Field Name Description Level (Person, Participant, Call)

Transcription

1 Last Updated 02/03/2015 Field Name Description Level (Person, Participant, Call) AccountID The numeric value that corresponds to the participant's AccountName field. AccountName ProgramName BenefitProgram BenefitGroup ServiceID ServiceType CallServicesProgram PersonID ParticipantID Age GenderID Gender RegisteredOnDate State Zip CountyID The name of the state quitline account in which the participant is enrolled. Text field indicating whether or not the participant is enrolled in a State Quit Line or Free & Clear program. Text field indicating the name of the benefit program into which the participant enrolled. If the participant did not enroll in a multiple call program, the benefit is listed as "1 Call Program". If the participant enrolled in a Commercial benefit, this field will be NULL. Text field indicating the name of the group into which the participant was placed upon enrollment into a multiple call program. If the participant did not enroll in a multiple call program, the group is listed as NULL. Numeric value that corresponds to the participant's ServiceType field. 0 = Other 1 = Intervention requested 2 = General Questions 3 = Materials Only 4 = All Transfer Types 5 = Web Only Text value indicating the type of service requested by the participant. Text value indicating the type of service requested by the participant. Recurring identifier for participants across multiple enrollments. Unique identifier for the participant's enrollment Numerical value representing participant's age Numeric value corresponding to the participant's gender field. t Collected 1 = Female 2 = Male Text value of the participant's gender. Date the participant was registered for services. Two-letter standard abbreviation for the participant's state of residence The participant's five-digit zip code. Numeric value that corresponds to the participant's County.

2 County EntryMethodID EntryMethod The participant's county of residence. Numeric value corresponding to the participant's EntryMethod field. t Asked 1 = Web: Online Callback 2 = Fax Referral 3 = Voic 4 = Phone English 5 = Phone Spanish 6 = Evaluation Call Transfer 7 = Phone Warm Transfer 8 = Recruitment Call 9 = Import 10 = Registration Short Form 11 = Re=enrollment (EOP/QC) 12 = Electronic Consult 13 = Self=Referral 14 = Web Enroll 15 = Web: Program Lookup Tool 16 = Data File 17 = Client Services Manager 18 = Phone HRA 19 = Phone DM/Care Mgmt 20 = Phone PBM 21 = Phone Re=enrollment 22 = Phone Fax Referral Not Reached 23 = Phone Self=Referral Not Reached 24 = Fax Enrollment 25 = Service Delivery Text value indicating the source of the participant's registration.

3 CallerTypeID CallerType EducationID Education EthnicityID Ethnicity Numeric value that corresponds to the participant's CallerType. 1 = Tobacco User 2 = Proxy 3 = Provider 4 = General Public 5 = Hang Up 6 = Prank 7 = Wrong Number Text field indicating the caller type category into which the participant falls. Numeric value that corresponds to the participant's Education field. t Asked (system default) 2 = Grade 9-11, no degree 3 = GED 4 = High School Degree 5 = Some College or University 6 = College or University Degree 7 = Does Not Know 8 = Refused 9 = Not Collected 10 = Less than grade 9 11 = Post College 29 = Some Technical/Trade School 30 = Technical/Trade School Degree Text value for the participant's education level. Numeric value corresponding to the participant's ethnicity field. t Asked (system default) 1 = Hispanic 2 = Non-Hispanic 3 = Does Not Know 4 = Refused 5 = Not Collected Text value for participant's ethnicity.

4 RaceID Race Numeric value that corresponds to the participant's Race field. t Collected (system default) 1 = White 2 = Black or African American 3 = Asian 4 = Native Hawaiian/Other Pacific Islander 5 = American Indian or Alaskan Native 6 = Other 7 = Does Not Know 8 = Refused 9 = Not Collected (chosen by Registration Intake Specialist) Text value for the participant's racial background.

