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Demography Form

1 forms  
  1. StudyEvent: ODM
    1. Demography Form
Demography Data
Description

Demography Data

Date of birth
Description

Date of birth

Data type

date

Age in years
Description

Age should be completed for subjects at German sites only. For all other subjects complete Date of Birth.

Data type

integer

Sex
Description

Sex

Data type

text

Geographic Ancestry
Description

check all that apply

Data type

text

Subject Status
Description

Subject Status

Data type

text

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Similar models

Demography Form

1 forms
  1. StudyEvent: ODM
    1. Demography Form
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Demography Data
Date of birth
Item
Date of birth
date
Age in years
Item
Age in years
integer
Item
Sex
text
Sex
Code List
Sex
CL Item
Male  (1)
CL Item
Female (2)
Item
Geographic Ancestry
text
Geographic Ancestry
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)
Subject Status
Item
Subject Status
text
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