PATIENT RESPONSE RECORD (continued) Data Field Element XML Element Attributes Description Valid Values Data Type Size Required Q8 None Using any number from 0 to Worst kidney Alphanumeric 2 Yes rate-dr 10, where 0 is the worst doctors possible 0 character Each element must have a closing tag that kidney doctors possible and 1 1 is the same as the opening tag but with a 10 is the best kidney doctors 2 2 forward slash. This patient response data possible, what number would 3 3 element should only occur once per you use to rate the kidney 4 4 patient. doctors you have now? 5 5 Example: rate-dr1/rate-dr 6 6 7 7 8 8 9 9 Best kidney doctors possible 10 NOT APPLICABLE X MISSING/DK M Q9 Do your kidney doctors seem Yes 1 Alphanumeric 1 Yes — dr-informed informed and up-to-date about No 2 character Each element must have a closing tag that the health care you receive NOT APPLICABLE X is the same as the opening tag but with a from other doctors? MISSING/DK M forward slash. This patient response data element should only occur once per patient. Example: dr-informed1/dr-informed
PATIENT RESPONSE RECORD (continued) XML Element Attributes Description Valid Values Data Type Field Size Data Element Required Q8 rate-dr 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-dr1/rate-dr None Using any number from 0 to 10, where 0 is the worst kidney doctors possible and 10 is the best kidney doctors possible, what number would you use to rate the kidney doctors you have now? Worst kidney doctors possible 0 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 Best kidney doctors possible 10 NOT APPLICABLE X MISSING/DK M Alphanumeric character 2 Yes Q9 dr-informed 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: dr-informed1/dr-informed — Do your kidney doctors seem informed and up-to-date about the health care you receive from other doctors? Yes 1 No 2 NOT APPLICABLE X MISSING/DK M Alphanumeric character 1 Yes
ICH_SurveyAdminManual_Ver4_Feb2016.docx