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title	CDASH CM Metadata Specifications

Metadataspec

Order	Question Text	Prompt	Case Report Form Completion Instructions	Type	Collection Variable	Tabulation Target	Mapping Instructions	Controlled Terminology CodeList Name	Permissible Values	Pre-Populated Value
1	What was the medication name?	Medication		Text	CMTRT	CMTRT				DRUG USED IN NICOTINE DEPENDENCE
2		Pre-Specified Intervention		Text	CMPRESP	CMPRESP				Y
3	Did the subject previously use medications to reduce nicotine dependency?	Any Medications Taken For Nicotine Dependency	Indicate if the subject had used any medically acceptable products to attempt to reduce nicotine dependency	Text	CMOCCUR	CMOCCUR		(NY)	Yes; No
4	How many times did the subject attempt to use a medicaiton to reduce nicotine dependency	Times the Subject Attempted to Reduce Nicotine Dependency	Record the number of times a subject attempted to use a medicaiton to reduce nicotine dependency	Text	FAORRES	FAORRES	FAORRES where FAOBJ ="MEDICATION USED IN NICOTINE DEPENDENCE" and FATEST= Total Number "
5	What iwas the category?	Category		Text	FACAT	FACAT				ATTEMPTS TO REDUCE NICOTINE DEPENDENCE

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

Order	Question Text	Prompt	Case Report Form Completion Instructions	Type	Collection Variable	Tabulation Target	Mapping Instructions	Controlled Terminology CodeList Name	Permissible Values	Pre-Populated Value
6	What was the medication name?	Medication		Text	CMTRT	CMCAT		NICOTINE REPLACEMENT THERAPY: DRUG USED IN REDUCING NICOTINE DEPENDENCE OTHER THAN NRTS	2	Pre-Specified Intervention	Text	CMPRESP	CMSCAT	LAST ATTEMPTED USE WITH THIS MEDICATION	3	Did the subject previously use medications to reduce nicotine dependency?	Any Medications Taken For Nicotine Dependency	Indicate if the subject had used any medically acceptable products to attempt to reduce nicotine dependency	Text	CMOCCUR	CMTRT	4	How many times did the subject attempt to use a medication to reduce nicotine dependency.	Times the Subject Attempted to Reduce Nicotine Dependency	Record the number of times a subject attempted to use a medication to reduce nicotine dependency	Text	FAORRES	CMDUR	5	What is the category of the medication the subject used to attempt to reduce nicotine dependency?	Medication Category	Record the type of medication the subject used to reduce nicotine dependency.	Text	FACAT	CMDUR	DAYS; MONTHS; YEARS	6	What is the category of the medication the subject used to attempt to reduce nicotine dependency?	Medication Category	Record the type of medication the subject used to reduce nicotine dependency.	CMCAT	CMCAT	CMCAT
7	What was the subcategory	Subcategory		Text	7	What is the subcategory for the medication?	Medication Subcategory	Record the medication subcategory, if not pre-printed on the CRF.	CMSCAT	CMSCAT	CMSCAT			LAST ATTEMPTED USE WITH THIS MEDICATION
8	What was the name of the medication the subject used to reduce nicotine dependency?	Medication	Record only one medication per line. Provide the full trade or proprietary name of the medication; otherwise, record the generic name.	CMTRTText	CMTRT	CMTRT
9	What was the duration of the medication used to reduce nicotine dependency for the last attempt?	Collected Duration	Provide the duration of the medication used.	Text	CMCDUR	CMDURCMCDUR
10	What was the duration unit of the medication used to reduce nicotine dependency for the last attempt?	Collected Duration Unit	Select the appropriate duration unit of the medication used.	Text	CMCDURU	CMDURCMCDURU		DAYS; MONTHS; YEARS

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