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Visit 1 Run-In Demographics NCT01117584

1 forms  
General Information
Description

General Information

Sex
Description

Sex

Data type

text

Birth Date
Description

Birth Date

Data type

date

Age
Description

Age

Data type

integer

Measurement units
  • Years
Years
Race
Description

Race

Data type

text

If Other Race, please specify
Description

Other Race

Data type

text

Ethnicity
Description

Ethnicity

Data type

text

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Visit 1 Run-In Demographics NCT01117584

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
General Information
Item
Sex
text
Sex
Code List
Sex
CL Item
Male (1)
CL Item
Female (2)
Birth Date
Item
Birth Date
date
Age
Item
Age
integer
Item
Race
text
Race
Code List
Race
CL Item
White (1)
CL Item
Black or African American (2)
CL Item
Asian (3)
CL Item
American Indian or Alaska Native (4)
CL Item
Native Hawaiian or other Pacific Islander (5)
CL Item
Other (6)
Other Race
Item
If Other Race, please specify
text
Item
Ethnicity
text
Ethnicity
Code List
Ethnicity
CL Item
Not Hispanic or Latino (1)
CL Item
Hispanic or Latino (2)
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