F0010-C18670

CRF ID: 
CDE ID: 
PV Group Id: 
Permissible Values: 
Permissible Value Codes: 
Additional Notes: 

Other, specify

Disease Specific Instructions: 

Choose all that apply. Response is obtained by report of the participant/subject or proxy as soon as possible after visit/admission. Do not record medications that are prescribed for medical purposes. Collect information on substances and medications taken for reasons other than prescription, or taken more frequently or at higher doses than prescribed. Assure participant/subject that information on such use will be treated as strictly confidential.

Disease Specific Reference: 
PhenX Toolkit - Substances - Lifetime Use Protocol #031100: https://www.phenxtoolkit.org/index.php
Population: 
Adult;Pediatric
Classification: 
Supplemental
CDE Order: 
20
Notes: 
Keywords: 
Sub Set Id: