Part 2 - Screening Visit - Demography

Administrative data
Description

Administrative data

Subject Identifier
Description

Subject Identifier

Data type

integer

Visit Date
Description

Visit Date

Data type

date

Demography
Description

Demography

Date of birth
Description

Date of birth

Data type

date

Sex
Description

Sex

Data type

text

Ethnicity
Description

Mark one:

Data type

text

Geographic Ancestry
Description

Mark all that apply:

Data type

text

Similar models

Part 2 - Screening Visit - Demography

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative data
Subject Identifier
Item
Subject Identifier
integer
Visit Date
Item
Visit Date
date
Item Group
Demography
Date of birth
Item
Date of birth
date
Item
Sex
text
Code List
Sex
CL Item
Male (1)
CL Item
Female (2)
Item
Ethnicity
text
Code List
Ethnicity
CL Item
[1] Hispanic or Latino (1)
CL Item
[2] Not Hispanic or Latino (2)
Item
Geographic Ancestry
text
Code List
Geographic Ancestry
CL Item
[11] African American/African Heritage (1)
CL Item
[12] American Indian or Alaskan Native (2)
CL Item
[13] Asian - Central/South Asian Heritage (3)
CL Item
[14] Asian - East Asian Heritage (4)
CL Item
[15] Asian - Japanese Heritage (5)
CL Item
[16] Asian - South East Asian Heritage (6)
CL Item
[17] Native Hawaiian or Other Pacific Islander (7)
CL Item
[18] White - Arabic/North African Heritage (8)
CL Item
[19] White - White/Caucsian/European Heritage (9)