CDASH RYZE Example.Demography

Order	Question Text	Prompt	CRF Completion Instructions	Type	CDASH Variable	SDTMIG Target Variable	SDTMIG Target Mapping	Controlled Terminology CodeList Name	Permissible Values	Pre-Populated Value

Order	Question Text	Question Text	Prompt	CDASH VARIABLE	CRF Completion Instructions	Type	CDASH Variable	SDTMIG Target Variable	SDTMIG Target Mapping	Controlled Terminology CodeList Name	Permissible Values	Pre-Populated Value
1	What is the subject's year of birth?	BRTHDAT	Birth Date		Birth Date	Record the subject's year of birth (e.g., YYYY, a 4-digit year).	BRTHDAT	BRTHDTC
2	What is the sex of the subject?	SEX	Sex		Sex	Record the appropriate sex (e.g., Female, Male).	SEX	SEX		(SEX)	Male; Female; Unknown; Undifferentiated
3	Do you consider yourself Hispanic/Latino or not Hispanic/Latino?	ETHNIC	Ethnicity		Ethnicity	Record the participants self-report ethnicity,	ETHNIC	ETHNIC		(ETHNIC)	Hispanic or Latino; Not Hispanic or Latino; Not Reported
4	What is the ethnicity of the subject? (More than 1 choice is acceptable.)	CETHNIC(n)	Ethnicity		Ethnicity	For a subject who self-reported ethnicity as Hispanic or Latino, Select each value that applies to the subject.	CETHNIC(n)	SUPPDM.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.)	RACE(n)	Race		Race	Record the participant self-report race,	RACE(n)	RACE		(RACE)	AMERICAN INDIAN OR ALASKA NATIVE;ASIAN;BLACK OR AFRICAN AMERICAN;NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER; WHITE;NOT REPORTED;UNKNOWN		BRTHDAT	What is the subject's year of birth?	Birth Date	Record the subject's year of birth (e.g., YYYY, a 4-digit year).	Text	BRTHDTC

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CDASH RYZE Example.Demography