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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 recreational product  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"    and SUTRT =Reactionall(NY)Yes; No; Not Done



SUREASND3What was the reason the recreational drug use was NOT DONE. Reason  Not DoneRecord the reason recreation  product use was not collected. 

SUREASND where SUTRT =





SUTRT4What was the recreational drug used?Type of Recreational Drug UsedRecord the name of the recreational drug used.TextSUTRT

Alcohol; Tobacco; Marijuana. Hallucinogen Drugs; Non-medical  prescription drugs use; Stimulants; OTher 






SUNCF5Does 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

SUDSTXT6What was the amount of recreational drug used?AmountIndicate the amount of recreational drugs the subject consumes on a regular basis.TextSUDOSE; SUDOSTXT






SUDOSFRQ7What was the frequency of recreational drug use?FrequencyRecord how often the subject regularly uses recreational drugs.TextSUDOSFRQ
(FREQ)QD; EVERY WEEK; QM; PA
Prompt

SUCDUR8What 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

SUCDURU9What 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
Rowcaps
Row 1 Shows that the subject was using cigarettes before the baseline visit and  was expected to continue to use cigarettes after the baseline visit, The baseline visit occurred on 2006-01-01  . This is represented using  SUSTTPT, SUSTRTPT,  SUENTPT and  SUENRTPT  
Rows 3-5:Show 3 records for a subject who completed 3 stages of the study ("SCREENING", "TREATMENT", "FOLLOW-UP").
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

3CUPQD2002 2006-01-01



31234SU12340061CIGARETTESRECREATIONAL PRODUCTY

1PACKQD
20032006-03-15BEFORE

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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