RECORD THE INFORMATION FOR THE LAST ATTEMPT TO QUIT FOR EACH TYPE OF PRODUCT USED
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| Question Text | Prompt | CRF Completion Instructions | Type | SDTMIG Target Variable | SDTMIG Target Mapping | Controlled Terminology Code List Name | Permissible Values | Pre-Populated Value | Query Display | List Style | Hidden | | SUCAT | 1 | What is the category of the substance used? |
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| SMOKING CESSATION PRODUCT |
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| | SUSCAT | 3 | What is the type of product the subject used to attempted to quit smoking? | Substance Use Category | Record the type of tobacco product used | Text | SUSCAT |
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| Nicotine Replacement
Therapy (NRT Pharmaceuticals
other than NRTs Other
Smoking Cessation aids
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| | SUTRT | 4 | What was the name of the product the subject used to attempted to quit smoking?
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| Text | SUTRT |
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| | SUDSTXT | 5 | What was the amount of product used to quit smoking? | Amount | Indicate the amount of amount of tobacco product used to quit smoking? | Text | SUDOSE; SUDOSTXT |
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| | SUDUR | 6 | What was the duration of the product usage to quit smoking? | Duration | Provide the duration of the substance use | Text | SUDOSFRQ |
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| QD; EVERY WEEK; QM; PA |
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| | SUCDURU | 7 | What was the duration unit of the product used to quit smoking? | Unit | Select the appropriate duration unit of the tobacco product used | Text | SUDUR |
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| DAYS; MONTHS; YEARS |
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| | SUDOSFRQ | 8 | What was the frequency of of the product used to quit smoking | Frequency |
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| (FREQ) | QD; EVERY WEEK; QM; PA |
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