Section 1 The metadata/specification in the first section focus on the whether any recreational products were used. Metadataspec |
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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 |
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1 | What is the category of the substance used? | Substance Use Category | Record the recreational product category, if not pre-printed on the CRF. | Text | SUCAT |
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| RECREATIONAL PRODUCT |
| 2 | Were any recreational products used? | Any Recreational Product Used | Indicate if the subject had used any recreational products. | Text | SUYN |
| SUSTAT = "NOT DONE" and SUTRT="RECREATIOAL PRODUCT" where SUYN = "Not Done" | (NY) | Yes; No; Not Done |
| 3 | What was the reason the recreational product use was not done? | Reason Not Done | Record the reason recreational product use was not done. | Text | SUREASND | SUREASND |
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Section 2 The metadata/specification in the second section focus on each recreational product used. Metadataspec |
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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 |
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4 | What was the recreational product used? | Type of Recreational Product Used | Record each recreational product used on a new line. | Text | SUTRT |
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| Alcohol; Tobacco; Marijuana; Hallucinogen Drugs; Non-medical prescription drugs use; Stimulants; Other
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| 5 | Does the subject currently use or formerly used recreational products? | Usage | Check the appropriate box to indicate if the subject currently or formerly used recreational products. | Text | SUOCCUR | SUOCCUR | SUNCF | SUSTTPT; SUSTRTPT; SUENTPT; SUENRTPT; SUPRESPSUOCCUR = "Y" WHEN SUNCF = "CURRENT". SUOCCUR = "Y" WHEN SUNCF = "FORMER". |
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| (NCF) | FORMERLY:CURRENT; | 6 | What was the amount of the recreational product used? | Amount | Indicate the amount of recreational drug the subject consumes on a regular basis. | Text | SUDOSE; SUDOSTXT |
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| 7 | SUDOSU | What was the unit? | Record the unit. See the protocol for a list of units. | Text | SUDOSU | SUDOSU | (UNIT) |
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| 8 | SUDOSFRQ | What was the frequency of recreational product use? | Record how often the subject regularly uses the recreational product. | Text | SUDOSFRQ |
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| Occasionally; Intermittent; Daily; PRN; Unknown |
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