Order | Question Text | Prompt | CRF Completion Instructions | Type | Collection Variable | Tabulation Target | Mapping Instuctions | Controlled Terminology Code List Name | Permissible Values | Pre-Populated Value |
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5 | What is the type of tobacco product used by the subject? | Substance Use Category | Record the type of tobacco product used. | Text | SUCAT | SUCAT |
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| SMOKED TOBACCO PRODUCT; SMOKELESS TOBACCO PRODUCT (e.g., CHEWING TOBACCO, SNUFF, DIP, SNUS, or DISSOLVABLE TOBACCO PRODUCT) |
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6 | What was the brand name of the tobacco product?
| Product Name | Record the brand name of the tobacco product used. | Text | SUTRT | SUTRT |
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7 | 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 | SUSCAT |
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| USUAL BRAND; NOT USUAL BRAND |
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9 | What was the duration of use of the tobacco product ? | Duration | Provide the duration for the product used | Text | SUCDUR | SUDUR |
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9 | What was the unit of duration of use of the tobacco product? | Unit | Select the appropriate duration unit for the product used | Text | SUCDURU | SUDUR |
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| DAYS; MONTHS; YEARS; |
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10 | Is the tobacco use ongoing? | Ongoing | Record the product used as ongoing if the subject has not stopped taking the product used at the time of data collection. The end date should be left blank. | Text | SUONGO | SUENRF; SUENRTPT | SUENRF or SUENRTPT | (NY) | No;Yes |
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11 | What was the end date? | End Date | Record the date the product used was stopped using this format (DD-MON-YYYY). If the subject has not stopped taking the product used leave this field blank. | Date | SUENDAT | SUENDTC |
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