In this example, this CRF collects general history about recreational drug use.
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Example CRF Completion Instructions Record any recreation drug use in the past or currently. Sponsor may indicate how the amount used is collected. For example, Alcohol: The amount of each type of alcohol consumed should be an integer. The following description should be used in determining the amount consumed: 1 Beer Unit = 12 oz or 360 ml 1 Wine Unit = 5 oz or 150 ml 1 Spirits Unit = 1.5 oz or 45 ml |
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| 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 of the substance used? | Substance Use Category | Record the Substance Used recreational product category, if not pre-printed on the CRF. | Text | SUCAT |
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| Recreational Drugs |
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| | SUYN | 2 | Were any recreational drugs used? | Any Recreational Drugs Used | Indicate if the subject had used any recreational drugs. | Text | N/A | SUSTAT = "NOT DONE" where SUYN = "NOT DONE" | (NY) | Yes; No; Not Done |
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| | SUREASND | 3 | What was the reason the the reason the recreational drug use was NOT DONE. | Reason Not Done | Record the reason recreation product use was not collected. |
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| | SUTRT | 4 | What was the recreational drug used? | Type of Recreational Drug Used | Record the name of the recreational drug used. | Text | SUTRT |
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| Alcohol; Tobacco; Marijuana. Hallucinogen Drugs; Non-medical prescription drugs use; Stimulants; OTher
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| | SUNCF | 5 | Does subject use recreational drugs? | Usage | Check the appropriate box to indicate if the subject currently or formerly used recreational drugs. | Text | SUOCCUR; SUSTRTPT; SUSTRF; SUENRTPT; SUENRF | SUOCCUR = "Y" WHEN SUNCF = "CURRENT". SUOCCUR = "Y" WHEN SUNCF = "FORMER". | (NCF) | Current; Former |
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| | SUDSTXT | 6 | What was the amount of recreational drug used? | Amount | Indicate the amount of recreational drugs the subject consumes on a regular basis. | Text | SUDOSE; SUDOSTXT |
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| | SUDOSFRQ | 7 | What was the frequency of recreational drug use? | Frequency | Record how often the subject regularly uses recreational drugs. | Text | SUDOSFRQ |
| (FREQ) | QD; EVERY WEEK; QM; PA |
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| | SUCDUR | 8 | What was the duration of recreational drug use consumption? | Duration | Provide the duration of the substance use (e.g., how long the subject has smoked). | Text | SUDUR |
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| | SUCDURU | 9 | What was the unit of duration of recreational drug use? | Unit | Select the appropriate duration unit of the substance use. | Text | SUDUR |
| (UNIT) | DAYS; MONTHS; YEARS |
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