Administrative Data

Enter Administrative Data Source Request here.

Click "+ Add Data Source" button to add a data source

Outcome Measure: {{dataSource.pfsRequiredOutcomeMeasureSubstitutedProxyMeasure.description}} Edit

Data Source Name:
{{dataSource.dataSourceName}}

Exact wording of the item and response options:
{{dataSource.requestedSubstituteProxyResponseOptions}}

Exact wording of the outcome that will be reported to SAMHSA/CSAP:
{{dataSource.reportedOutcomeToSamhsa}}

Formulae for calculating or deriving the prevalence estimate (reported outcomes):
{{dataSource.formulaeForCalculatingOrDerivingPrevalenceEstimate}}

Agency/organization responsible for Data Collection:
{{dataSource.agencyOrganizationResponsibleForDataCollection}}

Data Source Request Supporting Document

For each data file, describe the contents of the data record(s) field that will be displayed:
{{dataSource.uploadedFileDescription}}