure at Home only; 

Exposure at work only; 

Exposure at Work and Home; 



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RowSTUDYIDDOMAINUSUBJIDSCSEQSCTESTCDSCTESTSCORRESSCSTRESCSCSTATSCDTC
1ABCSCABC-001-0011NATORIGNational OriginUNITED STATESUSA
1999-06-19
2ABCSCABC-001-0012MARISTATMarital StatusDIVORCEDDIVORCED
1999-06-19
3ABCSCABC-001-0013EDLEVELEducational LevelCOLLEGE OR BACCALAURETE DEGREE COMPLETECOLLEGE OR BACCALAURETE DEGREE COMPLETE
1999-06-19
4ABCSCABC-001-0014MILTSTATMilitary Status VETERANVETERAN
1999-06-19
5ABCSCABC-001-0015JOBCLASEmployment StatusNOT EMPLOYEDNOT EMPLOYED
1999-06-19
6ABCSCABC-001-0016SECHNDTBSecond Hand Smoke Exposure  EXPOSURE AT WORK AND HOMEEXPOSURE AT WORK AND HOME
1999-06-19





INCOMEIncome <100% POVERTY GUIDELINES<100% POVERTY GUIDELINES
1999-06-19
7ABCSCABC-001-0021SCALLSUBJECT CHARACTERISTICS

NOT DONE2000-08-19
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