PATIENT RESPONSE RECORD (continued) Data Field Element XML Element Attributes Description Valid Values Data Type Size Required Q59a-phone None Which groups best describes Korean 1 Alphanumeric 1 Yes race-korean-phone you? You may choose one or NOT APPLICABLE X character Each element must have a closing tag that more of the following. Are MISSING/DK M is the same as the opening tag but with a you… forward slash. This patient response data element should only occur once per patient. Example: Q59a-phone None Which groups best describes Vietnamese 1 Alphanumeric 1 Yes race-vietnamese-phone you? You may choose one or NOT APPLICABLE X character Each element must have a closing tag that more of the following. Are MISSING/DK M is the same as the opening tag but with a you… forward slash. This patient response data element should only occur once per patient. Example: Q59a-phone None Which groups best describes Other Asian 1 Alphanumeric 1 Yes race-otherasian-phone you? You may choose one or NOT APPLICABLE X character Each element must have a closing tag that more of the following. Are MISSING/DK M is the same as the opening tag but with a you… forward slash. This patient response data element should only occur once per patient. Example:
PATIENT RESPONSE RECORD (continued) XML Element Attributes Description Valid Values Data Type Field Size Data Element Required Q59a-phone race-korean-phone 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 Which groups best describes you? You may choose one or more of the following. Are you… Korean 1 NOT APPLICABLE X MISSING/DK M Alphanumeric character 1 Yes Q59a-phone race-vietnamese-phone 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 Which groups best describes you? You may choose one or more of the following. Are you… Vietnamese 1 NOT APPLICABLE X MISSING/DK M Alphanumeric character 1 Yes Q59a-phone race-otherasian-phone 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 Which groups best describes you? You may choose one or more of the following. Are you… Other Asian 1 NOT APPLICABLE X MISSING/DK M Alphanumeric character 1 Yes
ICH_SurveyAdminManual_Ver4_Feb2016.docx