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Visit 1 Run-In Substance Use: Tobacco History NCT01117584

1 forms  
General Information
Description

General Information

Tobacco History
Description

Tobacco History

Data type

integer

For Former Tobacco User or Current Tobacco User, please specify quantity
Description

Specification of Quantity if Tobacco User

Data type

text

Name of Substance
Description

Tobacco Type

Data type

text

Substance Use Consumption
Description

Quantity

Data type

text

Consumption Units
Description

Units

Data type

text

Total Daily Consumption using SUDOSU
Description

Total Daily Consumption using SUDOSU

Data type

text

Category for Substance Use
Description

Category for Substance Use

Data type

text

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Similar models

Visit 1 Run-In Substance Use: Tobacco History NCT01117584

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
General Information
Item
Tobacco History
integer
Tobacco History
Code List
Tobacco History
CL Item
Never used Tobacco (1)
CL Item
Former Tobacco User (2)
CL Item
Current Tobacco User (3)
Specification of Quantity if Tobacco User
Item
For Former Tobacco User or Current Tobacco User, please specify quantity
text
Tobacco Type
Item
Name of Substance
text
Quantity
Item
Substance Use Consumption
text
Item
Consumption Units
text
Units
Code List
Consumption Units
CL Item
Cigarettes (1)
CL Item
Cigars (2)
CL Item
Pipes(Bowls) (3)
CL Item
Chews (4)
Total Daily Consumption using SUDOSU
Item
Total Daily Consumption using SUDOSU
text
Category for Substance Use
Item
Category for Substance Use
text
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