Demography Form

  1. StudyEvent: ODM
    1. Demography Form
Demography Data
Beskrivning

Demography Data

Date of birth
Beskrivning

Date of birth

Datatyp

date

Age in years
Beskrivning

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

Datatyp

integer

Sex
Beskrivning

Sex

Datatyp

text

Geographic Ancestry
Beskrivning

check all that apply

Datatyp

text

Subject Status
Beskrivning

Subject Status

Datatyp

text

Similar models

Demography Form

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