Study ID
Item
Study ID
integer
C2826693 (UMLS CUI [1])
Study site name
Item
Study site name
text
C2825164 (UMLS CUI [1])
Subject ID
Item
Subject ID
integer
C2348585 (UMLS CUI [1])
Date of Birth
Item
1. *Date of Birth:
date
C0421451 (UMLS CUI [1])
Item
2. *Gender:
text
C0079399 (UMLS CUI [1])
Item
3. *Ethnicity (Select which population group you MOST CLOSELY identify with):
text
C0015031 (UMLS CUI [1])
Code List
3. *Ethnicity (Select which population group you MOST CLOSELY identify with):
CL Item
Hispanic or Latino (1)
CL Item
Not Hispanic or Latino (3)
Item
4. *Race (Mark all those with which you identify)
text
C0034510 (UMLS CUI [1])
Code List
4. *Race (Mark all those with which you identify)
CL Item
American Indian or Alaska Native (1)
CL Item
Black or African-American (5)
CL Item
Native Hawaiian or Other Pacific Islander (7)
Country; Postal Code
Item
5. Where do you live? Country: (please specify) State / Province: (please specify) Zip/Postal Code: (please specify)
text
C0454664 (UMLS CUI [1])
C1514254 (UMLS CUI [2])