Date of document generation: 2013-11-09T22:11:15

Stylesheet version: 2013-03-04


Tabulation Data Definition Tables

Tabulation Datasets for Study CDISC01 (SDTM-IG 3.1.2)
Dataset Description Class Structure Purpose Keys Location Documentation
TA Trial Arms TRIAL DESIGN One record per planned Element per Arm Tabulation STUDYID, ARMCD, TAETORD ta.xml
TE Trial Elements TRIAL DESIGN One record per planned Element Tabulation STUDYID, ETCD te.xml
TI Trial Inclusion/Exclusion Criteria TRIAL DESIGN One record per I/E criterion Tabulation STUDYID, IETESTCD ti.xml
TS Trial Summary TRIAL DESIGN One record per trial summary parameter value Tabulation STUDYID, TSPARMCD, TSSEQ ts.xml
TV Trial Visits TRIAL DESIGN One record per planned Visit per Arm Tabulation STUDYID, VISITNUM, ARMCD tv.xml
DM Demographics SPECIAL PURPOSE One record per subject Tabulation STUDYID, USUBJID dm.xml See Reviewer's Guide, Section 2.1 Demographics

Reviewers Guide

SE Subject Elements SPECIAL PURPOSE One record per actual Element per subject Tabulation STUDYID, USUBJID, SESTDTC, SEENDTC, TAETORD, ETCD se.xml
SV Subject Visits SPECIAL PURPOSE One record per actual visit per subject Tabulation STUDYID, USUBJID, SVSTDTC, VISITNUM sv.xml
CM Concomitant Medications INTERVENTIONS One record per recorded medication occurrence or constant-dosing interval per subject Tabulation STUDYID, USUBJID, CMSTDTC, CMENDTC, CMCAT, CMTRT, CMDOSTXT, CMDOSU, CMINDC, CMDOSFRQ cm.xml
EX Exposure INTERVENTIONS One record per constant dosing interval per subject Tabulation STUDYID, USUBJID, EXSTDTC, EXENDTC, EXTRT, EXDOSE ex.xml
AE Adverse Events EVENTS One record per adverse event per subject Tabulation STUDYID, USUBJID, AEDECOD, AESTDTC ae.xml
DS Disposition EVENTS One record per disposition status or protocol milestone per subject Tabulation STUDYID, USUBJID, DSSTDY, DSSTDTC, DSCAT, DSDECOD ds.xml
MH Medical History EVENTS One record per medical history event per subject Tabulation STUDYID, USUBJID, MHCAT, MHTERM, MHDTC, MHSTDTC mh.xml
DA Drug Accountability FINDINGS One record per drug accountability finding per subject Tabulation STUDYID, USUBJID, DATESTCD, DADTC da.xml
EG ECG Test Results FINDINGS One record per ECG observation per visit per subject Tabulation STUDYID, USUBJID, EGTESTCD, EGDTC, VISITNUM eg.xml
IE Inclusion/Exclusion Criteria Not Met FINDINGS One record per inclusion/exclusion criterion not met per subject Tabulation STUDYID, USUBJID, IETESTCD ie.xml
LB Laboratory Tests Results FINDINGS One record per analyte per visit per subject Tabulation STUDYID, USUBJID, LBCAT, LBMETHOD, LBTESTCD, LBDTC, VISITNUM lb.xml
PE Physical Examination FINDINGS One record per body system or abnormality per visit per subject Tabulation STUDYID, USUBJID, PETESTCD, PEDTC, VISITNUM pe.xml
QSCG Questionnaire-QSCG (Questionnaires) FINDINGS One record per questionnaire per question per visit per subject Tabulation STUDYID, USUBJID, QSCAT, QSTESTCD, QSDTC, VISITNUM qscg.xml QS is submitted as a split dataset. The split was done based on QSCAT as QSCG (CLINICAL GLOBAL IMPRESSIONS), QSCS (CORNELL SCALE FOR DEPRESSION INDEMENTIA) and QSMM (MINI MENTAL STATE EXAMINATION). See additional documentation in the Reviewer's Guide, Split Datasets Section.

Reviewers Guide

QSCS Questionnaire-QSCS (Questionnaires) FINDINGS One record per questionnaire per question per visit per subject Tabulation STUDYID, USUBJID, QSCAT, QSTESTCD, QSDTC, VISITNUM qscs.xml QS is submitted as a split dataset. The split was done based on QSCAT as QSCG (CLINICAL GLOBAL IMPRESSIONS), QSCS (CORNELL SCALE FOR DEPRESSION INDEMENTIA) and QSMM (MINI MENTAL STATE EXAMINATION). See additional documentation in the Reviewer's Guide, Split Datasets Section.

Reviewers Guide

QSMM Questionnaire-QSMM (Questionnaires) FINDINGS One record per questionnaire per question per visit per subject Tabulation STUDYID, USUBJID, QSCAT, QSTESTCD, QSDTC, VISITNUM qsmm.xml QS is submitted as a split dataset. The split was done based on QSCAT as QSCG (CLINICAL GLOBAL IMPRESSIONS), QSCS (CORNELL SCALE FOR DEPRESSION INDEMENTIA) and QSMM (MINI MENTAL STATE EXAMINATION). See additional documentation in the Reviewer's Guide, Split Datasets Section.

Reviewers Guide

SC Subject Characteristics FINDINGS One record per characteristic per subject Tabulation STUDYID, USUBJID, SCTESTCD sc.xml
VS Vital Signs FINDINGS One record per vital sign measurement per visit per subject Tabulation STUDYID, USUBJID, VSTESTCD, VSDTC, VISITNUM, VSPOS vs.xml
RELREC Related Records RELATIONSHIP One record per related record, group of records or dataset Tabulation STUDYID, RDOMAIN, USUBJID, IDVAR, IDVARVAL, RELID relrec.xml
SUPPAE Supplemental Qualifiers for AE RELATIONSHIP One record per IDVAR, IDVARVAL, and QNAM value per subject Tabulation STUDYID, RDOMAIN, USUBJID, IDVAR, IDVARVAL, QNAM suppae.xml
SUPPCM Supplemental Qualifiers for CM RELATIONSHIP One record per IDVAR, IDVARVAL, and QNAM value per subject Tabulation STUDYID, RDOMAIN, USUBJID, IDVAR, IDVARVAL, QNAM suppcm.xml
SUPPDM Supplemental Qualifiers for DM RELATIONSHIP One record per IDVAR, IDVARVAL, and QNAM value per subject Tabulation STUDYID, RDOMAIN, USUBJID, IDVAR, IDVARVAL, QNAM suppdm.xml
SUPPEG Supplemental Qualifiers for EG RELATIONSHIP One record per IDVAR, IDVARVAL, and QNAM value per subject Tabulation STUDYID, RDOMAIN, USUBJID, IDVAR, IDVARVAL, QNAM suppeg.xml
SUPPEX Supplemental Qualifiers for EX RELATIONSHIP One record per IDVAR, IDVARVAL, and QNAM value per subject Tabulation STUDYID, RDOMAIN, USUBJID, IDVAR, IDVARVAL, QNAM suppex.xml
SUPPLB Supplemental Qualifiers for LB RELATIONSHIP One record per IDVAR, IDVARVAL, and QNAM value per subject Tabulation STUDYID, RDOMAIN, USUBJID, IDVAR, IDVARVAL, QNAM supplb.xml
SUPPQSCG Supplemental Qualifiers for QSCG RELATIONSHIP One record per IDVAR, IDVARVAL, and QNAM value per subject Tabulation STUDYID, RDOMAIN, USUBJID, IDVAR, IDVARVAL, QNAM suppqscg.xml
SUPPQSCS Supplemental Qualifiers for QSCS RELATIONSHIP One record per IDVAR, IDVARVAL, and QNAM value per subject Tabulation STUDYID, RDOMAIN, USUBJID, IDVAR, IDVARVAL, QNAM suppqscs.xml
SUPPQSMM Supplemental Qualifiers for QSMM RELATIONSHIP One record per IDVAR, IDVARVAL, and QNAM value per subject Tabulation STUDYID, RDOMAIN, USUBJID, IDVAR, IDVARVAL, QNAM suppqsmm.xml
SUPPVS Supplemental Qualifiers for VS RELATIONSHIP One record per IDVAR, IDVARVAL, and QNAM value per subject Tabulation STUDYID, RDOMAIN, USUBJID, IDVAR, IDVARVAL, QNAM suppvs.xml

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Trial Arms (TA) [Location: ta.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["TA" = "Trial Arms"]

<Domain Abbreviation (TA)>

Assigned
ARMCD Planned Arm Code 2 text 8 ["WONDER10" = "Miracle Drug 10 mg", "WONDER20" = "Miracle Drug 20 mg", "PLACEBO" = "Placebo", "SCRNFAIL" = "Screen Failure"]

<Planned Arm Code>

Assigned
ARM Description of Planned Arm text 20 ["Miracle Drug 10 mg", "Miracle Drug 20 mg", "Placebo", "Screen Failure"]

<Description of Planned Arm>

Protocol
TAETORD Order of Element within Arm 3 integer 1 Assigned
ETCD Element Code text 8 Assigned
ELEMENT Description of Element text 40 Protocol
TABRANCH Branch text 35 Protocol
TATRANS Transition Rule text 1 Protocol
EPOCH Epoch text 30 Protocol

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Trial Elements (TE) [Location: te.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["TE" = "Trial Elements"]

<Domain Abbreviation (TE)>

Assigned
ETCD Element Code 2 text 8 Assigned
ELEMENT Description of Element text 40 Protocol
TESTRL Rule for Start of Element text 24 Protocol
TEDUR Planned Duration of Element text 4 ISO8601 Protocol

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Trial Inclusion/Exclusion Criteria (TI) [Location: ti.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["TI" = "Trial Inclusion/Exclusion Criteria"]

<Domain Abbreviation (TI)>

Assigned
IETESTCD Incl/Excl Criterion Short Name 2 text 6 IE Test Codes Assigned
IETEST Inclusion/Exclusion Criterion text 92 IE Tests CRF Pages 4 - 5
IECAT Inclusion/Exclusion Category text 9 CRF Pages 4 - 5

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Trial Summary (TS) [Location: ts.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["TS" = "Trial Summary"]

