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titleaCRF: Product Used To Reduce Nicotine Dependency
Panel
title PRODUCTS USED TO REDUCE NICOTINE DEPENDENCY
Xformpusher
CDASH VariableOrderQuestion TextPromptCRF Completion InstructionsTypeSDTMIG Target VariableSDTMIG Target MappingControlled Terminology Code List NamePermissible ValuesPre-Populated ValueQuery DisplayList StyleHidden
CMCAT1What is the category of the substance used?

TextCMCAT


DRUG USED IN  NICOTINE DEPENDENCE


CMYN2Did the subject previously use  products to reduce nicotine dependency?
Indicate if the subject had used any medically acceptable products to attempt to reduce nicotine dependencyTextCMOCCURCMOCCUR where CMTRT= "PRODUCT USED IN NICOTINE DEPENDENCE" (NY)Yes; No



FAORRES3How many times did the subject attempt to the product to reduce nicotine dependencyTimes the Subject Attempted to Reduce Nicotine DependencyRecord the number of times a subject attempted to use a product to reduce nicotine dependencyTextFAORRESFAORRES where FAOBJ ="PRODUCT USED IN NICOTINE DEPENDENCE" and FATEST= Total Number "





Record the information for the last attempt to to reduce nicotine dependency for each type of product used.  

Xformpusher
CDASH VariableOrderQuestion TextPromptCRF Completion InstructionsTypeSDTMIG Target VariableSDTMIG Target MappingControlled Terminology Code List NamePermissible ValuesPre-Populated ValueQuery DisplayList StyleHidden
CMCAT1What is the category of the product used?


CMCAT


DRUG USED IN  NICOTINE DEPENDENCE


CMSCAT3What is the type of product the subject used to attempt to reduce nicotine dependencySubstance Use CategoryRecord the type of product the subject used to reduce nicotine dependency.TextCMSCAT

NICOTINE REPLACEMENT THERAPY; DRUG USED IN REDUCING NICOTINE DEPENDENCE OTHER THAN NRTS;  OTHER SMOKING CESSATION AIDS






CMTRT4What was the name of the product the subject used to reduce nicotine dependency



TextCMTRT






CMDUR6What was the duration of the product usage to reduce nicotine dependency?  DurationProvide the duration of the product used. TextCMDUR



Prompt

CMCDURU7What was the duration unit of the product used to reduce nicotine dependency?  UnitSelect the appropriate duration unit of the product used. TextCMDURU

DAYS; MONTHS; YEARS
Prompt

This is the assoicated an example of an SDTM dataset used to represent the data collected on the above CRF.  

Dataset wrap
Rowcaps
Row 1:Shows whether the subject has used any products to help with nicotine dependence. These include nicotine replacement therapies and pharmaceuticals drugs like Varenicline. The sponsor assigned CMTRT to the name used in the WHO dictionary for these products. CMDTC is the date this assessment was made.   
Rows 2-6:Show the various products that were used by subjects.  CMDUR is the collected duration of the product use. This is used only if collected on the CRF and not derived from start and end date/times. CMDUR is provided using ISO 8601 duration notation.  
Dataset2
RowSTUDYIDDOMAINUSUBJIDCMSEQCMTRTCMCATCMSCATCMPRESPCMOCCURCMDTCCMDUR
11234CM12340051DRUG USED IN NICOTINE DEPENDENCE

YY2008-08-08
21234CM12340052NICOTINE PATCHNICOTINE REPLACEMENT THERAPYLAST ATTEMPT WITH THIS PRODUCT


P2M
31234CM12340061DRUG USED IN NICOTINE DEPENDENCE

YY2008-11-12
41234CM12340062NICOTINE GUMNICOTINE REPLACEMENT THERAPYLAST ATTEMPT WITH THIS PRODUCT


P3M
51234CM12340063NICOTINE LOZENGESNICOTINE REPLACEMENT THERAPYLAST ATTEMPT WITH THIS PRODUCT


P2W
61234CM12340061BUPROPIONDRUG USED IN REDUCING NICOTINE DEPENDENCE OTHER THAN NRTSLAST ATTEMPT WITH THIS PRODUCT


P1M
71234CM12340072DRUG USED IN NICOTINE DEPENDENCE

YY2008-06-12
81234CM12340073VARENICLINEDRUG USED IN REDUCING NICOTINE DEPENDENCE OTHER THAN NRTSLAST ATTEMPT WITH THIS PRODUCT


P40D
91234CM12340121DRUG USED IN NICOTINE DEPENDENCE

NN2008-03-05

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