5 SubRaceID SubRace HowHeardAboutID Numeric value that corresponds to the participant's SubRace field. t Collected (system default) 1 = Asian Indian 2 = Cambodian 3 = Chinese 4 = Filipino 5 = Hmong 6 = Japanese 7 = Korean 8 = Laotian 9 = Pakistani 10 = Taiwanese 11 = Thai 12 = Vietnamese 13 = Other Asian 14 = Does Not Know 15 = Refused 16 = Not Collected 17 = Native Hawaiian 18 = Samoan 19 = Tongan 20 = Tahitian 21 = Maori 22 = Guamanian/Chamorro 23 = Other Micronesian (e.g. Marshallese, Palauan, Pohnpeian, Chuukese, Yapese, Saipanese, Kosraean) 24 = Fijian 25 = Other Pacific Islander 26 = Absentee Shawnee Tribe of Oklahoma 28 = Apache Tribe of Oklahoma 29 = Caddo Nation 30 Text = value Cherokee for the Nation detail-level of Oklahoma question following collection of the participant's racial background. Only collected for race values of "American Indian or Alaskan Native", "Asian", and "Native Hawaiian/Other Pacific Islander." Numeric value that corresponds to the participant's HowHeardAbout field.

6 HowHeardAbout Text value indicating the participant's answer to the question, "How did you hear about the program?" Text value for the detail-level question following the collection of the SecondaryHeardAboutAnswparticipant's HowHeardAbout field. HealthInsurance The name of the participant's reported Insurance Plan StageAtRegistrationID Numeric value that corresponds to the participant's StageAtRegistration field. 1 = Precontemplation 2 = Contemplation 3 = Preparation 4 = Action 5 = Maintenance StageAtRegistration Participant's stage of readiness to quit at the time of registration. Precontemplation = Not thinking about quitting at this time. Contemplation = Thinking about quitting within the next six months. Preparation = Preparing to quit within the next 30 days. Action = Already quit more than 24 hours but less than 6 months. Maintenance = Quit 6 months or longer. QuitDurationAtRegistrationIDThe numeric value that corresponds to a participant's QuitDurationAtRegistration. 6 = Less than 24 hours 7 = 24 hours to less than 7 days 8 = 7 days to less than 1 month 9 = 1 month to less than 6 months 10 = 6 months or more QuitDurationAtRegistration The length of time that the participant has already been quit, as recorded at the time of registration.

7 LanguageID Language PregnancyGroupID Numeric value that corresponds to the participant's Language field. 0 = English 1 = Spanish 2 = Korean 4 = Cambodian 5 = Cantonese 6 = Lao 7 = Mandarin 8 = Mien 9 = Romanian 10 = Russian 11 = Vietnamese 12 = German 13 = Italian 14 = Other 15 = TTY 16 = Hmong 17 = Cebuano (Filipino) 18 = Ilocano (Filipino) 19 = Japanese 20 = Samoan 21 = Tagalog (Filipino) Text value of the participant's primary language. Numeric value field that corresponds to the participant's PregnancyGroup field. t Asked 1 = Currently Pregnant 2 = Planning to become pregnant in the next six months 3 = Currently breastfeeding PregnancyGroup Text value of pregnancy status, asked only of female callers under age 50.

8 SexualOrientation AfterWaking SmokeEnvironment ConsentToFollowUp Indicates the participant's response to the question regarding their sexual orientation. Bisexual Heterosexual Homosexual Transgender Other Does Not Know Not Asked Not Collected Refused Reported answer to "How soon after you first wake up do you first use tobacco?" in minutes. - 5 Min Min Min. >60 Min. Reported answer to "Are you around other smokers at work or at home?" Both Home No None Work Indicates participant's consent to follow-up calls and questions outside of planned intervention calls. Not Collected No Yes

9 YearsOfTobaccoUse Indicates the number of years the participant reports having used tobacco. <1 Years 1-5 Years 6-19 Years 20+ Years QuitAttempts LongestQuit Indicates the number of past quit attempts that the participant has made. 0 Attempts 1 Attempts 2-5 Attempts 6+ Attempts Indicates the length of the participant's longest past quit. < 24 hrs 24 hrs - 1 mon 1-6 mon > 6 mon Indicates whether or not the particpant has ever called the program before. PreviousCaller FirstCall12Months StartAge t Collected (system default) 2 = No Numeric value indicating whether this is the participant's first call to Free & Clear in the last 12 months. 0=Not collected (default) 1=Yes 2=No Numeric value representing age at which the participant began using tobacco.