<Domain Abbreviation (TS)>

Assigned
TSSEQ Sequence Number 3 integer 1 Derived
Sequential number identifying records within each TSPARM in the domain.
TSPARMCD Trial Summary Parameter Short Name 2 text 8 Trial Summary Parameter Test Code Assigned
TSPARM Trial Summary Parameter text 36 Trial Summary Parameter Test Name Assigned
TSVAL Parameter Value text 57 Protocol

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Trial Visits (TV) [Location: tv.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["TV" = "Trial Visits"]

<Domain Abbreviation (TV)>

Assigned
VISITNUM Visit Number 2 integer 2 Assigned
VISIT Visit Name text 12 Protocol
VISITDY Planned Study Day of Visit integer 3 Protocol
ARMCD Planned Arm Code 3 text 1 Assigned
TVSTRL Visit Start Rule text 30 Protocol

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Demographics (DM) [Location: dm.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["DM" = "Demographics"]

<Domain Abbreviation (DM)>

Assigned
USUBJID Unique Subject Identifier 2 text 14 Derived
Concatenation of STUDYID and SUBJID
SUBJID Subject Identifier for the Study text 6 CRF Page 3
RFSTDTC Subject Reference Start Date/Time date ISO8601 Derived
RFSTDTC = first date/time of study drug, for safety subject. Null for screen failures.
RFENDTC Subject Reference End Date/Time date ISO8601 Derived
RFENDTC = termination date, for safety subjects. Null for screen failures.
SITEID Study Site Identifier text 3 CRF Page 3
BRTHDTC Date/Time of Birth date ISO8601 CRF Page 6
AGE Age integer 2 Derived
Age at Screening Date (Screening Date - Birth date). For the complete algorithm see the referenced external document.
Complex Algorithms (complexalgorithms.pdf)
AGEU Age Units text 5 Assigned

Defaulted to YEARS

SEX Sex text 1 ["F" = "Female", "M" = "Male", "U" = "Unknown"]

<Sex>

CRF Page 6
RACE Race text 40 Race CRF Page 6
ETHNIC Ethnicity text 22 ["HISPANIC OR LATINO", "NOT HISPANIC OR LATINO"]

<Ethnic Group>

CRF Page 6
ARMCD Planned Arm Code text 8 ["WONDER10" = "Miracle Drug 10 mg", "WONDER20" = "Miracle Drug 20 mg", "PLACEBO" = "Placebo", "SCRNFAIL" = "Screen Failure"]

<Planned Arm Code>

Assigned

Assigned based on Randomization Number. See Note 2.1

Reviewers Guide

ARM Description of Planned Arm text 20 ["Miracle Drug 10 mg", "Miracle Drug 20 mg", "Placebo", "Screen Failure"]

<Description of Planned Arm>

Assigned

Assigned from TA.ARM based on ARMCD.

COUNTRY Country text 3 ISO3166 Assigned
Related dataset: Supplemental Qualifiers for DM (SUPPDM)

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Subject Elements (SE) [Location: se.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["SE" = "Subject Element"]

<Domain Abbreviation (SE)>

Assigned
USUBJID Unique Subject Identifier 2 text 14 Derived
Concatenation of STUDYID and SUBJID
SESEQ Sequence Number integer 1 Derived
Sequential number identifying records within each USUBJID in the domain.
ETCD Element Code 6 text 7 Assigned
ELEMENT Description of Element text 40 Protocol
SESTDTC Start Date/Time of Element 3 date ISO8601 Derived
If Element = SCREEN, derived from SVSTDTC where VISIT = SCREENING or from DS where DSDECOD = 'INFORMED CONSENT', whichever is earliest. If Element = EOS, derived from DS where DSCAT = DISPOSITION EVENT. For treatment Elements, derived from first EXSTDTC for the element. For the complete algorithm see the referenced external document.
Complex Algorithms (complexalgorithms.pdf)
SEENDTC End Date/Time of Element 4 date ISO8601 Derived
If Element = SCREEN, derived from SVENDTC where VISIT = SCREENING. If Element = EOS, derived from DS where DSCAT = DISPOSITION EVENT or from the latest EXENDTC from EX whichever is later. For treatment Elements, derived from last EXENDTC for the element. For the complete algorithm see the referenced external document.
Complex Algorithms (complexalgorithms.pdf)
TAETORD Planned Order of Elements within Arm 5 integer 1 Protocol

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Subject Visits (SV) [Location: sv.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["SV" = "Subject Visits"]

<Domain Abbreviation (SV)>

Assigned
USUBJID Unique Subject Identifier 2 text 14 Derived
Concatenation of STUDYID and SUBJID
VISITNUM Visit Number 4 integer 2 Derived
Derived from visit-based subject-level domains
VISIT Visit Name text 8 Derived
Derived from visit-based subject-level domains
VISITDY Planned Study Day of Visit integer 3 Protocol
SVSTDTC Start Date/Time of Visit 3 date ISO8601 Derived
Derived from visit-based subject-level domains
SVENDTC End Date/Time of Visit date ISO8601 Derived
SVENDTC = SVSTDTC
SVSTDY Study Day of Start of Visit integer 3 Derived
SVSTDY = SVSTDTC-RFSTDTC+1 if SVSTDTC is on or after RFSTDTC. SVSTDTC - RFSTDTC if SVSTDTC precedes RFSTDTC.

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Concomitant Medications (CM) [Location: cm.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["CM" = "Concomitant Meds"]

<Domain Abbreviation (CM)>

Assigned
USUBJID Unique Subject Identifier 2 text 14 Derived
Concatenation of STUDYID and SUBJID
CMSEQ Sequence Number integer 2 Derived
Sequential number identifying records within each USUBJID in the domain.
CMTRT Reported Name of Drug, Med, or Therapy 6 text 23 CRF Pages 9 22
CMMODIFY Modified Reported Name text 23 Assigned
CMDECOD Standardized Medication Name text 30 Drug Dictionary Assigned
CMCAT Category for Medication 5 text 36 ["CONCOMITANT MEDICATIONS", "PSYCHOTROPHIC DRUG TREATMENT HISTORY"]

<Category for Medication>

CRF Pages 9 22
CMINDC Indication 9 text 27 CRF Pages 9 22
CMCLAS Medication Class text 45 Drug Dictionary Assigned

Coded to ATC level 3 Term based on CMINDC

CMCLASCD Medication Class Code text 3 Drug Dictionary Assigned

Coded to ATC level 3 Code based on CMINDC

CMDOSTXT Dose Description 7 text 4 CRF Pages 9 22
CMDOSU Dose Units 8 text 6 Unit (CM) CRF Pages 9 22
CMDOSFRQ Dosing Frequency per Interval 10 text 5 Frequency CRF Page 22
CMROUTE Route of Administration text 12 Route of Administration CRF Page 22

Free text from CRF mapped to CDISC CT

CMSTDTC Start Date/Time of Medication 3 date ISO8601 CRF Pages 9 22
CMENDTC End Date/Time of Medication 4 date ISO8601 CRF Pages 9 22
CMSTDY Study Day of Start of Medication integer 6 Derived
CMSTDY = CMSTDTC - RFSTDTC +1 if CMSTDTC is on or after RFSTDTC. CMSTDTC - RFSTDTC if CMSTDTC precedes RFSTDTC
CMENDY Study Day of End of Medication integer 4 Derived
CMENDY = CMENDTC - RFSTDTC +1 if CMENDTC is on or after RFSTDTC. CMENDTC - RFSTDTC if CMENDTC precedes RFSTDTC
CMENRF End Relative to Reference Period text 6 ["AFTER"]

<Relation to Reference Period (CMENRF)>

CRF Page 22
Related dataset: Supplemental Qualifiers for CM (SUPPCM)

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Exposure (EX) [Location: ex.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["EX" = "Exposure"]

<Domain Abbreviation (EX)>

Assigned
USUBJID Unique Subject Identifier 2 text 14 Derived
Concatenation of STUDYID and SUBJID
EXSEQ Sequence Number integer 1 Derived
Sequential number identifying records within each USUBJID in the domain.
EXTRT Name of Actual Treatment 5 text 20 ["Miracle Drug", "Placebo"]

<Treatment>

Derived
Derived from ARM, ARMCD
EXDOSE Dose per Administration 6 integer 2 Derived
If ARMCD=WONDER10 then EXDOSE = Number of Tablets per Day (QVAL where QNAM=SMNO) * 10. If ARMCD=WONDER20 then EXDOSE = Number of Tablets per Day (QVAL where QNAM=SMNO) * 20. If ARMCD=PLACEBO then EXDOSE = 0.
EXDOSU Dose Units text 2 Derived
Derived from ARM, ARMCD - equal to mg
EXDOSFRM Dose Form text 7 ["TABLET" = "tab"]

<Pharmaceutical Dosage Form>

CRF Page 20
EXSTDTC Start Date/Time of Treatment 3 date ISO8601 CRF Page 20
EXENDTC End Date/Time of Treatment 4 date ISO8601 CRF Page 20
EXSTDY Study Day of Start of Treatment integer 2 Derived
EXSTDY = EXSTDTC - RFSTDTC+1 if EXSTDTC is on or after RFSTDTC. EXSTDTC - RFSTDTC if EXSTDTC precedes RFSTDTC.
EXENDY Study Day of End of Treatment integer 2 Derived
EXENDY = EXENDTC-RFSTDTC+1 if EXENDTC is on or after RFSTDTC. EXENDTC - RFSTDTC if EXENDTC precedes RFSTDTC.
Related dataset: Supplemental Qualifiers for EX (SUPPEX)

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Adverse Events (AE) [Location: ae.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["AE" = "Adverse Events"]

<Domain Abbreviation (AE)>

Assigned
USUBJID Unique Subject Identifier 2 text 14 Derived
Concatenation of STUDYID and SUBJID
AESEQ Sequence Number integer 1 Derived
Sequential number identifying records within each USUBJID in the domain.
AESPID Sponsor-Defined Identifier text 4 CRF Page 21
AETERM Reported Term for the Adverse Event text 25 CRF Page 21
AEMODIFY Modified Reported Term text 9 Assigned
AEDECOD Dictionary-Derived Term 3 text 18 Adverse Event Dictionary Assigned
AEBODSYS Body System or Organ Class text 52 Adverse Event Dictionary Assigned
AESEV Severity/Intensity text 8 ["MILD" = "Grade 1", "MODERATE" = "Grade 2", "SEVERE" = "Grade 3"]

<Severity/Intensity Scale for Adverse Events>

CRF Page 21
AESER Serious Event text 1 ["Y" = "Yes", "N" = "No", "U" = "Unknown"]

