PATIENT RESPONSE RECORD (continued) Data Field Element XML Element Attributes Description Valid Values Data Type Size Required Q59-mail None What is your race? (One or Samoan 1 Alphanumeric 1 Yes race-samoan-mail more categories may be NOT APPLICABLE X character Each element must have a closing tag that selected.) MISSING/DK M is the same as the opening tag but with a forward slash. This patient response data element should only occur once per patient. Example: Q59-mail None What is your race? (One or Other Pacific Alphanumeric 1 Yes race-other-pacificislander-mail more categories may be Islander 1 character Each element must have a closing tag that selected.) NOT APPLICABLE X is the same as the opening tag but with a MISSING/DK M forward slash. This patient response data element should only occur once per patient. Example: mail Q60-mail None Did someone help you Yes 1 Alphanumeric 1 Yes help-you complete this survey? No 2 character Each element must have a closing tag that NOT APPLICABLE X is the same as the opening tag but with a MISSING/DK M forward slash. This patient response data element should only occur once per patient. Example: help-you1/help-you
PATIENT RESPONSE RECORD (continued) XML Element Attributes Description Valid Values Data Type Field Size Data Element Required Q59-mail race-samoan-mail 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 What is your race? (One or more categories may be selected.) Samoan 1 NOT APPLICABLE X MISSING/DK M Alphanumeric character 1 Yes Q59-mail race-other-pacificislander-mail 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: mail None What is your race? (One or more categories may be selected.) Other Pacific Islander 1 NOT APPLICABLE X MISSING/DK M Alphanumeric character 1 Yes Q60-mail help-you 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: help-you1/help-you None Did someone help you complete this survey? Yes 1 No 2 NOT APPLICABLE X MISSING/DK M Alphanumeric character 1 Yes
ICH_SurveyAdminManual_Ver4_Feb2016.docx