10 Cigar Numeric value Indicating whether the participant uses this type of tobacco. Cigarette Numeric value Indicating whether the participant uses this type of tobacco. Smokeless Pipe Other CigarettePerDay CigaretteFrequencyID CigaretteFrequency CigarsPerDay Numeric value indicating whether participant uses this type of tobacco. Numeric value indicating whether participant uses this type of tobacco. Numeric value indicating whether participant uses a type of tobacco other than cigarette, cigar, pipe or SLT. The number of cigarettes the participant reports smoking per day at time of registration. The numeric value that corresponds to the participant's CigaretteFrequency field. t Collected 1 = Every day 2 = Some days 3 = Not at all 4 = Refused 5 = Not Collected Text value indicating how frequently the participant uses this type of tobacco. The number of cigars participant is smoking per day at time of call

11 The numeric value that corresponds to the participant's CigarFrequency field. CigarFrequencyID CigarFrequency PipePerWeek PipeFrequencyID PipeFrequency SLTPerWeek SLTFrequencyID SLTFrequency t Collected 1 = Every day 2 = Some days 3 = Not at all 4 = Refused 5 = Not Collected Text value indicating how frequently the participant uses this type of tobacco. Number of pipe bowls smoked per week The numeric value that corresponds to the participant's PipeFrequency field. t Collected 1 = Every day 2 = Some days 3 = Not at all 4 = Refused 5 = Not Collected Text value indicating how frequently the participant uses this type of tobacco. Number of smokeless tobacco tins a person uses per week. The numeric value that corresponds to the participant's SLTFrequency field. t Collected 1 = Every day 2 = Some days 3 = Not at all 4 = Refused 5 = Not Collected Text value indicating how frequently the participant uses this type of tobacco.

12 RelapseAlcohol RelapseBoredom RelapseCrisis RelapseOther RelapseSocial RelapseStress RelapseWithdrawal Indicates whether or not the participant reported having relapsed in the past due to alcohol. Indicates whether or not the participant reported having relapsed in the past due to boredom. Indicates whether or not the participant reported having relapsed in the past due to a crisis. Indicates whether or not the participant reported having relapsed in the past due to another reason. Indicates whether or not the participant reported having relapsed in the past due to social pressure. Indicates whether or not the participant reported having relapsed in the past due to stress. Indicates whether or not the participant reported having relapsed in the past due to withdrawal.

13 ChronicAsthma ChronicCOPD ChronicCAD ChronicDiabetes ChronicHeartDisease ChronicDoesNotKnow ChronicNone ChronicRefused Indicates whether or not the participant has chronic asthma. Indicates whether or not the participant has chronic COPD. Indicates whether or not the participant has chronic CAD. Indicates whether or not the participant has chronic diabetes. Indicates whether or not the participant has chronic heart disease. Indicates whether or not the participant does not know if he/she has any chronic conditions. Indicates whether or not the participant has no chronic conditions. Indicates whether or not the participant has refused to disclose whether or not he/she has any chronic conditions.