<No Yes Response Subset>

CRF Page 21
AEACN Action Taken with Study Treatment text 30 ["DOSE NOT CHANGED", "DOSE REDUCED", "DRUG INTERRUPTED", "DRUG WITHDRAWN"]

<Action Taken with Study Treatment>

CRF Page 21
AEREL Causality text 16 ["NOT RELATED", "POSSIBLY RELATED", "RELATED"]

<Causality>

CRF Page 21
AESTDTC Start Date/Time of Adverse Event 4 date ISO8601 CRF Page 21
AEENDTC End Date/Time of Adverse Event date ISO8601 CRF Page 21
AESTDY Study Day of Start of Adverse Event integer 3 Derived
AESTDY = AESTDTC - RFSTDTC+1 if AESTDTC is on or after RFSTDTC. AESTDTC - RFSTDTC if AESTDTC precedes RFSTDTC
AEENDY Study Day of End of Adverse Event integer 3 Derived
AEENDY = AEENDTC -RFSTDTC+1 if AEENDTC is on or after RFSTDTC. AEENDTC - RFSTDTC if AEENDTC precedes RFSTDTC
AEENRF End Relative to Reference Period text 5 ["AFTER"]

<Relation to Reference Period (AEENRF)>

CRF Page 21
Related dataset: Supplemental Qualifiers for AE (SUPPAE)

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Disposition (DS) [Location: ds.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["DS" = "Disposition"]

<Domain Abbreviation (DS)>

Assigned
USUBJID Unique Subject Identifier 2 text 14 Derived
Concatenation of STUDYID and SUBJID
DSSEQ Sequence Number integer 1 Derived
Sequential number identifying records within each USUBJID in the domain.
DSTERM Reported Term for the Disposition Event text 34 Reported Term for the Disposition Record CRF Pages 6 16 18
DSDECOD Standardized Disposition Term 6 text 21 Completion/Reason for Non-Completion CRF Pages 6 16 18

CRF controlled terminology was mapped to match CDISC controlled terminology.

DSCAT Category for Disposition Event 5 text 18 ["DISPOSITION EVENT" = "Disposition Event", "PROTOCOL MILESTONE" = "Protocol Milestone"]

<Category for Disposition Event>

Assigned
EPOCH Epoch text 9 ["SCREEN", "TREATMENT"]

<Epoch>

Assigned
DSSTDTC Start Date/Time of Disposition Event 4 date ISO8601 CRF Pages 6 16 18
DSSTDY Study Day of Start of Disposition Event 3 integer 3 Derived
DSSTDY = DSSTDTC - RFSTDTC+1 if DSSTDTC is on or after RFSTDTC. DSSTDTC - RFSTDTC if DSSTDTC precedes RFSTDTC. Null if RFSTDTC is Null.

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Medical History (MH) [Location: mh.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["MH" = "Medical History"]

<Domain Abbreviation (MH)>

Assigned
USUBJID Unique Subject Identifier 2 text 14 Derived
Concatenation of STUDYID and SUBJID
MHSEQ Sequence Number integer 1 Derived
Sequential number identifying records within each USUBJID in the domain.
MHTERM Reported Term for the Medical History 4 text 169 CRF Pages 7 - 8
MHCAT Category for Medical History 3 text 28 ["MEDICAL AND SURGICAL HISTORY", "PSYCHIATRIC HISTORY"]

<Category for Medical History>

CRF Pages 7 - 8
MHPRESP Medical History Event Pre-Specified text 2 ["Y" = "Yes", "N" = "No", "U" = "Unknown"]

<No Yes Response Subset>

Assigned
MHOCCUR Medical History Occurrence text 2 ["Y" = "Yes", "N" = "No", "U" = "Unknown"]

<No Yes Response Subset>

Assigned
MHBODSYS Body System or Organ Class text 23 Body System or Organ Class Assigned

Assigned for Medical History but not Psychiatric History

MHDTC Date/Time of History Collection 5 date ISO8601 CRF Pages 7 - 8
MHSTDTC Start Date/Time of Medical History Event 6 date ISO8601 CRF Pages 7 - 8
MHENRF End Relative to Reference Period text 30 ["BEFORE", "DURING/AFTER"]

<Relation to Reference Period (MHENRF)>

CRF Page 8

CRF controlled terminology was mapped to match CDISC controlled terminology.

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Drug Accountability (DA) [Location: da.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["DA" = "Drug Accountability"]

<Domain Abbreviation (DA)>

Assigned
USUBJID Unique Subject Identifier 2 text 14 Derived
Concatenation of STUDYID and SUBJID
DASEQ Sequence Number integer 1 Derived
Sequential number identifying records within each USUBJID in the domain.
DATESTCD Short Name of Accountability Assessment 3 text 7 ["DISPAMT" = "Dispensed Amount", "RETAMT" = "Returned Amount"]

<Drug Accountability Test Code>

Assigned
DATEST Name of Accountability Assessment text 25 ["Dispensed Amount", "Returned Amount"]

<Drug Accountability Test Name>

CRF Page 19
DAORRES Assessment Result in Original Units text 2 CRF Page 19
DAORRESU Original Units text 7 CRF Page 19
DASTRESC Assessment Result in Std Format text 2 Derived
DASTRESC = DAORRES
DASTRESN Numeric Result/Finding in Standard Units integer 2 Derived
DASTRESN = numeric value of DAORRES, when DAORRES contains numeric data.
DASTRESU Assessment Standard Units text 7 Derived
DASTRESU = DAORRESU
VISITNUM Visit Number integer 2 Derived
Derived from DADTC and SVSTDTC.
VISIT Visit Name text 8 Assigned
VISITDY Planned Study Day of Visit integer 3 Protocol
DADTC Date/Time of Accountability Assessment 4 date ISO8601 CRF Page 19
DADY Study Day of Accountability Assessment integer 3 Derived
DADY = DADTC - RFSTDTC+1 if DADTC is on or after RFSTDTC. DADTC - RFSTDTC if DADTC precedes RFSTDTC.

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ECG Test Results (EG) [Location: eg.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["EG" = "Electrocardiogram"]

<Domain Abbreviation (EG)>

Assigned
USUBJID Unique Subject Identifier 2 text 14 Derived
Concatenation of STUDYID and SUBJID
EGSEQ Sequence Number integer 2 Derived
Sequential number identifying records within each USUBJID in the domain.
EGSPID Sponsor-Defined Identifier text 6 Assigned

ECG parameter ordering variable

EGTESTCD ECG Test or Examination Short Name 3 text 6 ECG Test Code Assigned
EGTEST ECG Test or Examination Name text 40 ECG Test Name CRF Page 12
EGPOS ECG Position of Subject text 6 Protocol

Equal to SUPINE

EGORRES Result or Finding in Original Units text 15 CRF Page 12
EGORRESU Original Units text 9 ["BEATS/MIN" = "Beats per Minute", "msec" = "Millisecond"]

<Unit (EGRESU)>

CRF Page 12
EGSTRESC Character Result/Finding in Std Format text 15 Derived
Data collected in non-standard units is converted using standard conversion factors to standard units.
EGSTRESN Numeric Result/Finding in Standard Units float 5 Derived
EGSTRESN = numeric value of EGSTRESC, when EGSTRESC contains numeric data.
EGSTRESU Standard Units text 9 ["BEATS/MIN" = "Beats per Minute", "msec" = "Millisecond"]

<Unit (EGRESU)>

Assigned
EGBLFL Baseline Flag text 1 ["Y" = "Yes", "N" = "No", "U" = "Unknown"]

<No Yes Response Subset>

Derived
Safety subjects only: EGBLFL = "Y" for last record with non Null EGORRES on or before the first dose date (RFSTDTC). Null otherwise
EGDRVFL Derived Flag text 1 ["Y" = "Yes", "N" = "No", "U" = "Unknown"]

<No Yes Response Subset>

Derived
EGDRVFL = "Y" for derived EGTESTCDs QTCB and QTCF. Null otherwise.
Complex Algorithms (complexalgorithms.pdf)
EGEVAL Evaluator text 12 Assigned

Equal to INVESTIGATOR for CRF data

VISITNUM Visit Number 5 integer 2 Assigned

Assigned from the TV domain based on the VISIT

VISIT Visit Name text 7 Assigned
VISITDY Planned Study Day of Visit integer 3 Protocol
EGDTC Date/Time of ECG 4 date ISO8601 CRF Page 12
EGDY Study Day of ECG integer 3 Derived
EGDY = EGDTC-RFSTDTC+1 if EGDTC is on or after RFTSDTC. EGDTC - RFSTDTC if EGDTC precedes RFSTDTC.
Related dataset: Supplemental Qualifiers for EG (SUPPEG)

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Inclusion/Exclusion Criteria Not Met (IE) [Location: ie.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["IE" = "Inclusion/Exclusion"]

<Domain Abbreviation (IE)>

Assigned
USUBJID Unique Subject Identifier 2 text 14 Derived
Concatenation of STUDYID and SUBJID
IESEQ Sequence Number integer 1 Derived
Sequential number identifying records within each USUBJID in the domain.
IETESTCD Inclusion/Exclusion Criterion Short Name 3 text 6 IE Test Codes Assigned
IETEST Inclusion/Exclusion Criterion text 54 IE Tests CRF Pages 4 - 5
IECAT Inclusion/Exclusion Category text 9 CRF Pages 4 - 5
IEORRES I/E Criterion Original Result text 1 CRF Pages 4 - 5
IESTRESC I/E Criterion Result in Std Format text 1 Derived
IESTRESC = IEORRES
VISITNUM Visit Number integer 1 Assigned

Assigned from the TV domain based on the VISIT

VISIT Visit Name text 6 Assigned
IEDTC Date/Time of Collection date ISO8601 CRF Pages 4 - 5

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Laboratory Tests Results (LB) [Location: lb.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["LB" = "Laboratory Data"]

<Domain Abbreviation (LB)>

Assigned
USUBJID Unique Subject Identifier 2 text 14 Derived
Concatenation of STUDYID and SUBJID
LBSEQ Sequence Number integer 2 Derived
Sequential number identifying records within each USUBJID in the domain.
LBREFID Specimen ID text 7 eDT

