Englisch

Visit 1 Run-In Substance Use: Tobacco History NCT01117584

1 Formulare  
General Information
Beschreibung

General Information

Tobacco History
Beschreibung

Tobacco History

Datentyp

integer

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

Specification of Quantity if Tobacco User

Datentyp

text

Name of Substance
Beschreibung

Tobacco Type

Datentyp

text

Substance Use Consumption
Beschreibung

Quantity

Datentyp

text

Consumption Units
Beschreibung

Units

Datentyp

text

Total Daily Consumption using SUDOSU
Beschreibung

Total Daily Consumption using SUDOSU

Datentyp

text

Category for Substance Use
Beschreibung

Category for Substance Use

Datentyp

text

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Ähnliche Modelle

Visit 1 Run-In Substance Use: Tobacco History NCT01117584

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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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