14 BupropionRecommended ChantixRecommended PatchDosed GumDosed Numeric value indicating whether Bupropion was recommended to a participant in the given call. Numeric value indicating whether Chantix recommendation letter was sent to participant Numeric value indicating whether or not the participant was dosed for this NRT type. Numeric value indicating whether the participant was dosed for this NRT type LozengeDosed WebAccount OKToContact Numeric value indicating whether participant was dosed for this NRT type. Numeric value indicating whether or not participant has a Free & Clear web program account (Web Coach). Indicates whether or not the participant has given permission to contact them via their address:

15 QuitReasonHealth QuitReasonFinance QuitReasonFamily Indicates whether or not health is an influence on the Participant's decision to quit tobacco. Indicates whether or not money is an influence on the Participant's decision to quit tobacco. Indicates whether or not family is an influence on the Participant's decision to quit tobacco. QuitReasonSociallyUnaccepIndicates whether or not the fact that tobacco is socially unacceptable is an influence on the Participant's decision to quit tobacco. QuitReasonOther Indicates whether or not other reasons have influenced on the Participant's decision to quit tobacco. Indicates whether or not the particpant used Chantix as a quit method in the past. PastQuitMethodChantix PastQuitMethodFading Indicates whether or not the particpant used Fading as a quit method in the past.

16 Indicates whether or not the particpant used NRT as a quit method in the past. PastQuitMethodNRT PastQuitMethodProgram PastQuitMethodTaper PastQuitMethodZyban PastQuitMethodOther PastQuitMethodNone CurrentTriggerMorning Indicates whether or not the particpant used a Program as a quit method in the past. Indicates whether or not the particpant used Tapering as a quit method in the past. Indicates whether or not the particpant used Zyban as a quit method in the past. Indicates whether or not the particpant used other quit methods in the past. Indicates whether or not the particpant has not used any quit methods in the past. Indicates whether or not Mornings are a current trigger for the participant.

17 Indicates whether or not Coffee, Tea, or Soda are current triggers for the participant. CurrentTriggerCoffeeTeaSo Indicates whether or not After Meals is a current trigger for the participant. CurrentTriggerAfterMeals CurrentTriggerStress CurrentTriggerDriving CurrentTriggerBreaks CurrentTriggerAlcohol Indicates whether or not Stress is a current trigger for the participant. Indicates whether or not Driving is a current trigger for the participant. Indicates whether or not Breaks are a current trigger for the participant. Indicates whether or not Alcohol is a current trigger for the participant. Indicates whether or not other things are current triggers for the participant. CurrentTriggerOther Motivation Participant's answer to the question, "On a scale of 1-10, how motivated do you feel to quit?" with 1 being low and 10 being high. Confidence Numeric value reflecting participant's answer to the question, "On a scale of 1-10, how confident do you feel about being able to quit?" with 1 being low and ConfidenceQuit 10 being high. Numeric value reflectign the participant's answer to the question, "On a scale of 1-10, where 1 is not confident and 10 very confident how confident are you that you can [quit and stay quit/stay quit]?"

18 ConfidenceStressed ConfidenceOffer ConfidenceCraving RecentHeartAttack RecentStroke Numeric value reflectign the participant's answer to the question, "On a scale of 1 10, where 1 is no stress and 10 very stressed, how stressed have you been over the past week?" Numeric value reflectign the participant's answer to the question, "On a scale of 1 10, where 1 is not confident and 10 very confident, how confident are you that you would not smoke [use tobacco], even a puff, if someone offered you a cigarette [a dip]?" Numeric value reflectign the participant's answer to the question, "On a scale of 1 to 10, where 1 is no urges and 10 is strongest urges, how strong have your urges or cravings been to smoke [chew tobacco] during the past 24 hours?" Indicates whether or not the participant reported having had a recent heart attack. Indicates whether or not the participant reported having had a recent stroke. IrregularHeartBeat Angina PatchSkinReaction Numeric value that indicates whether or not the participant reported having an irregular heart beat. Indicates whether or not a participant has angina. Indicates whether or not the participant reported having had an allergic reaction to using a patch-based medication in the past.