Accession number

LBTESTCD Lab Test or Examination Short Name 5 text 7 Laboratory Test Code Assigned
LBTEST Lab Test or Examination Name text 22 Laboratory Test Name eDT
LBCAT Category for Lab Test 3 text 10 eDT
LBORRES Result or Finding in Original Units text 8 eDT
LBORRESU Original Units text 7 Unit (LBRESU) eDT
LBORNRLO Reference Range Lower Limit in Orig Unit text 8 eDT
LBORNRHI Reference Range Upper Limit in Orig Unit text 8 eDT
LBSTRESC Character Result/Finding in Std Format text 8 eDT
LBSTRESN Numeric Result/Finding in Standard Units float 5 eDT
LBSTRESU Standard Units text 7 eDT
LBSTNRLO Reference Range Lower Limit-Std Units float 4 eDT
LBSTNRHI Reference Range Upper Limit-Std Units float 4 eDT
LBSTNRC Reference Range for Char Rslt-Std Units text 19 eDT
LBNRIND Reference Range Indicator text 20 ["ABNORMAL", "HIGH", "LOW", "NORMAL"]

<Reference Range Indicator>

Derived
Reference Range Indicator based upon standard results and ranges.
LBSPEC Specimen Type text 5 ["BLOOD", "SERUM", "URINE"]

<Specimen Type>

eDT
LBMETHOD Method of Test or Examination 4 text 8 ["DIPSTICK", "QUANT"]

<Method>

eDT
LBBLFL Baseline Flag text 1 ["Y" = "Yes", "N" = "No", "U" = "Unknown"]

<No Yes Response Subset>

Derived
Safety subjects only: LBBLFL = "Y" for last record with non Null LBORRES on or before the first dose date (RFSTDTC). Null otherwise.
LBFAST Fasting Status text 1 ["Y" = "Yes", "N" = "No", "U" = "Unknown"]

<No Yes Response Subset>

eDT
VISITNUM Visit Number 7 integer 2 eDT
VISIT Visit Name text 7 eDT
VISITDY Planned Study Day of Visit integer 3 Protocol
LBDTC Date/Time of Specimen Collection 6 datetime ISO8601 eDT
LBDY Study Day of Specimen Collection integer 3 Derived
LBDY = LBDTC-RFSTDTC+1 if LBDTC is on or after RFSTDTC. LBDTC - RFSTDTC if LBDTC precedes RFSTDTC.
Related dataset: Supplemental Qualifiers for LB (SUPPLB)

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Physical Examination (PE) [Location: pe.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["PE" = "Physical Exam"]

<Domain Abbreviation (PE)>

Assigned
USUBJID Unique Subject Identifier 2 text 14 Derived
Concatenation of STUDYID and SUBJID
PESEQ Sequence Number integer 2 Derived
Sequential number identifying records within each USUBJID in the domain.
PETESTCD Body System Examined Short Name 3 text 4 PE Test Codes Assigned
PETEST Body System Examined text 29 PE Tests CRF Page 10
PEORRES Verbatim Examination Finding text 36 CRF Page 10
PESTRESC Character Result/Finding in Std Format text 26 Derived
PESTRESC = PEORRES
VISITNUM Visit Number 5 integer 2 Assigned

Assigned from the TV domain based on the VISIT

VISIT Visit Name text 7 Assigned
VISITDY Planned Study Day of Visit integer 3 Protocol
PEDTC Date/Time of Examination 4 date ISO8601 CRF Page 10
PEDY Study Day of Examination integer 3 Derived
PEDY = PEDTC-RFSTDTC+1 if PEDTC is on or after RFSTDTC. PEDTC - RFSTDTC if PEDTC precedes RFSTDTC.

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Questionnaire-QSCG (QSCG) [Location: qscg.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["QS" = "Questionnaires"]

<Domain Abbreviation (QS)>

Assigned
USUBJID Unique Subject Identifier 2 text 14 Derived
Concatenation of STUDYID and SUBJID
QSSEQ Sequence Number integer 3 Derived
Sequential number identifying records within each USUBJID in the domain.
QSTESTCD Question Short Name 4 text 7 QS Test Codes Assigned
QSTEST Question Name text 37 QS Tests CRF Page 17
QSCAT Category of Question 3 text 50 CRF Page 17
QSORRES Finding in Original Units text 20 CRF Page 17
QSSTRESC Character Result/Finding in Std Format text 2 Derived
If questionnaire result is a numerically relevant code then code stored here; else character result equal to QSORRES. Character results contain mixed case data.
QSSTRESN Numeric Finding in Standard Units integer 2 Derived
When QSORRES is numeric then QSSTRESN equal to numeric result
VISITNUM Visit Number 6 integer 2 Assigned

Assigned from the TV domain based on the VISIT

VISIT Visit Name text 8 Assigned
VISITDY Planned Study Day of Visit integer 3 Protocol
QSDTC Date/Time of Finding 5 date ISO8601 CRF Page 17
QSDY Study Day of Finding integer 3 Derived
QSDY= QSDTC-RFSTDTC+1 if QSDTC is on or after RFSTDTC. QSDTC - RFSTDTC if QSDTC precedes RFSTDTC.
Related dataset: Supplemental Qualifiers for QSCG (SUPPQSCG)

Go to the top of the define.xml

Questionnaire-QSCS (QSCS) [Location: qscs.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["QS" = "Questionnaires"]

<Domain Abbreviation (QS)>

Assigned
USUBJID Unique Subject Identifier 2 text 14 Derived
Concatenation of STUDYID and SUBJID
QSSEQ Sequence Number integer 3 Derived
Sequential number identifying records within each USUBJID in the domain.
QSTESTCD Question Short Name 4 text 7 QS Test Codes Assigned
QSTEST Question Name text 37 QS Tests CRF Page 17
QSCAT Category of Question 3 text 50 CRF Page 17
QSSCAT Subcategory for Question text 40 CRF Pages 14 - 15
QSORRES Finding in Original Units text 20 CRF Page 17
QSSTRESC Character Result/Finding in Std Format text 2 Derived
If questionnaire result is a numerically relevant code then code stored here; else character result equal to QSORRES. Character results contain mixed case data.
QSSTRESN Numeric Finding in Standard Units integer 2 Derived
When QSORRES is numeric then QSSTRESN equal to numeric result
QSBLFL Baseline Flag text 1 ["Y" = "Yes", "N" = "No", "U" = "Unknown"]

<No Yes Response Subset>

Derived
Safety subjects only: QSBLFL = "Y" for last record with non Null QSORRES on or before the first dose date (RFSTDTC). Null otherwise.
VISITNUM Visit Number 6 integer 2 Assigned

Assigned from the TV domain based on the VISIT

VISIT Visit Name text 8 Assigned
VISITDY Planned Study Day of Visit integer 3 Protocol
QSDTC Date/Time of Finding 5 date ISO8601 CRF Page 17
QSDY Study Day of Finding integer 3 Derived
QSDY= QSDTC-RFSTDTC+1 if QSDTC is on or after RFSTDTC. QSDTC - RFSTDTC if QSDTC precedes RFSTDTC.
QSEVLINT Evaluation Interval text 20 CRF Page 14
Related dataset: Supplemental Qualifiers for QSCS (SUPPQSCS)

Go to the top of the define.xml

Questionnaire-QSMM (QSMM) [Location: qsmm.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["QS" = "Questionnaires"]

<Domain Abbreviation (QS)>

Assigned
USUBJID Unique Subject Identifier 2 text 14 Derived
Concatenation of STUDYID and SUBJID
QSSEQ Sequence Number integer 3 Derived
Sequential number identifying records within each USUBJID in the domain.
QSTESTCD Question Short Name 4 text 7 QS Test Codes Assigned
QSTEST Question Name text 37 QS Tests CRF Page 17
QSCAT Category of Question 3 text 50 CRF Page 17
QSORRES Finding in Original Units text 20 CRF Page 17
QSSTRESC Character Result/Finding in Std Format text 2 Derived
If questionnaire result is a numerically relevant code then code stored here; else character result equal to QSORRES. Character results contain mixed case data.
QSSTRESN Numeric Finding in Standard Units integer 2 Derived
When QSORRES is numeric then QSSTRESN equal to numeric result
QSBLFL Baseline Flag text 1 ["Y" = "Yes", "N" = "No", "U" = "Unknown"]

<No Yes Response Subset>

Derived
Safety subjects only: QSBLFL = "Y" for last record with non Null QSORRES on or before the first dose date (RFSTDTC). Null otherwise.
VISITNUM Visit Number 6 integer 2 Assigned

Assigned from the TV domain based on the VISIT

VISIT Visit Name text 8 Assigned
VISITDY Planned Study Day of Visit integer 3 Protocol
QSDTC Date/Time of Finding 5 date ISO8601 CRF Page 17
QSDY Study Day of Finding integer 3 Derived
QSDY= QSDTC-RFSTDTC+1 if QSDTC is on or after RFSTDTC. QSDTC - RFSTDTC if QSDTC precedes RFSTDTC.
Related dataset: Supplemental Qualifiers for QSMM (SUPPQSMM)

Go to the top of the define.xml

Subject Characteristics (SC) [Location: sc.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["SC" = "Subject Characteristics"]

<Domain Abbreviation (SC)>

Assigned
USUBJID Unique Subject Identifier 2 text 14 Derived
Concatenation of STUDYID and SUBJID
SCSEQ Sequence Number integer 1 Derived
Sequential number identifying records within each USUBJID in the domain.
SCTESTCD Subject Characteristic Short Name 3 text 8 ["EDLEVEL" = "Education Level", "MARISTAT" = "Marital Status", "SUBJINIT" = "Subject Initials"]

<Subject Characteristic Code (SCTESTCD)>

Assigned
SCTEST Subject Characteristic text 16 ["Education Level", "Marital Status", "Subject Initials"]

<SC Tests>

CRF Page 6
SCORRES Result or Finding in Original Units text 24 CRF Pages 3 6
SCSTRESC Character Result/Finding in Std Format text 24 Derived
SCSTRESC = SCORRES
SCDTC Date/Time of Collection date ISO8601 CRF Page 6
SCDY Study Day of Examination integer 3 Derived
SCDY = SCDTC-RFSTDTC+1 if SCDTC is on or after RFSTDTC. SCDTC - RFSTDTC if SCDTC precedes RFSTDTC.

