Versions Compared

Old Version 5

changes.mady.by.user Kathleen Mellars

Saved on

compared with

New Version 6

changes.mady.by.user Kathleen Mellars

Saved on

Key

  • This line was added.
  • This line was removed.
  • Formatting was changed.
Panel
titleTobacco Product Usage History
Xformpusher
CDASH VariableOrderQuestion TextPromptCRF Completion InstructionsTypeSDTMIG Target VariableSDTMIG Target MappingControlled Terminology Code List NamePermissible ValuesPre-Populated ValueQuery DisplayList StyleHidden
SUCAT1What is the type of tobacco product  used by the subject? Substance Use CategoryRecord the type of tobacco product usedTextSUCAT

Smoked tobacco products;

Chewed tobacco products;

Smokeless tobacco (e.g., chewing tobacco, snuff, dip, snus, or dissolvable tobacco)  







SUTRT4What was the name of the tobacco product? 



TextSUTRT






SUDUR6What was the duration of the tobacco product used?  DurationProvide the duration of the tobacco product usedTextSUDOSFRQ

QD; EVERY WEEK; QM; PA
Prompt

SUCDURU7What was the unit of duration of tobacco product used?UnitSelect the appropriate duration unit of the  tobacco product usedTextSUDUR

DAYS; MONTHS; YEARS
Prompt

SUDOSFRQ8What was the frequency of  the  tobacco product used ? Frequency



(FREQ)QD; EVERY WEEK; QM; PA
Prompt