19 DentalMouthJaw Indicates whether or not the participant has dental, mouth, or jaw problems that may interfere with the use of nicotine gum. HighBloodPressureNoMeds Indicates whether or not the participant reported having high blood pressure that is not controlled by medication. NumberOfWebLogins CallNumber CallProjectedDate CallActualDate CallTimeElapsed Numeric value indicating the total number of times the participant has logged into Web Coach. The number sequence assigned to a given call in the program. Numbers less than 100 indicate scheduled calls. Numbers from indicate ad hoc calls. Date field indicating when a given call is originally scheduled to be completed. Date field indicating when the call was marked as closed through intervention by Quit Coach or completion of required attempts. The length of time, in minutes that the call lasted before being closed. CallStageID CallStage Numeric value that corresponds to the participant's CallStage. 1 = Precontemplation 2 = Contemplation Participant's stage of readiness to quit at the time of call. Precontemplation = Not thinking about quitting at this time. Contemplation = Thinking about quitting within the next six months. Preparation = Preparing to quit within the next 30 days. Action = Already quit more than 24 hours but less than 6 months. Maintenance = Quit 6 months or longer.

20 QuitDurationID QuitDuration CigarettesPerDayActual IsCallDone ContactTypeID ContactType Numeric value indicating the length of time that the participant has already been quit, as recorded at the time of the call. 6 = Less than 24 hours 7 = 24 hours to less than 7 days 8 = 7 days to less than 1 month 9 = 1 month to less than 6 months 10 = 6 months or more Text field that corresponds to the participants QuitDurationID above. The number of cigarettes participant is smoking per day at time of call Indicates whether or not the call has been closed, either with an intervention or an attempt. Numeric value indicating the result of the call that was made to the participant. 0 = Registration 1 = Intervention 2 = Attempt 3 = Unknown The text field that corresponds to the participant's ContactTypeID above.

21 CallTypeID CallType PlannedQuitDate ActualQuitDate NRTType Numeric value indicating type of call delivered by Free & Clear. -2 = Ongoing -1 = Assessment 0 = Registration 1 = Ad Hoc 4 = Medical Oversight 6 = Quit Date 7 = Quit Date FU 12 = Data Collection 13 = Teen FU 14 = End of Program 24 = Web Update 26 = Pre-Quit Date 27 = Pre-Due Date Text field indicating type of call delivered by Free & Clear; corresponds to CallTypeID Date the caller plans to quit tobacco use. The date the participant reports having quit within a given call. Form of nicotine replacement therapy that was recommended (if any). Patch = nicotine patch Gum = nicotine gum Lozenge = lozenge No entry = no NRT recommended or used PatchWeeksAt21MgDosed Indicates number of weeks of 21Mg nicotine patches the participant was dosed for during the call. PatchWeeksAt14MgDosed Indicates number of weeks of 14Mg nicotine patches the participant was dosed for during the call. PatchWeeksAt7MgDosed Indicates number of weeks of 7Mg nicotine patches the participant was dosed for during the call. GumPerDay2mgDosed Indicates number of pieces per day of 2mg nictotine gum the participant was dosed for during the call. GumPerDay4mgDosed Indicates number of pieces per day of 4mg nictotine gum the participant was dosed for during the call. Numerical value indicating the number of boxes of nicotine gum that were GumBoxesShipped shipped to the participant following this call.