Go to the top of the define.xml

Vital Signs (VS) [Location: vs.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
DOMAIN Domain Abbreviation text 2 ["VS" = "Vital Signs"]

<Domain Abbreviation (VS)>

Assigned
USUBJID Unique Subject Identifier 2 text 14 Derived
Concatenation of STUDYID and SUBJID
VSSEQ Sequence Number integer 2 Derived
Sequential number identifying records within each USUBJID in the domain.
VSTESTCD Vital Signs Test Short Name 3 text 20 Vital Signs Test Code Assigned
VSTEST Vital Signs Test Name text 24 Vital Signs Test Name CRF Page 11
VSPOS Vital Signs Position of Subject 6 text 7 CRF Page 11
VSORRES Result or Finding in Original Units text 30 CRF Page 11
VSORRESU Original Units text 20 CRF Page 11
VSSTRESC Character Result/Finding in Std Format text 30 Derived
Data collected in non-standard units (i.e. lbs, inches) is converted using standard conversion factors to standard units (kg, cm).
VSSTRESN Numeric Result/Finding in Standard Units float 5 Derived
VSSTRESN = numeric value of VSSTRESC, when VSSTRESC contains numeric data.
VSSTRESU Standard Units text 9 ["BEATS/MIN" = "Beats per Minute", "cm" = "Centimeter", "kg" = "Kilogram", "mmHg" = "Millimeter of Mercury"]

<Units for Vital Signs Results>

Assigned

Standard units consistent with CDISC controlled terminology

VSBLFL Baseline Flag text 1 ["Y" = "Yes", "N" = "No", "U" = "Unknown"]

<No Yes Response Subset>

Derived
Safety subjects only: VSBLFL = "Y" for last record with non Null VSORRES on or before the first dose date (RFSTDTC). Null otherwise.
VISITNUM Visit Number 5 integer 2 Assigned

Assigned from the TV domain based on the VISIT

VISIT Visit Name text 8 Assigned
VISITDY Planned Study Day of Visit integer 3 Protocol
VSDTC Date/Time of Measurements 4 date ISO8601 CRF Page 11
VSDY Study Day of Vital Signs integer 3 Derived
VSDY = VSDTC-RFSTDTC+1 if VSDTC is on or after RFSTDTC. VSDTC - RFSTDTC if VSDTC precedes RFSTDTC.
Related dataset: Supplemental Qualifiers for VS (SUPPVS)

Go to the top of the define.xml

Related Records (RELREC) [Location: relrec.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
RDOMAIN Related Domain Abbreviation 2 text 2 Derived
Domain abbreviation from where data originated.
USUBJID Unique Subject Identifier 3 text 14 Derived
Concatenation of STUDYID and SUBJID
IDVAR Identifying Variable 4 text 8 Assigned

Name of the variables for the related records.

IDVARVAL Identifying Variable Value 5 text 2 Assigned

Value of identifying variable described in IDVAR.

RELTYPE Relationship Type text 4 Assigned

All values are null since this is used only when identifying a dataset-level relationship.

RELID Relationship Identifier 6 text 10 Derived
All records for the same USUBJID with the same RELID are considered related.

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Supplemental Qualifiers for AE (SUPPAE) [Location: suppae.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
RDOMAIN Related Domain Abbreviation 2 text 2 Derived
Domain abbreviation from where data originated.
USUBJID Unique Subject Identifier 3 text 14 Derived
Concatenation of STUDYID and SUBJID
IDVAR Identifying Variable 4 text 5 Assigned

Name of the variables for the related records.

IDVARVAL Identifying Variable Value 5 text 1 Assigned

Value of identifying variable described in IDVAR.

QNAM Qualifier Variable Name 6 text 7 Assigned
QLABEL Qualifier Variable Label text 30 Assigned
QVAL Data Value text 60
QORIG Origin text 8 Assigned
QEVAL Evaluator text 30 Assigned
Related dataset: Adverse Events (AE)

Go to the top of the define.xml

Supplemental Qualifiers for CM (SUPPCM) [Location: suppcm.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
RDOMAIN Related Domain Abbreviation 2 text 2 Derived
Domain abbreviation from where data originated.
USUBJID Unique Subject Identifier 3 text 14 Derived
Concatenation of STUDYID and SUBJID
IDVAR Identifying Variable 4 text 5 Assigned

Name of the variables for the related records.

IDVARVAL Identifying Variable Value 5 text 2 Assigned

Value of identifying variable described in IDVAR.

QNAM Qualifier Variable Name 6 text 8 Assigned
QLABEL Qualifier Variable Label text 26 Assigned
QVAL Data Value text 43
QORIG Origin text 10 Assigned
QEVAL Evaluator text 30 Assigned
Related dataset: Concomitant Medications (CM)

Go to the top of the define.xml

Supplemental Qualifiers for DM (SUPPDM) [Location: suppdm.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
RDOMAIN Related Domain Abbreviation 2 text 2 Derived
Domain abbreviation from where data originated.
USUBJID Unique Subject Identifier 3 text 14 Derived
Concatenation of STUDYID and SUBJID
IDVAR Identifying Variable 4 text 1 Assigned

Name of the variables for the related records.

IDVARVAL Identifying Variable Value 5 text 1 Assigned

Value of identifying variable described in IDVAR.

QNAM Qualifier Variable Name 6 text 8 Assigned
QLABEL Qualifier Variable Label text 26 Assigned
QVAL Data Value text 30
QORIG Origin text 11 Assigned
QEVAL Evaluator text 30 Assigned
Related dataset: Demographics (DM)

Go to the top of the define.xml

Supplemental Qualifiers for EG (SUPPEG) [Location: suppeg.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
RDOMAIN Related Domain Abbreviation 2 text 2 Derived
Domain abbreviation from where data originated.
USUBJID Unique Subject Identifier 3 text 14 Derived
Concatenation of STUDYID and SUBJID
IDVAR Identifying Variable 4 text 5 Assigned

Name of the variables for the related records.

IDVARVAL Identifying Variable Value 5 text 2 Assigned

Value of identifying variable described in IDVAR.

QNAM Qualifier Variable Name 6 text 7 Assigned
QLABEL Qualifier Variable Label text 36 Assigned
QVAL Data Value text 2
QORIG Origin text 7 Assigned
QEVAL Evaluator text 30 Assigned
Related dataset: ECG Test Results (EG)

Go to the top of the define.xml

Supplemental Qualifiers for EX (SUPPEX) [Location: suppex.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
RDOMAIN Related Domain Abbreviation 2 text 2 Derived
Domain abbreviation from where data originated.
USUBJID Unique Subject Identifier 3 text 14 Derived
Concatenation of STUDYID and SUBJID
IDVAR Identifying Variable 4 text 5 Assigned

Name of the variables for the related records.

IDVARVAL Identifying Variable Value 5 text 1 Assigned

Value of identifying variable described in IDVAR.

QNAM Qualifier Variable Name 6 text 4 Assigned
QLABEL Qualifier Variable Label text 25 Assigned
QVAL Data Value text 2
QORIG Origin text 11 Assigned
QEVAL Evaluator text 30 Assigned
Related dataset: Exposure (EX)

Go to the top of the define.xml

Supplemental Qualifiers for LB (SUPPLB) [Location: supplb.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
RDOMAIN Related Domain Abbreviation 2 text 2 Derived
Domain abbreviation from where data originated.
USUBJID Unique Subject Identifier 3 text 14 Derived
Concatenation of STUDYID and SUBJID
IDVAR Identifying Variable 4 text 5 Assigned

Name of the variables for the related records.

IDVARVAL Identifying Variable Value 5 text 2 Assigned

Value of identifying variable described in IDVAR.

QNAM Qualifier Variable Name 6 text 7 Assigned
QLABEL Qualifier Variable Label text 36 Assigned
QVAL Data Value text 2
QORIG Origin text 7 Assigned
QEVAL Evaluator text 30 Assigned
Related dataset: Laboratory Tests Results (LB)

Go to the top of the define.xml

Supplemental Qualifiers for QSCG (SUPPQSCG) [Location: suppqscg.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
RDOMAIN Related Domain Abbreviation 2 text 2 Derived
Domain abbreviation from where data originated.
USUBJID Unique Subject Identifier 3 text 14 Derived
Concatenation of STUDYID and SUBJID
IDVAR Identifying Variable 4 text 5 Assigned

Name of the variables for the related records.

IDVARVAL Identifying Variable Value 5 text 50 Assigned

Value of identifying variable described in IDVAR.

QNAM Qualifier Variable Name 6 text 7 Assigned
QLABEL Qualifier Variable Label text 36 Assigned
QVAL Data Value text 3
QORIG Origin text 7 Assigned
QEVAL Evaluator text 30 Assigned
Related dataset: Questionnaire-QSCG (QSCG)

Go to the top of the define.xml

Supplemental Qualifiers for QSCS (SUPPQSCS) [Location: suppqscs.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
RDOMAIN Related Domain Abbreviation 2 text 2 Derived
Domain abbreviation from where data originated.
USUBJID Unique Subject Identifier 3 text 14 Derived
Concatenation of STUDYID and SUBJID
IDVAR Identifying Variable 4 text 5 Assigned

Name of the variables for the related records.

IDVARVAL Identifying Variable Value 5 text 50 Assigned

Value of identifying variable described in IDVAR.

QNAM Qualifier Variable Name 6 text 7 Assigned
QLABEL Qualifier Variable Label text 36 Assigned
QVAL Data Value text 3
QORIG Origin text 7 Assigned
QEVAL Evaluator text 30 Assigned
Related dataset: Questionnaire-QSCS (QSCS)

Go to the top of the define.xml

Supplemental Qualifiers for QSMM (SUPPQSMM) [Location: suppqsmm.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
RDOMAIN Related Domain Abbreviation 2 text 2 Derived
Domain abbreviation from where data originated.
USUBJID Unique Subject Identifier 3 text 14 Derived
Concatenation of STUDYID and SUBJID
IDVAR Identifying Variable 4 text 5 Assigned

Name of the variables for the related records.

IDVARVAL Identifying Variable Value 5 text 50 Assigned

Value of identifying variable described in IDVAR.

QNAM Qualifier Variable Name 6 text 7 Assigned
QLABEL Qualifier Variable Label text 36 Assigned
QVAL Data Value text 3
QORIG Origin text 7 Assigned
QEVAL Evaluator text 30 Assigned
Related dataset: Questionnaire-QSMM (QSMM)

Go to the top of the define.xml

Supplemental Qualifiers for VS (SUPPVS) [Location: suppvs.xml]
Variable Label Key Type Length Controlled Terms or Format Origin Derivation/Comment
STUDYID Study Identifier 1 text 7 Protocol
RDOMAIN Related Domain Abbreviation 2 text 2 Derived
Domain abbreviation from where data originated.
USUBJID Unique Subject Identifier 3 text 14 Derived
Concatenation of STUDYID and SUBJID
IDVAR Identifying Variable 4 text 5 Assigned

Name of the variables for the related records.

