PATIENT RESPONSE RECORD (continued) Data Field Element XML Element Attributes Description Valid Values Data Type Size Required Q13 None In the last 3 months, how Never 1 Alphanumeric 1 Yes staff-time often did the dialysis center Sometimes 2 character Each element must have a closing tag that staff spend enough time with Usually 3 is the same as the opening tag but with a you? 4 forward slash. This patient response data NOT APPLICABLE X element should only occur once per MISSING/DK M patient. Example: staff-time1/staff-time Q14 None In the last 3 months, how Never 1 Alphanumeric 1 Yes staff-care often did you feel the dialysis Sometimes 2 character Each element must have a closing tag that center staff really cared about Usually 3 is the same as the opening tag but with a you as a person? 4 forward slash. This patient response data NOT APPLICABLE X element should only occur once per MISSING/DK M patient. Example: staff-care1/staff-care Q15 None In the last 3 months, how Never 1 Alphanumeric 1 Yes make-comfortable often did dialysis center staff Sometimes 2 character Each element must have a closing tag that make you as comfortable as Usually 3 is the same as the opening tag but with a possible during dialysis? 4 forward slash. This patient response data NOT APPLICABLE X element should only occur once per MISSING/DK M patient. Example:
PATIENT RESPONSE RECORD (continued) XML Element Attributes Description Valid Values Data Type Field Size Data Element Required Q13 staff-time 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: staff-time1/staff-time None In the last 3 months, how often did the dialysis center staff spend enough time with you? Never 1 Sometimes 2 Usually 3 4 NOT APPLICABLE X MISSING/DK M Alphanumeric character 1 Yes Q14 staff-care 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: staff-care1/staff-care None In the last 3 months, how often did you feel the dialysis center staff really cared about you as a person? Never 1 Sometimes 2 Usually 3 4 NOT APPLICABLE X MISSING/DK M Alphanumeric character 1 Yes Q15 make-comfortable 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, how often did dialysis center staff make you as comfortable as possible during dialysis? Never 1 Sometimes 2 Usually 3 4 NOT APPLICABLE X MISSING/DK M Alphanumeric character 1 Yes
ICH_SurveyAdminManual_Ver4_Feb2016.docx