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Panel
titleCRF Instructions

Example CRF Completion Instructions

Record any recreation recreational 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 

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 PRODUCTS 


SUYN2Were any recreational products used?Any Recreational Product UsedIndicate if the subject had used any recreational drugs.TextN/ASUSTAT = "NOT DONE" and SUTRT=Recreational Product  where SUYN = "Not DoneE"  (NY)Yes; No; Not Done



SUREASND3What was the reason the recreational drug product use was not done?  Reason Not DoneRecord the reason recreational  product use was not collected. TextSUREASNDSUREASND 





SUTRT4What was the recreational product used?Type of Recreational Product UsedRecord each reactional product used on a new line. TextSUTRT

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






SUNCF5Does the subject currently or formerly used recreational products?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 product used?AmountIndicate the amount of recreational drugs the subject consumes on a regular basis.TextSUDOSE; SUDOSTXT






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

SUCDUR8What was the duration of recreational product use consumption?DurationProvide the duration of the recreational product  use (e.g., how long the subject has used the  recreational product) TextSUDUR



Prompt

SUCDURU9What was the unit of duration of recreational product use?UnitSelect the appropriate duration unit of the recreational product useTextSUDUR
(UNIT)DAYS; MONTHS; YEARS
Prompt

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