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OrderCDASH Variable Name Question TextPromptCRF Completion InstructionsSDTMIG Target VariableSDTM Target MappingControlled Terminology Code List NamePermissible ValuesPre-Populated Value
1FAOBJWhat is the object? 

FAOBJ


TOBACCO
2AGESTSMK__FAORRESWhat was the age of the subject when they started smoking?  Age Started SmokingRecord the Age Category when the subject started smokingFAORRESFAORRES WHERE FATESTCD = "AGESTSMK"  and FAOBJ = "TOBACCO"
16-24 years; 25-34 years; 45–64 years; 65 years and older
3TBCESSCO__FAORRESDid the subject have any tobacco cessation counseling?Tobacco Cessation Counseling Indicate whether the subject had previous tobacco cessation counselingFAORRESFAORRES WHERE FATESTCD = "TBCESSCO" and FAOBJ = "TOBACCO"(NY)Yes; No
4LDURABS__FAORRESWhat is the longest duration of previous abstinence from tobacco use? Longest Duration of  AbstinenceRecord the longest duration of tobacco abstinenceFAORRESFAORRES WHERE FATESTCD = "LDURABS"  and FAOBJ = "TOBACCO" 
≤7 days; 8–28 days;1–6 months;  >6 months 
5SUCATWhat is the type of tobacco product used by the subject? Substance Use CategoryRecord the type of tobacco product used.SUCAT

SMOKED TOBACCO PRODUCT; SMOKELESS TOBACCO PRODUCT (e.g., CHEWING TOBACCO, SNUFF, DIP, SNUS, or DISSOLVABLE TOBACCO PRODUCT) 


6SUTRTWhat was the brand name of the tobacco product? 

Substance Treatment Record the brand name of the tobacco product used.  SUTRT



7SUSCATIs this the subject's usual brand of tobacco product? Substance Use Subcategory   Indicate if this is the subject's usual brand of tobacco product usedSUSCAT


USUAL BRAND; 

NOT USUAL BRAND


9SUCDURWhat was the duration of use of the tobacco product ?  DurationProvide the duration for the product usedSUDUR



9SUCDURUWhat was the unit of duration of use of the tobacco product?UnitSelect the appropriate duration unit for the  product usedSUDUR

DAYS; MONTHS; YEARS;
10SUONGOIs the tobacco use ongoing?OngoingRecord 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.SUENRF;  SUENRTPTSUENRF or SUENRTPT(NY)Yes
11SUENDATWhat was the end date?End DateRecord 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.SUENDTC



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