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Panel
titleTobacco Usage History
Xformpusher
CDASH VariableOrderQuestion TextPromptCRF Completion InstructionsTypeSDTMIG Target VariableSDTMIG Target MappingControlled Terminology Code List NamePermissible ValuesPre-Populated ValueQuery DisplayList StyleHidden
SUCAT1What is the category for the substance?Substance Use Category
TextSUCAT


TOBACCO 


SUSCAT1What is the type of tobacco product used by the subject? Substance Use SubcategoryRecord the type of tobacco product usedTextSUSCAT

Smoked tobacco

products

product;

Chewed tobacco products;

Smokeless tobacco (e.g., chewing tobacco, snuff, dip, snus, or dissolvable tobacco)

 

product 







SUTRT4What was the name of the tobacco product? 

Substance Treatment Record the brand name of the tobacco product used.  TextSUTRT






CSUSCAT5Was this the subject usual brand of tobacco product? Usual Brand Indicate if this is the subject usual brand of tobacco product usedTextSUSCAT
(NY)Yes; No



SUDUR
6
5What was the duration of use of the tobacco product ?  DurationProvide the duration of the tobacco product usedTextSUDOSFRQ

QD; EVERY WEEK; QM; PA
Prompt

SUCDURU
7
6What was the unit of duration of use of the tobacco product?UnitSelect the appropriate duration unit of the  tobacco product usedTextSUDUR

DAYS; MONTHS; YEARS
Prompt

SUDOSFRQ8What was the frequency of  the  tobacco product used ? Frequency



(FREQ)QD; EVERY WEEK; QM; PA
Prompt

SUONGO9Is the tobacco
use 
use ongoing?OngoingRecord 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.TextSUENRF;  SUENRTPTSUENRF or SUENRTPT(NY)Yes

checkbox
SUENDAT10What was the end date?End DateRecord 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.DateSUENDTC



prompt

Dataset wrap
NameSU
Rowcaps
Row 1: Shows that the subject previously used  this tobacco product. SUCAT and SUSCAT categorize the product used. The dates of use were not know, but SUSTTPT, SUSTRTPT,  SUENTPT and  SUENRTPT indicate that the use started before the visit and  was still ongoing,  
Row 2:Shows the subject uses marijuana starting in 2002 and stopped using it on the day of the baseline visit.   
Row 3:Subject 1234006 is a former smoker. The date this subject began smoking is unknown, but it was sometime before the assessment date; this is shown by the values of SUSTTPT and SUSTRTPT. The end date of smoking was collected, so SUENTPT and SUENRTPT are not populated. Instead, the end date is in SUENDTC.
Rows 4 & 5:Show the subjects had missing data for the usage of recreational products; this is indicated by SUSTAT = "NOT DONE". The reason is in SUREASND.
Dataset2
tableidSU

Row

STUDYID

DOMAIN

USUBJID

SPTOBID

SUSEQ

SUTRT

SUCAT

SUSCATSUOCCUR

SUSTAT

SUREASND

SUDOSE

SUDOSU

SUDOSFRQ

SUSTDTC

SUENDTC

SUSTTPT

SUSTRTPT

SUENTPT

SUENRTPT

1TB784SUTB005BAND XYX1BRAND XYZ CIGARTTESSMOKED TOBACCO PRODUCTUSUAL BRANDY

2PACKQD

2006-01-01BEFORE2006-01-01ONGOING
2TB784SUTB006BRAND ZZZ1CHEWING TOBACCO BRAND ZZZ SMOKELESS TOBACCO PRODUCTNOT USUAL BRANDY




2002 2006-01-01