IDVARVAL Identifying Variable Value 5 text 2 Assigned

Value of identifying variable described in IDVAR.

QNAM Qualifier Variable Name 6 text 7 Assigned
QLABEL Qualifier Variable Label text 36 Assigned
QVAL Data Value text 2
QORIG Origin text 7 Assigned
QEVAL Evaluator text 30 Assigned
Related dataset: Vital Signs (VS)

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Value Level Metadata

Value Level Metadata - DA [DAORRES]
Variable Where Type Length / Display Format Controlled Terms or Format Origin Derivation/Comment
DAORRES DATESTCD EQ DISPAMT (Dispensed Amount)
integer 2 CRF Page 19
DAORRES DATESTCD EQ RETAMT (Returned Amount)
integer 2 CRF Page 19

Value Level Metadata - EG [EGORRES]
Variable Where Type Length / Display Format Controlled Terms or Format Origin Derivation/Comment
EGORRES EGTESTCD EQ INTP (Interpretation)
text 8 ["ABNORMAL", "NORMAL"]

<Interpretation: Original Results>

CRF Page 12
EGORRES EGTESTCD EQ PRMEAN (Summary (Mean) PR Duration)
integer 3 CRF Page 12
EGORRES EGTESTCD EQ QRSDUR (Summary (Mean) QRS Duration)
integer 3 CRF Page 12
EGORRES EGTESTCD EQ QTMEAN (Summary (Mean) QT Duration)
integer 3 CRF Page 12
EGORRES EGTESTCD EQ VRMEAN (Summary (Mean) Ventricular Rate)
integer 2 CRF Page 12

Value Level Metadata - EG [EGSTRESC]
Variable Where Type Length / Display Format Controlled Terms or Format Origin Derivation/Comment
EGSTRESC EGTESTCD EQ QTCB (QTcB - Bazett's Correction Formula)
float 5.1 Derived
QTcB = QT interval / square root of (60 / heart rate). For the complete algorithm see the referenced external document.
Complex Algorithms (complexalgorithms.pdf)
EGSTRESC EGTESTCD EQ QTCF (QTcF - Fridericia's Correction Formula)
float 5.1 Derived
QTcF = QT interval / cubic root of (60 / heart rate). For the complete algorithm see the referenced external document.
Complex Algorithms (complexalgorithms.pdf)

Value Level Metadata - IE [IEORRES]
Variable Where Type Length / Display Format Controlled Terms or Format Origin Derivation/Comment
IEORRES IETESTCD EQ EXCL01 (Is pregnant, nursing, or planning to become pregnant within 6 months of last study treatment)
text 200 ["Y" = "Yes", "N" = "No", "NA" = "Not Applicable"]

<No Yes Response>

CRF Page 5
IEORRES IETESTCD EQ EXCL02 (Is unable or unwilling to undergo multiple venipunctures)
text 200 ["Y" = "Yes", "N" = "No", "NA" = "Not Applicable"]

<No Yes Response>

CRF Page 5
IEORRES IETESTCD EQ EXCL03 (Is known to have had a substance abuse (drug or alcohol) problem within the previous 3 years)
text 200 ["Y" = "Yes", "N" = "No", "NA" = "Not Applicable"]

<No Yes Response>

CRF Page 5
IEORRES IETESTCD EQ INCL01 (Is age 18 - 85)
text 200 ["Y" = "Yes", "N" = "No", "NA" = "Not Applicable"]

<No Yes Response>

CRF Page 4
IEORRES IETESTCD EQ INCL02 (Has Xyz disease of at least 10 weeks duration confirmed by biopsy)
text 200 ["Y" = "Yes", "N" = "No", "NA" = "Not Applicable"]

<No Yes Response>

CRF Page 4
IEORRES IETESTCD EQ INCL03 (Did not respond to a standard course of medication Abc)
text 200 ["Y" = "Yes", "N" = "No", "NA" = "Not Applicable"]

<No Yes Response>

CRF Page 4

Value Level Metadata - LB [LBORRES]
Variable Where Type Length / Display Format Controlled Terms or Format Origin Derivation/Comment
LBORRES LBTESTCD EQ BILI (Bilirubin)
AND LBCAT EQ CHEMISTRY
AND LBSPEC EQ BLOOD
float 3 eDT
LBORRES LBTESTCD EQ BUN (Blood Urea Nitrogen)
AND LBCAT EQ CHEMISTRY
AND LBSPEC EQ BLOOD
float 4 eDT
LBORRES LBTESTCD EQ GLUC (Glucose)
AND LBCAT EQ CHEMISTRY
AND LBSPEC EQ BLOOD
float 3 eDT
LBORRES LBTESTCD EQ GLUC (Glucose)
AND LBCAT EQ URINALYSIS
AND LBSPEC EQ URINE
AND LBMETHOD EQ DIPSTICK
text 8 eDT
LBORRES LBTESTCD EQ GLUC (Glucose)
AND LBCAT EQ URINALYSIS
AND LBSPEC EQ URINE
AND LBMETHOD EQ QUANT
text 8 eDT
LBORRES LBTESTCD EQ HCT (Hematocrit)
AND LBCAT EQ HEMATOLOGY
AND LBSPEC EQ BLOOD
float 4 eDT
LBORRES LBTESTCD EQ HGB (Hemoglobin)
AND LBCAT EQ HEMATOLOGY
AND LBSPEC EQ BLOOD
float 4 eDT
LBORRES LBTESTCD EQ LYM (Lymphocytes)
AND LBCAT EQ HEMATOLOGY
AND LBSPEC EQ BLOOD
float 4 eDT
LBORRES LBTESTCD EQ OCCBLD (Occult Blood)
AND LBCAT EQ URINALYSIS
AND LBSPEC EQ URINE
text 8 eDT
LBORRES LBTESTCD EQ PH (pH)
AND LBCAT EQ URINALYSIS
AND LBSPEC EQ URINE
float 3 eDT
LBORRES LBTESTCD EQ VITB12 (Vitamin B12)
AND LBCAT EQ CHEMISTRY
AND LBSPEC EQ SERUM
integer 3 eDT
LBORRES LBTESTCD EQ VITB9 (Vitamin B9)
AND LBCAT EQ CHEMISTRY
AND LBSPEC EQ BLOOD
float 5 eDT

Value Level Metadata - PE [PEORRES]
Variable Where Type Length / Display Format Controlled Terms or Format Origin Derivation/Comment
PEORRES PETESTCD EQ PE01 (Appearance/Skin)
text 16 CRF Page 10
PEORRES PETESTCD EQ PE02 (Head/Neck (Including Thyroid))
text 6 CRF Page 10
PEORRES PETESTCD EQ PE03 (Eyes-Ears-Nose-Throat)
text 13 CRF Page 10
PEORRES PETESTCD EQ PE04 (Cardiovascular)
text 20 CRF Page 10
PEORRES PETESTCD EQ PE05 (Pulmonary)
text 6 CRF Page 10
PEORRES PETESTCD EQ PE06 (Abdomen)
text 6 CRF Page 10
PEORRES PETESTCD EQ PE07 (Neurological)
text 26 CRF Page 10
PEORRES PETESTCD EQ PE08 (Musculoskeletal)
text 6 CRF Page 10
PEORRES PETESTCD EQ PE09 (Other)
text 19 CRF Page 10

Value Level Metadata - QSCG [QSORRES]
Variable Where Type Length / Display Format Controlled Terms or Format Origin Derivation/Comment
QSORRES QSTESTCD EQ CGIGLOB (Global Improvement)
integer 1 Global Improvement CRF Page 17
QSORRES QSTESTCD EQ CSDD01 (Anxiety)
integer 1 ["0" = "Absent", "1" = "Mild or Intermittent", "2" = "Severe"]

<CUE_EXPF_X>

CRF Page 14
QSORRES QSTESTCD EQ CSDD02 (Sadness)
integer 1 ["0" = "Absent", "1" = "Mild or Intermittent", "2" = "Severe"]

<CUE_EXPF_X>

CRF Page 14
QSORRES QSTESTCD EQ CSDD03 (Lack of Reactivity to Pleasant Events)
integer 1 ["0" = "Absent", "1" = "Mild or Intermittent", "2" = "Severe"]

<CUE_EXPF_X>

CRF Page 14
QSORRES QSTESTCD EQ CSDD04 (Irritability)
integer 1 ["0" = "Absent", "1" = "Mild or Intermittent", "2" = "Severe"]

<CUE_EXPF_X>

CRF Page 14
QSORRES QSTESTCD EQ CSDD05 (Agitation)
integer 1 ["0" = "Absent", "1" = "Mild or Intermittent", "2" = "Severe"]

<CUE_EXPF_X>

CRF Page 14
QSORRES QSTESTCD EQ CSDD06 (Retardation)
integer 1 ["0" = "Absent", "1" = "Mild or Intermittent", "2" = "Severe"]

<CUE_EXPF_X>

CRF Page 14
QSORRES QSTESTCD EQ CSDD07 (Multiple Physical Complaints)
integer 1 ["0" = "Absent", "1" = "Mild or Intermittent", "2" = "Severe"]

<CUE_EXPF_X>

CRF Page 14
QSORRES QSTESTCD EQ CSDD08 (Loss of Interest)
integer 1 ["0" = "Absent", "1" = "Mild or Intermittent", "2" = "Severe"]

<CUE_EXPF_X>

CRF Page 14
QSORRES QSTESTCD EQ CSDD09 (Appetite Loss)
integer 1 ["0" = "Absent", "1" = "Mild or Intermittent", "2" = "Severe"]

<CUE_EXPF_X>

CRF Page 15
QSORRES QSTESTCD EQ CSDD10 (Weight Loss)
integer 1 ["0" = "Absent", "1" = "Mild or Intermittent", "2" = "Severe"]

<CUE_EXPF_X>

CRF Page 15
QSORRES QSTESTCD EQ CSDD11 (Lack of Energy)
integer 1 ["0" = "Absent", "1" = "Mild or Intermittent", "2" = "Severe"]

<CUE_EXPF_X>

CRF Page 15
QSORRES QSTESTCD EQ CSDD12 (Diurnal Variation of Mood)
integer 1 ["0" = "Absent", "1" = "Mild or Intermittent", "2" = "Severe"]

