PATIENT RESPONSE RECORD (continued) Data Field Element XML Element Attributes Description Valid Values Data Type Size Required Q16 None In the last 3 months, did Yes 1 Alphanumeric 1 Yes info-private dialysis center staff keep No 2 character Each element must have a closing tag that information about you and NOT APPLICABLE X is the same as the opening tag but with a your health as private as MISSING/DK M forward slash. This patient response data possible from other patients? element should only occur once per patient. Example: info-private1/info- private Q17 None In the last 3 months, did you Yes 1 Alphanumeric 1 Yes ask-staff feel comfortable asking the No 2 character Each element must have a closing tag that dialysis center staff NOT APPLICABLE X is the same as the opening tag but with a everything you wanted about MISSING/DK M forward slash. This patient response data dialysis care? element should only occur once per patient. Example: ask-staff1/ask-staff Q18 None In the last 3 months, has Yes 1 Alphanumeric 1 Yes ask-affects anyone on the dialysis center No 2 character Each element must have a closing tag that staff asked you about how NOT APPLICABLE X is the same as the opening tag but with a your kidney disease affects MISSING/DK M forward slash. This patient response data other parts of your life? element should only occur once per patient. Example: ask-affects1/ask-affects
PATIENT RESPONSE RECORD (continued) XML Element Attributes Description Valid Values Data Type Field Size Data Element Required Q16 info-private Each element must have a closing tag that is the same as the opening tag but with a forward slash. This patient response data element should only occur once per patient. Example: info-private1/info- private None In the last 3 months, did dialysis center staff keep information about you and your health as private as possible from other patients? Yes 1 No 2 NOT APPLICABLE X MISSING/DK M Alphanumeric character 1 Yes Q17 ask-staff Each element must have a closing tag that is the same as the opening tag but with a forward slash. This patient response data element should only occur once per patient. Example: ask-staff1/ask-staff None In the last 3 months, did you feel comfortable asking the dialysis center staff everything you wanted about dialysis care? Yes 1 No 2 NOT APPLICABLE X MISSING/DK M Alphanumeric character 1 Yes Q18 ask-affects Each element must have a closing tag that is the same as the opening tag but with a forward slash. This patient response data element should only occur once per patient. Example: ask-affects1/ask-affects None In the last 3 months, has anyone on the dialysis center staff asked you about how your kidney disease affects other parts of your life? Yes 1 No 2 NOT APPLICABLE X MISSING/DK M Alphanumeric character 1 Yes