Demography Form

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

Demography Data

Date of birth
Descripción

Date of birth

Tipo de datos

date

Age in years
Descripción

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

Tipo de datos

integer

Sex
Descripción

Sex

Tipo de datos

text

Geographic Ancestry
Descripción

check all that apply

Tipo de datos

text

Subject Status
Descripción

Subject Status

Tipo de datos

text

Similar models

Demography Form

  1. StudyEvent: ODM
    1. Demography Form
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
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