22 Indicates number of pieces per day of the 2mg nicotine lozenge the participant LozengePerDay2mgDosed was dosed for during the call. Indicates number of pieces per day of the 4mg nicotine lozenge the participant LozengePerDay4mgDosed was dosed for during the call. Numeric value indicating the number of boxes of nicotine lozenges that were LozengeBoxesShipped shipped to the participant following this call. NRTShipDate Date the NRT the partcipant was dosed for during this call was shipped to the participant NRTShipmentNumber Numerical value indicating the number, in sequence, of the NRT shipment being sent to the participant following this call. PatchShipment Indicates the number, in sequence, of the call's nicotine patch shipment. GumShipment Indicates the number, in sequence, of the call's nicotine gum shipment. Indicates the number, in sequence, of the call's nicotine lozenge shipment. LozengeShipment Numerical value indicating whether or not the NRT shipment from this call is billable. IsNonBillableNRT MaterialsShipDate BillableMaterials 0 = NRT is billable 1 = NRT is not billable Date the Materials sent to the participant during this call were shipped. Numerical value indicating whether or not billable materials were shipped to the participant in association with this call. Numerical field indicating the category of billable materials sent to the participant in association with this call. 11 = Be Free Guides 15 = Spanish Tobacco Kit 16 = Smokeless Tobacco Kit BillablematerialsCategoryID 17 = Youth Tobacco Kit Text field indicating the category of billable materials sent to the participant in BillableMaterialsCategory association with this call. PlannedCallsCompleted The number of scheduled calls that have been completed for the participant, either with an intervention or with an attempt. AdHocCallsCompleted The number of unscheduled (ad hoc) calls that have been completed for the participant, either with an intervention or with an attempt.

23 Registration NewEnrollment CostOfTobacco MedicationUseBupropion MedicationUseChantix MedicationUseGum MedicationUseInhaler Set to 1 when on the original date of the registration call for the state quit line file. Aggregating this by call actual date will sum to the numbers we see on the first page of the services report. Set to 1 at the completion of the State quit line participant s call with a quit coach. This completion could be triggered on the enrollment into the multiple call program or the closure of that state quit line 1 call file. When aggregated by CallActualDate this summary will match the Services Provided section of the Services report. Text value indicating the participant's answer to the question, "Did the increase in the cost of tobacco products influence your decision to call? Numeric value indicating whether or not the participant answered "Bupropion" to the following question: "Are you currently using any medication(s) to help you quit? <Select all that apply.> " Numeric value indicating whether or not the participant answered "Chantix" to the following question: "Are you currently using any medication(s) to help you quit? <Select all that apply.> " Numeric value indicating whether or not the participant answered "Nicotine Gum" to the following question: "Are you currently using any medication(s) to help you quit? <Select all that apply.> " Numeric value indicating whether or not the participant answered "Nicotine Inhaler" to the following question: "Are you currently using any medication(s) to help you quit? <Select all that apply.> "

24 MedicationUseLozenge Numeric value indicating whether or not the participant answered "Nicotine Lozenge" to the following question: "Are you currently using any medication(s) to help you quit? <Select all that apply.> " MedicationUseNasalSpray Numeric value indicating whether or not the participant answered "Nicotine Nasal Spray" to the following question: "Are you currently using any medication(s) to help you quit? <Select all that apply.> " MedicationUsePatch MedicationUseOther MedicationUseNone MedicationUseNA Numeric value indicating whether or not the participant answered "Nicotine Patch" to the following question: "Are you currently using any medication(s) to help you quit? <Select all that apply.> " Numeric value indicating whether or not the participant answered "Other" to the following question: "Are you currently using any medication(s) to help you quit? <Select all that apply.> " Numeric value indicating whether or not the participant answered "None" to the following question: "Are you currently using any medication(s) to help you quit? <Select all that apply.> " Numeric value indicating that the following question was not asked of the participant: "Are you currently using any medication(s) to help you quit? <Select all that apply.> "

25 MedicationUseRefused RecentQuitAttempts EmployerName ClinicName ClinicCity DemographicsNotAsked Numeric value indicating whether or not the participant refused to answer the following question: "Are you currently using any medication(s) to help you quit? <Select all that apply.> " Numerica value indicating the participant's response to the following question: "How many quit attempts lasting 24 hours or longer have you made since the last call?" Text field stating the name of the participant's current employer, as provided by the participant. Text field listing the name of the health care provider that referred the participant to the quit line. Text field listing the city in which the health care provider that referred the participant to the quit line is located. Numeric value indicating whether or not the demographic questions were skipped for this participant during registration due to Rapid Response or other business needs. 1= Yes