This example illustrates how typical tobacco use history data could be collected. This example only includes tobacco products that are not being used as a medically acceptable therapies for smoke cessation. This includes cigarettes, cigars, pipes, chewing tobacco, snus or tobacco pouches, or tobacco strips. Usage of these products are represented in the SU domain.
E cigarettes - are they SU or CM.
SUCAT allows the records to be grouped into smoking-related data and other substances of abuse that may be collected.
| Panel |
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| title | Tobacco Usage History |
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| Xformpusher |
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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 for the substance? | Substance Use Category |
| Text | SUCAT |
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| TOBACCO |
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| | SUSCAT | 1 | What is the type of tobacco product used by the subject? | Substance Use Subcategory | Record the type of tobacco product used | Text | SUSCAT |
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| Smoked tobacco products; Chewed tobacco products; Smokeless tobacco (e.g., chewing tobacco, snuff, dip, snus, or dissolvable tobacco)
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| | SUTRT | 4 | What was the name of the tobacco product?
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| Text | SUTRT |
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| | SUDUR | 6 | What was the duration of use of the tobacco product ? | Duration | Provide the duration of the tobacco product used | Text | SUDOSFRQ |
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| QD; EVERY WEEK; QM; PA |
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| | SUCDURU | 7 | What was the unit of duration of use of the tobacco product? | 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 the tobacco product used ? | Frequency |
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| (FREQ) | QD; EVERY WEEK; QM; PA |
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| | SUONGO | 9 | Is the tobacco use 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 |
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| | 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 |
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