| CDASH Variable | Order | 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 for the substance? | Substance Use Category |
| Text | SUCAT |
|
|
| TOBACCO |
|
|
|
| SUSCAT | 1 | What is the type of tobacco product used by the subject? | Substance Use CategorySubcategory | Record the type of tobacco product used | Text | SUCATSUSCAT |
|
| Smoked tobacco products; Chewed tobacco products; Smokeless tobacco (e.g., chewing tobacco, snuff, dip, snus, or dissolvable tobacco)
|
|
|
|
|
| SUTRT | 4 | What was the name of the tobacco product?
|
|
| Text | SUTRT |
|
|
|
|
|
|
|
| SUDUR | 6 | What was the duration of the tobacco product used? | Duration | Provide the duration of the tobacco product used | Text | SUDOSFRQ |
|
| QD; EVERY WEEK; QM; PA |
| Prompt |
|
|
| SUCDURU | 7 | What was the unit of duration of tobacco product used? | Unit | Select the appropriate duration unit of the tobacco product used | Text | SUDUR |
|
| DAYS; MONTHS; YEARS |
| Prompt |
|
|
| SUDOSFRQ | 8 | What was the frequency of the tobacco product used ? | Frequency |
|
|
|
| (FREQ) | QD; EVERY WEEK; QM; PA |
| Prompt |
|
|
| SUONGO | 9 | Is the medication ongoing? | Ongoing | Record the tobacco product used as ongoing if the subject has not stopped taking the tobacco product used at the time of data collection and the end date should be left blank. | Text | SUENRF; SUENRTPT | SUENRF or SUENRTPT | (NY) | Yes |
|
| checkbox |
|
| SUENDAT | 10 | What was the end date? | End Date | Record the date the tobacco product used was stopped using this format (DD-MON-YYYY). If the subject has not stopped taking the tobacco product used leave this field blank. | Date | SUENDTC |
|
|
|
| prompt |
|
|