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Xformpusher
CDASH VariableOrderQuestion TextPromptCRF Completion InstructionsTypeSDTMIG Target VariableSDTMIG Target MappingControlled Terminology Code List NamePermissible ValuesPre-Populated ValueQuery DisplayList StyleHidden
SUCAT1What is the category of the substance used?Substance Use CategoryRecord the Substance Used category, if not pre-printed on the CRF.TextSUCAT


Recreational Drugs


SUYN2Were any recreational drugs used?Any Recreational Drugs UsedIndicate if the subject had used any recreational drugs.TextN/ASUSTAT = "NOT DONE" where SUYN = "NOT DONE"  (NY)Yes; No; Not Done



SUREASND3What was the reason the 










SUTRT34What was the recreational drug used?Type of Recreational Drug UsedRecord the name of the recreational drug used.TextSUTRT







SUNCF45Does subject use recreational drugs?UsageCheck the appropriate box to indicate if the subject currently or formerly used recreational drugs.TextSUOCCUR;  SUSTRTPT;  SUSTRF;  SUENRTPT;  SUENRFSUOCCUR = "Y" WHEN SUNCF = "CURRENT".  SUOCCUR = "Y" WHEN SUNCF = "FORMER".(NCF)Current; Former
Prompt

SUDSTXT56What was the amount of recreational drug used?AmountIndicate the amount of recreational drugs the subject consumes on a regular basis.TextSUDOSE; SUDOSTXT






SUDOSFRQ67What was the frequency of recreational drug use?FrequencyRecord how often the subject regularly uses recreational drugs.TextSUDOSFRQ
(FREQ)QD; EVERY WEEK; QM; PA
Prompt

SUCDUR78What was the duration of recreational drug use consumption?DurationProvide the duration of the substance use (e.g., how long the subject has smoked).TextSUDUR



Prompt

SUCDURU89What was the unit of duration of recreational drug use?UnitSelect the appropriate duration unit of the substance use.TextSUDUR
(UNIT)DAYS; MONTHS; YEARS
Prompt

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Dataset wrap
NameSU
Dataset2
tableidSU

Row

STUDYID

DOMAIN

USUBJID

SUSEQ

SUTRT

SUCAT

SUOCCUR

SUSTAT

SUREASND

SUDOSE

SUDOSU

SUDOSFRQ

SUSTDTC

SUENDTC

SUSTTPT

SUSTRTPT

SUENTPT

SUENRTPT

11234SU12340051CIGARETTESRECREATIONAL PRODUCTY

2PACKQD

2006-01-01BEFORE2006-01-01ONGOING
21234SU12340052COFFEERECREATIONAL PRODUCTY

3CUPQD2006-01-012006-01-01



31234SU12340061CIGARETTESRECREATIONAL PRODUCTY

1PACKQD
20032006-03-15BEFORE41234SU12340062TEARECREATIONAL PRODUCT1CUPQD2006-03-152006-03-1551234SU12340063COFFEERECREATIONAL PRODUCT2CUPQD2006-03-152006-03-15

61234SU12340071
RECREATIONAL PRODUCT
NOT DONESubject left office before CRF was completed








71234SU12340072
RECREATIONAL PRODUCT
NOT DONESubject left office before CRF was completed










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