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Visit 1 Run-In Substance Use: Tobacco History NCT01117584

1 forms  
General Information
Description

General Information

Alias
UMLS CUI-1
C1508263
Tobacco History
Description

Tobacco History

Data type

integer

Alias
UMLS CUI [1]
C1519384
For Former Tobacco User or Current Tobacco User, please specify quantity
Description

Specification of Quantity if Tobacco User

Data type

text

Alias
UMLS CUI [1,1]
C1519384
UMLS CUI [1,2]
C1265611
Name of Substance
Description

Tobacco Type

Data type

text

Alias
UMLS CUI [1,1]
C0040329
UMLS CUI [1,2]
C2826703
Substance Use Consumption
Description

Quantity

Data type

text

Alias
UMLS CUI [1,1]
C0543414
UMLS CUI [1,2]
C1265611
Consumption Units
Description

Units

Data type

text

Alias
UMLS CUI [1,1]
C0543414
UMLS CUI [1,2]
C0439148
Total Daily Consumption using SUDOSU
Description

Total Daily Consumption using SUDOSU

Data type

text

Alias
UMLS CUI [1,1]
C2826650
UMLS CUI [1,2]
C0332173
Category for Substance Use
Description

Category for Substance Use

Data type

text

Alias
UMLS CUI [1,1]
C0543414
UMLS CUI [1,2]
C0683312
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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
C1508263 (UMLS CUI-1)
Item
Tobacco History
integer
C1519384 (UMLS CUI [1])
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
C1519384 (UMLS CUI [1,1])
C1265611 (UMLS CUI [1,2])
Tobacco Type
Item
Name of Substance
text
C0040329 (UMLS CUI [1,1])
C2826703 (UMLS CUI [1,2])
Quantity
Item
Substance Use Consumption
text
C0543414 (UMLS CUI [1,1])
C1265611 (UMLS CUI [1,2])
Item
Consumption Units
text
C0543414 (UMLS CUI [1,1])
C0439148 (UMLS CUI [1,2])
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
C2826650 (UMLS CUI [1,1])
C0332173 (UMLS CUI [1,2])
Category for Substance Use
Item
Category for Substance Use
text
C0543414 (UMLS CUI [1,1])
C0683312 (UMLS CUI [1,2])
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