You are viewing an old version of this page. View the current version.

Compare with Current View Page History

« Previous Version 8 Next »

This CRF collects general history about recreational products used. There are 2 sections in this example. The questions in the first section focus on the whether any recreational products were used. and the questions in the second section are for each recreational product used. 

The questions in the first section focus on the whether any recreational products were used. 

OrderQuestion TextPromptCRF Completion InstructionsCDASH Variable Name SDTMIG Target VariableSDTM Target MappingControlled Terminology Code List NamePermissible ValuesPre-Populated Value
1What is the category of the substance used?Substance Use CategoryRecord the recreational product category, if not pre-printed on the CRF.SUCATSUCAT


RECREATIONAL PRODUCT 
2Were any recreational products used?Any Recreational Product UsedIndicate if the subject had used any recreational products.SUYNN/ASUSTAT = "NOT DONE" and SUTRT="RECREATIOAL PRODUCT"  where SUYN = "Not Done"  (NY)Yes; No; Not Done
3What was the reason the recreational product use was not done?  Reason Not DoneRecord the reason recreational  product use was not done. SUREASNDSUREASNDSUREASND 



The questions in the second section focus on each recreational product used. 


OrderCDASH VariableQuestion TextPromptCRF Completion InstructionsSDTMIG Target VariableSDTMIG Target MappingControlled Terminology Code List NamePermissible ValuesPre-Populated Value
4SUTRTWhat was the recreational product used?Type of Recreational Product UsedRecord each recreational product used on a new line. SUTRT

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



5SUNCFDoes the subject currently use or formerly used recreational products?UsageCheck the appropriate box to indicate if the subject currently or formerly used recreational products.SUOCCUR; SUSTRTPT; SUSTRF; SUENRTPT; SUENRFSUOCCUR = "Y" WHEN SUNCF = "CURRENT".  SUOCCUR = "Y" WHEN SUNCF = "FORMER".(NCF)Current; Former
6SUDSTXTWhat was the amount of the recreational product used?AmountIndicate the amount of recreational drug the subject consumes on a regular basis.SUDOSE; SUDOSTXT



7SUDOSUWhat was the unit?UnitRecord the unit. See the protocol for a list of units.SUDOSUSUDOSU(UNIT)

6SUDOSFRQWhat was the frequency of recreational product use?FrequencyRecord how often the subject regularly uses the recreational product.SUDOSFRQ
(FREQ)Occasionally; Intermittent; Daily; PRN; Unknown





  • No labels