For each Tobacco product used, Complete the following. | 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 | 4 | 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 SMOKED TOBACCO PRODUCT; SMOKELESS TOBACCO PRODUCT (e.g., chewing tobaccoCHEWING TOBACCO, snuffSNUFF, dipDIP, snusSNUS, or dissolvable tobacco) product DISSOLVABLE TOBACCO PRODUCT) |
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| | SUTRT | 5 | What was the name of the tobacco product?
| Substance Treatment | For each product used, 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 | 6 | Is this the subject's usual brand of tobacco product? | Substance Use Subcategory | Indicate if this is the subject's usual brand of tobacco product used | Text | SUSCAT |
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| USUAL BRAND; NOT USUAL BRAND |
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| | FAORRES | 7 | 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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| | SUCDURU | 8 | 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. 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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