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In this example, this CRF collects general history about recreational drug use. 

CRF Instructions

Example CRF Completion Instructions

Record any recreational drug use in the past or currently.  Sponsor may indicate how the amount used is collected. For example,   

Alcohol:  The amount of each type of alcohol consumed should be an integer. The following description should be used in determining the amount consumed:

1 Beer Unit = 12 oz or 360 ml

1 Wine Unit = 5 oz or 150 ml

1 Spirits Unit = 1.5 oz or 45 ml 

SUCAT
Pre-populated
RECREATIONAL PRODUCT
Indicate if the subject had used any recreational products.Were any recreational products used?
SUYN SUSTAT = "NOT DONE" and SUTRT="RECREATIOAL PRODUCT" where SUYN = "Not Done"
<NY codelist>
Record the reason recreational product use was not done.
SUREASND
_________________
Record each recreational product used on a new line.What was the recreational product used?
SUTRT
Check the appropriate box to indicate if the subject currently or formerly used recreational products.Usage
SUNCF SUOCCUR = "Y" WHEN SUNCF = "CURRENT". SUOCCUR = "Y" WHEN SUNCF = "FORMER".
<NCF codelist>
Indicate the amount of recreational drug the subject consumes on a regular basis.
SUDSTXT SUDOSE SUDOSTXT
_________________
Record how often the subject regularly uses the recreational product.Frequency
SUDOSFRQ
<FREQ codelist>
Provide the duration of the recreational product use (e.g., how long the subject has used the recreational product)
SUCDUR SUDUR
_________________
Select the appropriate duration unit of the recreational product useUnit
SUCDURU SUDUR
<UNIT codelist>
CDASH VariableOrderQuestion TextPromptCRF Completion InstructionsTypeSDTMIG Target VariableSDTMIG Target MappingControlled Terminology Code List NamePermissible ValuesPre-Populated ValueQuery DisplayList StyleHidden
SUCAT1What is the category of the substance used?Substance Use CategoryRecord the recreational product  category, if not pre-printed on the CRF.TextSUCAT


RECREATIONAL PRODUCT 


SUYN2Were any recreational products used?Any Recreational Product UsedIndicate if the subject had used any recreational products.TextN/ASUSTAT = "NOT DONE" and SUTRT="RECREATIOAL PRODUCT"  where SUYN = "Not Done"  (NY)Yes; No; Not Done



SUREASND3What was the reason the recreational product use was not done?  Reason Not DoneRecord the reason recreational  product use was not done. TextSUREASNDSUREASND 





SUTRT4What was the recreational product used?Type of Recreational Product UsedRecord each recreational product used on a new line. TextSUTRT

Alcohol; Tobacco; Marijuana; Hallucinogen Drugs; Non-medical prescription drugs use; Stimulants; Other 






SUNCF5Does the subject currently use or formerly used recreational products?UsageCheck the appropriate box to indicate if the subject currently or formerly used recreational products.TextSUOCCUR;  SUSTRTPT;  SUSTRF;  SUENRTPT;  SUENRFSUOCCUR = "Y" WHEN SUNCF = "CURRENT".  SUOCCUR = "Y" WHEN SUNCF = "FORMER".(NCF)Current; Former
Prompt

SUDSTXT6What was the amount of the  recreational product used?AmountIndicate the amount of recreational drug the subject consumes on a regular basis.TextSUDOSE; SUDOSTXT






SUDOSFRQ7What was the frequency of recreational product use?FrequencyRecord how often the subject regularly uses  the recreational product.TextSUDOSFRQ
(FREQ)QD; EVERY WEEK; QM; PA
Prompt

SUCDUR8What was the duration of recreational product use consumption?DurationProvide the duration of the recreational product use (e.g., how long the subject has used the  recreational product) TextSUDUR



Prompt

SUCDURU9What was the unit of duration of recreational product use?UnitSelect the appropriate duration unit of the recreational product useTextSUDUR
(UNIT)DAYS; MONTHS; YEARS
Prompt

This is the SDTM dataset used to represent the above collected data. 

Row 1:Shows that the subject was using cigarettes before the baseline visit and was expected to continue to use cigarettes after the baseline visit, The baseline visit occurred on 2006-01-01. This is represented using SUSTTPT, SUSTRTPT, SUENTPT and SUENRTPT.
Row 2:Shows the subject uses marijuana starting in 2002 and stopped using it on the day of the baseline visit.
Row 3:Subject 1234006 is a former smoker. The date this subject began smoking is unknown, but it was sometime before the assessment date; this is shown by the values of SUSTTPT and SUSTRTPT. The end date of smoking was collected, so SUENTPT and SUENRTPT are not populated. Instead, the end date is in SUENDTC.
Row 4:Shows the subjects had missing data for the usage of recreational products; this is indicated by SUSTAT = "NOT DONE". The reason is in SUREASND.
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Row

STUDYID

DOMAIN

USUBJID

SUSEQ

SUTRT

SUCAT

SUOCCUR

SUSTAT

SUREASND

SUDOSE

SUDOSU

SUDOSFRQ

SUSTDTC

SUENDTC

SUSTTPT

SUSTRTPT

SUENTPT

SUENRTPT

11234SU12340051CIGARETTESRECREATIONAL PRODUCTY

2PACKQD

2006-01-01BEFORE2006-01-01ONGOING
21234SU12340052MARIJUNA RECREATIONAL PRODUCTY




2002 2006-01-01



31234SU12340061CIGARETTESRECREATIONAL PRODUCTY

1PACKQD
20032006-03-15BEFORE

41234SU12340071RECREATIONAL PRODUCTRECREATIONAL PRODUCT
NOT DONESubject left office before CRF was completed








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