Demographics

1 forms
  1. StudyEvent: ODM
    1. Demographics
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Demographics
C1704791 (UMLS CUI-1)
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])
Gender
Code List
2. *Gender:
CL Item
Female (1)
CL Item
Male  (2)
CL Item
Unknown (3)
CL Item
Unspecified  (4)
CL Item
Not reported (5)
Item
3. *Ethnicity (Select which population group you MOST CLOSELY identify with):
text
C0015031 (UMLS CUI [1])
Ethnicity
Code List
3. *Ethnicity (Select which population group you MOST CLOSELY identify with):
CL Item
Hispanic or Latino  (1)
CL Item
Unknown  (2)
CL Item
Not Hispanic or Latino  (3)
CL Item
Not Reported (4)
Item
4. *Race (Mark all those with which you identify)
text
C0034510 (UMLS CUI [1])
Race
Code List
4. *Race (Mark all those with which you identify)
CL Item
American Indian or Alaska Native  (1)
CL Item
Asian  (2)
CL Item
White  (3)
CL Item
Unknown  (4)
CL Item
Black or African-American  (5)
CL Item
Not Reported  (6)
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])
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