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| 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 | | 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 product; Smokeless tobacco (e.g., chewing tobacco, snuff, dip, snus, or dissolvable tobacco) product
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| | SUTRT | 4 | What was the name of the tobacco product?
| Substance Treatment | Record the brand name of the tobacco product used. | Text | SUTRT |
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| BRAND X:;BRAND Y; BRAND Z; |
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| | SUSCAT | 5 | Is this the subject usual brand of tobacco product? | Substance Use Subcategory | Indicate if this is the subject usual brand of tobacco product used | Text | SUSCAT |
| USUAL BRAND; NOT USUAL BRAND | Yes; No |
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| | FAORRES | 5 | What was the duration of use of the tobacco product ? | Duration | Provide the duration of the tobacco product used | Text | FAORRES |
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| Prompt |
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| | SUCDURU | 6 | What was the unit of duration of use of the tobacco product? | Unit | Select the appropriate duration unit of the tobacco product used | Text | FAORRESU |
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| DAYS; MONTHS; YEARS; |
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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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| checkbox |
| | 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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| prompt |
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| Dataset wrap |
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| Rowcaps |
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| Row 1: | Shows that the subject 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 that the subject used this smokeless tobacco product. This was not the subject usual brand of smokeless tobacco product. |
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| Dataset2 |
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| Row | STUDYID | DOMAIN | USUBJID | SPTOBID | SUSEQ | SUTRT | SUCAT | SUSCAT | SUOCCUR | SUSTAT | SUREASND | SUDOSE | SUDOSU | SUDOSFRQ | SUSTDTC | SUENDTC | SUSTTPT | SUSTRTPT | SUENTPT | SUENRTPT |
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| 1 | TB901 | SU | TB901005 | BAND XYZ | 1 | BRAND XYZ CIGARTTES | SMOKED TOBACCO PRODUCT | USUAL BRAND | Y |
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| 2 | PACK | QD |
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| 2006-01-01 | BEFORE | 2006-01-01 | ONGOING |
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| 2 | TB901 | SU | TB901006 | BRAND ZZZ | 1 | CHEWING SNUS TOBACCO BRAND ZZZ | SMOKELESS TOBACCO PRODUCT | NOT USUAL BRAND | Y |
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| 2002 | 2006-01-01 |
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In this situation, the sponsor maintained an in-house dictionary of tobacco brands. This allowed this sponsor to study products across studies using the same tobacco product code for each brand of tobacco product. These codes were used to create a TO domain. This domain provided details on the brand of tobacco product used by the subject. A sponsor may only collect details on the usual brand of tobacco used. Data for two brands of tobacco are shown.
| Dataset wrap |
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| | Rowcaps |
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| Row 1: | The subject |
Row 2: | | Dataset2 |
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| | Row | STUDYID | DOMAIN | SPTOBID | TOSEQ | TOTESTCD | TOTEST | TOCAT | TOORRES | TOORRESU | TOSTRESC | TOSTRESN | TOSTRESU |
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| 1 | TB901 | TO | BRAND XYZ | | TBPRDCAT | Tobacco Product Category | PRODUCT IDENTIFIER | Cigarettes |
| CIGARTTESCigarettes |
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| | 2 | TB901 | TO | BRAND XYZ | 2 | TBPRSCAT | Tobacco Product Subcategory | PRODUCT IDENTIFIER | Filtered, Combusted |
| Filtered, Combusted |
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| | 3 | TB901 | TO | BRAND XYZ | 3 | MANUF | Manufacturer | PRODUCT IDENTIFIER | Brand XYZ Company |
| Brand XYZ Company |
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| TRADENAM | Trade Name | PRODUCT IDENTIFIER | XYZ Menthol King Size |
| BRAND XYZ COMPANYMenthol King Size |
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| | 1 | TB901 | TO | BRAND ZZZ | 1 | TBPRDCAT | Tobacco Product Category | PRODUCT IDENTIFIER | SNUFF | Smokeless Tobacco Product |
| Smokeless Tobacco ProductEveryday Rich Tobacco |
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| | 2 | TB901 | TO | BRAND ZZZ | 2 | TBPRSCAT | Tobacco Product Subcategory | PRODUCT IDENTIFIER | Snus, portioned |
| Snus, portioned |
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| | 3 | TB901 | TO | BRAND ZZZ | 3 | MANUF | Manufacturer | PRODUCT IDENTIFIER | ZZZ Smokeless |
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