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Module ID: 4309553
Instrument:
NIDA Clinical Trials Network - Demographics
| Question |
CDE Long Name |
CDE ID |
|
Some other race specify
|
Patient Race Specify |
2001701 |
|
Is the participant married, widowed, divorced, separated, never married, or living with a partner
|
Marital Status Description Type |
2001707 |
|
We would like to know about what the participant does --is he/she working now, looking for work, retired, keeping house, a student, or what
|
Current Employment Status |
2003074 |
|
Age
|
Patient Age Year Count |
2185960 |
|
Other, specify
|
Current Employment Description Specify |
2199707 |
|
Indicate the group that represents his or her Hispanic origin or ancestry
|
Centers for Disease Control and Prevention Ethnicity Unique Identifier Codes |
2200284 |
|
What race does the participant consider him or herself to represent
|
Centers for Disease Control and Prevention Race Unique Identifier Code |
2200286 |
|
Date of Birth
|
Birth Date |
2201154 |
|
Does the participant consider him- or herself to be Hispanic/Latino
|
Person Hispanic or Latino Ethnicity Coded Indicator |
2618889 |
|
What is the highest grade or level of school the participant has completed or the highest degree they have received
|
Person Education Level Type |
2674076 |
|
Other Asian specify
|
Other Asian Race Category Specify |
3009539 |
|
Other Pacific Islander specify
|
Other Pacific Islander Race Category Specify |
3009541 |