PATIENT RESPONSE RECORD (continued) Data Field Element XML Element Attributes Description Valid Values Data Type Size Required Q33 None In the last 3 months, when Never 1 Alphanumeric 1 Yes onmachine-15min you arrived on time, how Sometimes 2 character Each element must have a closing tag that often did you get put on the Usually 3 is the same as the opening tag but with a dialysis machine within 15 4 forward slash. This patient response data minutes of your appointment NOT APPLICABLE X element should only occur once per or shift time? MISSING/DK M patient. Example: Q34 None In the last 3 months, how Never 1 Alphanumeric 1 Yes center-clean often was the dialysis center Sometimes 2 character Each element must have a closing tag that as clean as it could be? Usually 3 is the same as the opening tag but with a 4 forward slash. This patient response data NOT APPLICABLE X element should only occur once per MISSING/DK M patient. Example: center-clean1/center-clean
PATIENT RESPONSE RECORD (continued) XML Element Attributes Description Valid Values Data Type Field Size Data Element Required Q33 onmachine-15min 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: None In the last 3 months, when you arrived on time, how often did you get put on the dialysis machine within 15 minutes of your appointment or shift time? Never 1 Sometimes 2 Usually 3 4 NOT APPLICABLE X MISSING/DK M Alphanumeric character 1 Yes Q34 center-clean 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: center-clean1/center-clean None In the last 3 months, how often was the dialysis center as clean as it could be? Never 1 Sometimes 2 Usually 3 4 NOT APPLICABLE X MISSING/DK M Alphanumeric character 1 Yes