<CUE_EXPF_X>

CRF Page 15
QSORRES QSTESTCD EQ CSDD13 (Difficulty Falling Asleep)
integer 1 ["0" = "Absent", "1" = "Mild or Intermittent", "2" = "Severe"]

<CUE_EXPF_X>

CRF Page 15
QSORRES QSTESTCD EQ CSDD14 (Multiple Awakenings During Sleep)
integer 1 ["0" = "Absent", "1" = "Mild or Intermittent", "2" = "Severe"]

<CUE_EXPF_X>

CRF Page 15
QSORRES QSTESTCD EQ CSDD15 (Early Morning Awakening)
integer 1 ["0" = "Absent", "1" = "Mild or Intermittent", "2" = "Severe"]

<CUE_EXPF_X>

CRF Page 15
QSORRES QSTESTCD EQ CSDD16 (Suicide)
integer 1 ["0" = "Absent", "1" = "Mild or Intermittent", "2" = "Severe"]

<CUE_EXPF_X>

CRF Page 15
QSORRES QSTESTCD EQ CSDD17 (Poor Self-Esteem)
integer 1 ["0" = "Absent", "1" = "Mild or Intermittent", "2" = "Severe"]

<CUE_EXPF_X>

CRF Page 15
QSORRES QSTESTCD EQ CSDD18 (Pessimism)
integer 1 ["0" = "Absent", "1" = "Mild or Intermittent", "2" = "Severe"]

<CUE_EXPF_X>

CRF Page 15
QSORRES QSTESTCD EQ CSDD19 (Mood-Congruent Delusions)
integer 1 ["0" = "Absent", "1" = "Mild or Intermittent", "2" = "Severe"]

<CUE_EXPF_X>

CRF Page 15
QSORRES QSTESTCD EQ CSDDTOT (Total Score)
integer 2 CRF Page 15
QSORRES QSTESTCD EQ MMSEA1 (Orientation time score)
integer 1 CRF Page 13
QSORRES QSTESTCD EQ MMSEA2 (Orientation place score)
integer 1 CRF Page 13
QSORRES QSTESTCD EQ MMSEB (Registration)
integer 1 CRF Page 13
QSORRES QSTESTCD EQ MMSEC (Attention and Calculation)
integer 1 CRF Page 13
QSORRES QSTESTCD EQ MMSED (Recall)
integer 1 CRF Page 13
QSORRES QSTESTCD EQ MMSEET (Language)
integer 1 CRF Page 13
QSORRES QSTESTCD EQ MMSETOT (Total Score)
integer 2 CRF Page 13

Value Level Metadata - SC [SCORRES]
Variable Where Type Length / Display Format Controlled Terms or Format Origin Derivation/Comment
SCORRES SCTESTCD EQ EDLEVEL (Education Level)
text 24 CRF Page 6
SCORRES SCTESTCD EQ MARISTAT (Marital Status)
text 17 Marital Status CRF Page 6
SCORRES SCTESTCD EQ SUBJINIT (Subject Initials)
text 3 CRF Page 3

Value Level Metadata - SUPPAE [QVAL]
Variable Where Type Length / Display Format Controlled Terms or Format Origin Derivation/Comment
QVAL QNAM EQ AETRTEM
(Treatment Emergent Flag)
text 1 ["Y" = "Yes", "N" = "No", "U" = "Unknown"]

<No Yes Response Subset>

Derived
AETRTEM = "Y" if Adverse Event was not present prior to the RFSTDTC, or it was present prior to the RFSTDTC but increased in severity during the treatment period. Null otherwise.
QVAL QNAM EQ HLGT
(High Level Group Term)
text 52 Adverse Event Dictionary Assigned
QVAL QNAM EQ HLT
(High Level Term)
text 60 Adverse Event Dictionary Assigned
QVAL QNAM EQ LLT
(Lowest Level Term)
text 18 Adverse Event Dictionary Assigned

Value Level Metadata - SUPPCM [QVAL]
Variable Where Type Length / Display Format Controlled Terms or Format Origin Derivation/Comment
QVAL QNAM EQ ATC4CODE
(WHODRUG ATC Level 4 Code)
text 5 Drug Dictionary Assigned
QVAL QNAM EQ ATC4TERM
(ATC4 Drug Class Term)
text 43 Drug Dictionary Assigned
QVAL QNAM EQ CPREFCD
(WHODRUG Drug Code)
text 11 Drug Dictionary Assigned
QVAL QNAM EQ PDDREAS
(Reason for Discontinuation)
text 21 Reason for Discontinuation CRF Page 9
QVAL QNAM EQ PDRESP
(Response)
text 4 ["GOOD", "NO CHANGE", "POOR"]

<PSRESPF>

CRF Page 9

Value Level Metadata - SUPPDM [QVAL]
Variable Where Type Length / Display Format Controlled Terms or Format Origin Derivation/Comment
QVAL QNAM EQ RACE1
(Race 1)
text 5 Race CRF Page 6
QVAL QNAM EQ RACE2
(Race 2)
text 25 Race CRF Page 6
QVAL QNAM EQ RACE3
(Race 3)
text 5 Race CRF Page 6
QVAL QNAM EQ RACEOTH
(Race, Other)
text 14 CRF Page 6
QVAL QNAM EQ RAND
(Randomized Population Flag)
text 1 ["Y" = "Yes", "N" = "No", "U" = "Unknown"]

<No Yes Response Subset>

CRF Page 16
QVAL QNAM EQ RANDNO
(Randomization Number)
text 4 CRF Page 16
QVAL QNAM EQ SAFETY
(Safety Population Flag)
text 1 ["Y" = "Yes", "N" = "No", "U" = "Unknown"]

<No Yes Response Subset>

Derived
SAFETY = "Y" for randomized subjects who took at least one dose study medication. Null otherwise.

Value Level Metadata - SUPPEG [QVAL]
Variable Where Type Length / Display Format Controlled Terms or Format Origin Derivation/Comment
QVAL QNAM EQ EGCLSIG
(Clinically Significant)
text 1 ["Y" = "Yes", "N" = "No", "U" = "Unknown"]

<No Yes Response Subset>

CRF Page 12

Value Level Metadata - SUPPEX [QVAL]
Variable Where Type Length / Display Format Controlled Terms or Format Origin Derivation/Comment
QVAL QNAM EQ SMNO
(Number of Tablets Per Day)
integer 2 CRF Page 20

Value Level Metadata - SUPPLB [QVAL]
Variable Where Type Length / Display Format Controlled Terms or Format Origin Derivation/Comment
QVAL QNAM EQ LBCLSIG
(Clinically Significant)
text 1 ["Y" = "Yes", "N" = "No", "U" = "Unknown"]

<No Yes Response Subset>

Derived
Only created if value qualifies as potentially clinically significant high or low based on the high and low ranges specified in the Statistical Analysis Plan.

Value Level Metadata - SUPPQSCG [QVAL]
Variable Where Type Length / Display Format Controlled Terms or Format Origin Derivation/Comment
QVAL QNAM EQ RTRINIT
(Rater Initials)
text 3 CRF Pages 13 14 17

QSMM-CRF Page 13; QSCS-CRF Pages 14; QSCG-CRF Page 17


Value Level Metadata - SUPPVS [QVAL]
Variable Where Type Length / Display Format Controlled Terms or Format Origin Derivation/Comment
QVAL QNAM EQ VSCLSIG
(Clinically Significant)
text 1 ["Y" = "Yes", "N" = "No", "U" = "Unknown"]

<No Yes Response Subset>

Derived
Only created if value qualifies as potentially clinically significant high or low based on the high and low ranges specified in the Statistical Analysis Plan.

Value Level Metadata - TS [TSVAL]
Variable Where Type Length / Display Format Controlled Terms or Format Origin Derivation/Comment
TSVAL TSPARMCD EQ AGEMAX (Planned Maximum Age of Subjects)
integer 2 Protocol
TSVAL TSPARMCD EQ AGEMIN (Planned Minimum Age of Subjects)
integer 2 Protocol
TSVAL TSPARMCD EQ AGEU (Age Unit)
text 57 ["YEARS"]

<Age Unit>

Protocol
TSVAL TSPARMCD EQ DOSE (Dose per Administration)
integer 2 Protocol
TSVAL TSPARMCD EQ PLANSUB (Planned Number of Subjects)
integer 2 Protocol

Value Level Metadata - VS [VSORRES]
Variable Where Type Length / Display Format Controlled Terms or Format Origin Derivation/Comment
VSORRES VSTESTCD EQ DIABP (Diastolic Blood Pressure)
integer 2 CRF Page 11
VSORRES VSTESTCD EQ FRMSIZE (Body Frame Size)
text 6 ["SMALL", "MEDIUM", "LARGE"]

<Size>

CRF Page 11
VSORRES VSTESTCD EQ HEIGHT (Height)
float 5.1 CRF Page 11
VSORRES VSTESTCD EQ PULSE (Pulse Rate)
integer 2 CRF Page 11
VSORRES VSTESTCD EQ SYSBP (Systolic Blood Pressure)
integer 3 CRF Page 11
VSORRES VSTESTCD EQ WEIGHT (Weight)
float 5.1 CRF Page 11

Value Level Metadata - VS [VSORRESU]
Variable Where Type Length / Display Format Controlled Terms or Format Origin Derivation/Comment
VSORRESU VSTESTCD EQ HEIGHT (Height)
AND COUNTRY IN (

"CAN" ,

"MEX"

)
text 5 ["cm" = "Centimeter"]

<Unit (UH_MC)>

CRF Page 11

Join any Subject Level dataset with the Demographics dataset based on [IG.datasetname]IT.USUBJID = [IG.DM]IT.USUBJID, assuming 'IG.datasetname' is the OID of the ItemGroupDef that defines the subject-level dataset to be joined with the Demographics dataset.

The data submitted only includes subjects in the USA since other sites did not enroll any subjects.

VSORRESU VSTESTCD EQ HEIGHT (Height)
AND COUNTRY EQ USA
text 5 ["IN" = "Inch"]

<Unit (UH_NMC)>

CRF Page 11

Join any Subject Level dataset with the Demographics dataset based on [IG.datasetname]IT.USUBJID = [IG.DM]IT.USUBJID, assuming 'IG.datasetname' is the OID of the ItemGroupDef that defines the subject-level dataset to be joined with the Demographics dataset.

