Tobacco Usage History Example 1

Current type of smokeless tobacco used, Snuff, Chewing tobacco. Amount Used : Cans/pouches per week, Dips per day Dipping tobacco is a type of finely ground or shredded, moistened smokeless tobacco product. It is commonly and idiomatically known as "dip". Dipping tobacco is used by placing a pinch, or "dip", of tobacco between the lip and the gum (sublabial administration). The act of using it is called dipping.

Other users of tobacco in household

Years of regular smokeless tobacco use

Fagerstrom Test for Nicotine Dependence (FND) The Fagerström Tolerance Questionnaire was developed by Karl-Olov Fagerström. This instrument was modified to the Fagerström Test for Nicotine Dependence by Todd Heatherton, et al. in 1991. The FTND is copyrighted by Taylor and Francis Ltd., but may be reproduced without permission, as available from the source reference (Heatherton, et al., 1991).

Smoking status (self-reported and biochemically validated)

Row 1:	Subject 1234005 is a 2-pack/day current smoker. “Current” implies that smoking started sometime before the time the question was asked (SUSTTPT = "2006-01-01", SUSTRTPT = "BEFORE") and had not ended as of that date (SUENTTP = "2006-01-01", SUENRTPT = "ONGOING"). See Section 4.4.7, Use of Relative Timing Variables for the use of these variables. Both the beginning and ending reference time points for this question are the date of the assessment.
Row 2:	Subject 1234005 drank 3 cups of coffee on the day of the assessment.
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:	Subject 1234006 drank tea on the day of the assessment.
Row 5:	Subject 1234006 drank coffee on the day of the assessment.
Row 6:	Subject 1234007 had missing data for the smoking questions; this is indicated by SUOCCUR null and SUSTAT = "NOT DONE". The reason is in SUREASND.
Row 7:	Subject 1234007 also had missing data for all of the caffeine questions.

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Row	STUDYID	DOMAIN	USUBJID	SUSEQ	SUTRT	SUCAT	SUPRESP	SUOCCUR	SUSTAT	SUREASND	SUDOSE	SUDOSU	SUDOSFRQ	SUSTDTC	SUENDTC	SUSTTPT	SUSTRTPT	SUENTPT	SUENRTPT
1	1234	SU	1234005	1	CIGARETTES	TOBACCO	Y	Y			2	PACK	QD			2006-01-01	BEFORE	2006-01-01	ONGOING
2	1234	SU	1234005	2	COFFEE	CAFFEINE	Y	Y			3	CUP	QD	2006-01-01	2006-01-01
3	1234	SU	1234006	1	CIGARETTES	TOBACCO	Y	Y			1	PACK	QD		2003	2006-03-15	BEFORE
4	1234	SU	1234006	2	TEA	CAFFEINE	Y	Y			1	CUP	QD	2006-03-15	2006-03-15
5	1234	SU	1234006	3	COFFEE	CAFFEINE	Y	Y			2	CUP	QD	2006-03-15	2006-03-15
6	1234	SU	1234007	1	CIGARETTES	TOBACCO	Y		NOT DONE	Subject left office before CRF was completed
7	1234	SU	1234007	2	CAFFEINE	CAFFEINE	Y		NOT DONE	Subject left office before CRF was completed
					NICOTINE REPLACEMENT THERAPY	NICOTINE		Y OR N
					SMOKELESS CIGARETTES

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Rows 1, 6, 11:
Rows 2-5, 7-10, 12-15:

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Row	STUDYID	DOMAIN	USUBJID	FASEQ	FASPID	FATESTCD	FATEST	FAOBJ	FACAT	FAORRES	FASTRESC	FADTC	FATPT	FATPTNUM	FAELTM	FATPTREF
1	ABC	FA	ABC-123	1	90567		NUMBER	NRT	TOBACCO CESSATION ATTEMPTS	10	10	2007-05-16	5M PRE-DOSE	1	-PT5M	DOSING
2	ABC	FA	ABC-123	2	90567	OCCUR	AGE STARTED SMOKING ( Or Tobacco Product) DAILY			16	16	2007-05-16	5M PRE-DOSE	1	-PT5M	DOSING
3	ABC	FA	ABC-123	3	90567	OCCUR	NUMBER	PHARMACUETIAL		N	N	2007-05-16	5M PRE-DOSE	1	-PT5M	DOSING
4	ABC	FA	ABC-123	4	90567	OCCUR	Occurrence Indicator	SMO:		Y	Y	2007-05-16	5M PRE-DOSE	1	-PT5M	DOSING
5	ABC	FA	ABC-123	5	90567	OCCUR	Occurrence Indicator	Aura		Y	Y	2007-05-16	5M PRE-DOSE	1	-PT5M	DOSING
6	ABC	FA	ABC-123	6	90567	SEV	Severity/Intensity	Migraine		MODERATE	MODERATE	2007-05-16	30M POST-DOSE	2	PT30M	DOSING
7	ABC	FA	ABC-123	7	90567	OCCUR	Occurrence Indicator	Sensitivity To Light		Y	Y	2007-05-16	30M POST-DOSE	2	PT30M	DOSING
8	ABC	FA	ABC-123	8	90567	OCCUR	Occurrence Indicator	Sensitivity To Sound		N	N	2007-05-16	30M POST-DOSE	2	PT30M	DOSING
9	ABC	FA	ABC-123	9	90567	OCCUR	Occurrence Indicator	Nausea		N	N	2007-05-16	30M POST-DOSE	2	PT30M	DOSING
10	ABC	FA	ABC-123	10	90567	OCCUR	Occurrence Indicator	Aura		Y	Y	2007-05-16	30M POST-DOSE	2	PT30M	DOSING
11	ABC	FA	ABC-123	11	90567	SEV	Severity/Intensity	Migraine		MILD	MILD	2007-05-16	90M POST-DOSE	3	PT90M	DOSING
12	ABC	FA	ABC-123	12	90567	OCCUR	Occurrence Indicator	Sensitivity To Light		N	N	2007-05-16	90M POST-DOSE	3	PT90M	DOSING
13	ABC	FA	ABC-123	13	90567	OCCUR	Occurrence Indicator	Sensitivity To Sound		N	N	2007-05-16	90M POST-DOSE	3	PT90M	DOSING
14	ABC	FA	ABC-123	14	90567	OCCUR	Occurrence Indicator	Nausea		N	N	2007-05-16	90M POST-DOSE	3	PT90M	DOSING
15	ABC	FA	ABC-123	15	90567	OCCUR	Occurrence Indicator	Aura		N	N	2007-05-16	90M POST-DOSE	3	PT90M	DOSING

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Tobacco Usage History Example 1