rp CRFs

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Example Case Report Forms for RP domain

Ex 1: demog

Form: Demographics

Question	Response
Sex	Male Female SEX
Age	AGE
Age units	Years Months Days AGEU
Ethnicity	Hispanic or Latino Not Hispanic or Latino Not Applicable ETHNIC
Race	American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Other Unknown Not Reported RACE
Specify if Race is �Other�	RACESP in SUPPDM
Date of birth	BRTHDTC
Is subject of child bearing status	Able to bear children Premenarche Post-Menopausal Sterile - of child bearing age RPORRES when RPTESTCD=CHILDPOT