PATIENT RESPONSE RECORD (continued) Data Field Element XML Element Attributes Description Valid Values Data Type Size Required Q35 None Using any number from 0 to Worst dialysis center Alphanumeric 2 Yes rate-center 10, where 0 is the worst possible 0 character Each element must have a closing tag that dialysis center possible and 10 1 1 is the same as the opening tag but with a is the best dialysis center 2 2 forward slash. This patient response data possible, what number would 3 3 element should only occur once per you use to rate this dialysis 4 4 patient. center? 5 5 Example: rate-center1/rate- 6 6 center 7 7 8 8 9 9 Best dialysis center possible 10 NOT APPLICABLE X MISSING/DK M Q36 None You can treat kidney disease Yes 1 Alphanumeric 1 Yes talk-treatment with dialysis at a center, a No 2 character Each element must have a closing tag that kidney transplant, or with NOT APPLICABLE X is the same as the opening tag but with a dialysis at home. In the last 12 MISSING/DK M forward slash. This patient response data months, did your kidney element should only occur once per doctors or dialysis center staff patient. talk to you as much as you Example: wanted about which treatment is right for you?
PATIENT RESPONSE RECORD (continued) XML Element Attributes Description Valid Values Data Type Field Size Data Element Required Q35 rate-center 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: rate-center1/rate- center None Using any number from 0 to 10, where 0 is the worst dialysis center possible and 10 is the best dialysis center possible, what number would you use to rate this dialysis center? Worst dialysis center possible 0 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 Best dialysis center possible 10 NOT APPLICABLE X MISSING/DK M Alphanumeric character 2 Yes Q36 talk-treatment 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 You can treat kidney disease with dialysis at a center, a kidney transplant, or with dialysis at home. In the last 12 months, did your kidney doctors or dialysis center staff talk to you as much as you wanted about which treatment is right for you? Yes 1 No 2 NOT APPLICABLE X MISSING/DK M Alphanumeric character 1 Yes