VSORRESU VSTESTCD EQ WEIGHT (Weight)
AND COUNTRY IN (

"CAN" ,

"MEX"

)
text 4 ["kg" = "Kilogram"]

<Unit (UW_MC)>

CRF Page 11

Join any Subject Level dataset with the Demographics dataset based on [IG.datasetname]IT.USUBJID = [IG.DM]IT.USUBJID, assuming 'IG.datasetname' is the OID of the ItemGroupDef that defines the subject-level dataset to be joined with the Demographics dataset.

The data submitted only includes subjects in the USA since other sites did not enroll any subjects.

VSORRESU VSTESTCD EQ WEIGHT (Weight)
AND COUNTRY EQ USA
text 4 ["LB" = "Pound"]

<Unit (UW_NMC)>

CRF Page 11

Join any Subject Level dataset with the Demographics dataset based on [IG.datasetname]IT.USUBJID = [IG.DM]IT.USUBJID, assuming 'IG.datasetname' is the OID of the ItemGroupDef that defines the subject-level dataset to be joined with the Demographics dataset.


Go to the top of the define.xml

Controlled Terms

Action Taken with Study Treatment [CL.ACN, C66767]
Permitted Value (Code)
DOSE NOT CHANGED [C49504]
DOSE REDUCED [C49505]
DRUG INTERRUPTED [C49501]
DRUG WITHDRAWN [C49502]

Domain Abbreviation (AE) [CL.AE.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
AE [C49562] Adverse Events

Relation to Reference Period (AEENRF) [CL.AEENRF, C66728]
Permitted Value (Code)
AFTER [C38008]

Causality [CL.AEREL]
Permitted Value (Code)
NOT RELATED
POSSIBLY RELATED
RELATED

Severity/Intensity Scale for Adverse Events [CL.AESEV, C66769]
Permitted Value (Code) Display Value (Decode)
MILD [C41338] Grade 1
MODERATE [C41339] Grade 2
SEVERE [C41340] Grade 3

Age Unit [CL.AGEU, C66781]
Permitted Value (Code)
YEARS [C29848]

Description of Planned Arm [CL.ARM]
Permitted Value (Code)
Miracle Drug 10 mg
Miracle Drug 20 mg
Placebo
Screen Failure

Planned Arm Code [CL.ARMCD]
Permitted Value (Code) Display Value (Decode)
WONDER10 Miracle Drug 10 mg
WONDER20 Miracle Drug 20 mg
PLACEBO Placebo
SCRNFAIL Screen Failure

Global Improvement [CL.CGIIMP_X]
Permitted Value (Code) Display Value (Decode)
1 Very much improved
2 Much Improved
3 Minimally Improved
4 No change
5 Minimally worse
6 Much worse
7 Very much worse

Domain Abbreviation (CM) [CL.CM.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
CM [C49568] Concomitant Meds

Category for Medication [CL.CMCAT]
Permitted Value (Code)
CONCOMITANT MEDICATIONS
PSYCHOTROPHIC DRUG TREATMENT HISTORY

Relation to Reference Period (CMENRF) [CL.CMENRF, C66728]
Permitted Value (Code)
AFTER [C38008]

Unit (CM) [CL.CMUNIT, C71620]
Permitted Value (Code) Display Value (Decode)
CAPSULE [C48480] Capsule Dosing Unit
IU [C48579] International Unit
TABLET [C48542] Tablet Dosing Unit
VIAL [C48551] Vial Dosing Unit
g [C48155] Gram
mL [C28254] Milliliter
mL/hr [*] mL/hr
mL/kg [C67411] Milliliter per Kilogram
mg [C28253] Milligram
mg/kg [C67401] Milligram per Kilogram
ug [C48152] Microgram
ug/kg [C67396] mcg/kg
Other [*] Other

* Extended Value


CUE_EXPF_X [CL.CUE_EXPF_X]
Permitted Value (Code) Display Value (Decode)
0 Absent
1 Mild or Intermittent
2 Severe

Domain Abbreviation (DA) [CL.DA.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
DA [C49578] Drug Accountability

Drug Accountability Test Name [CL.DATEST, C78731]
Permitted Value (Code)
Dispensed Amount [C78721]
Returned Amount [C78722]

Drug Accountability Test Code [CL.DATESTCD, C78732]
Permitted Value (Code) Display Value (Decode)
DISPAMT [C78721] Dispensed Amount
RETAMT [C78722] Returned Amount

Reason for Discontinuation [CL.DDISCNTF]
Permitted Value (Code)
ONGOING
ADVERSE EVENT
INSUFFICIENT RESPONSE
SATISFACTORY RESPONSE
OTHER

Domain Abbreviation (DM) [CL.DM.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
DM [C49572] Demographics

Domain Abbreviation (DS) [CL.DS.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
DS [C49576] Disposition

Category for Disposition Event [CL.DSCAT, C74558]
Permitted Value (Code) Display Value (Decode)
DISPOSITION EVENT [C74590] Disposition Event
PROTOCOL MILESTONE [C74588] Protocol Milestone

Domain Abbreviation (EG) [CL.EG.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
EG [C49626] Electrocardiogram

Unit (EGRESU) [CL.EGRESU, C71620]
Permitted Value (Code) Display Value (Decode)
BEATS/MIN [C49673] Beats per Minute
msec [C41140] Millisecond

ECG Test Name [CL.EGTEST, C71152]
Permitted Value (Code)
Interpretation [C41255]
QTcB - Bazett's Correction Formula [C62112]
QTcF - Fridericia's Correction Formula [C62113]
Summary (Mean) PR Duration [C62086]
Summary (Mean) QRS Duration [C62087]
Summary (Mean) QT Duration [C62089]
Summary (Mean) Ventricular Rate [C62152]

ECG Test Code [CL.EGTESTCD, C71153]
Permitted Value (Code) Display Value (Decode)
INTP [C41255] Interpretation
PRMEAN [C62086] Summary (Mean) PR Duration
QRSDUR [C62087] Summary (Mean) QRS Duration
QTCB [C62112] QTcB - Bazett's Correction Formula
QTCF [C62113] QTcF - Fridericia's Correction Formula
QTMEAN [C62089] Summary (Mean) QT Duration
VRMEAN [C62152] Summary (Mean) Ventricular Rate

Epoch [CL.EPOCH, C99079]
Permitted Value (Code)
SCREEN [*]
TREATMENT [C49236]

* Extended Value


Ethnic Group [CL.ETHNIC, C66790]
Permitted Value (Code)
HISPANIC OR LATINO [C17459]
NOT HISPANIC OR LATINO [C41222]

Domain Abbreviation (EX) [CL.EX.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
EX [C49587] Exposure

Treatment [CL.EXTRT]
Permitted Value (Code)
Miracle Drug
Placebo

Frequency [CL.FREQ, C71113]
Permitted Value (Code) Display Value (Decode)
BID [C64496] BD
ONCE [C64576] Once
PRN [C64499] As needed
Q24H [C64515] Every 24 hours
QID [C64530] 4 times per day
QOD [C64525] Every other day
QS [C67069] Every week
TID [C64527] 3 times per day
OTHER [C17649] Other

Pharmaceutical Dosage Form [CL.FRM, C66726]
Permitted Value (Code) Display Value (Decode)
TABLET [C42998] tab

Domain Abbreviation (IE) [CL.IE.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
IE [C61536] Inclusion/Exclusion

IE Tests [CL.IETEST]
Permitted Value (Code)
Did not respond to a standard course of medication Abc
Has Xyz disease of at least 10 weeks duration confirmed by biopsy
Is age 18 - 85
Is known to have had a substance abuse (drug or alcohol) problem within the previous 3 years
Is pregnant, nursing, or planning to become pregnant within 6 months of last study treatment
Is unable or unwilling to undergo multiple venipunctures

IE Test Codes [CL.IETESTCD]
Permitted Value (Code) Display Value (Decode)
EXCL01 Is pregnant, nursing, or planning to become pregnant within 6 months of last study treatment
EXCL02 Is unable or unwilling to undergo multiple venipunctures
EXCL03 Is known to have had a substance abuse (drug or alcohol) problem within the previous 3 years
INCL01 Is age 18 - 85
INCL02 Has Xyz disease of at least 10 weeks duration confirmed by biopsy
INCL03 Did not respond to a standard course of medication Abc

Domain Abbreviation (LB) [CL.LB.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
LB [C49592] Laboratory Data

Unit (LBRESU) [CL.LBRESU, C71620]
Permitted Value (Code) Display Value (Decode)
% [C25613] Percentage
X10^9/L [*] X10^9/L
g/dL [C64783] Gram per Deciliter
mg/dL [C67015] Milligram per Deciliter
ng/dL [C67326] Nanogram per Deciliter
pg/mL [*] pg/mL

* Extended Value


Laboratory Test Name [CL.LBTEST, C67154]
Permitted Value (Code)
Bilirubin [C38037]
Blood Urea Nitrogen [C61019]
Glucose [C41376]
Hematocrit [C64796]
Hemoglobin [C64848]
Lymphocytes [C51949]
Occult Blood [C74686]
Vitamin B12 [C64817]
Vitamin B9 [C74676]
pH [C45997]

Laboratory Test Code [CL.LBTESTCD, C65047]
Permitted Value (Code) Display Value (Decode)
BILI [C38037] Bilirubin
BUN [C61019] Blood Urea Nitrogen
GLUC [C41376] Glucose
HCT [C64796] Hematocrit
HGB [C64848] Hemoglobin
LYM [C51949] Lymphocytes
OCCBLD [C74686] Occult Blood
PH [C45997] pH
VITB12 [C64817] Vitamin B12
VITB9 [C74676] Vitamin B9

Marital Status [CL.MARISTAT, C76348]
Permitted Value (Code)
DIVORCED [C51776]
DOMESTIC PARTNER [C53262]
LEGALLY SEPARATED [C51777]
MARRIED [C51773]
NEVER MARRIED [C51774]
WIDOWED [C51775]

Method [CL.METHOD, C85492]
Permitted Value (Code)
DIPSTICK [*]
QUANT [*]

* Extended Value


Domain Abbreviation (MH) [CL.MH.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
MH [C49603] Medical History

Body System or Organ Class [CL.MHBODSYS]
Permitted Value (Code)
Endocrine-Metabolic
Eyes-Ears-Nose-Throat
Genitourinary
Musculoskeletal
Neurological

Category for Medical History [CL.MHCAT]
Permitted Value (Code)
MEDICAL AND SURGICAL HISTORY
PSYCHIATRIC HISTORY

Relation to Reference Period (MHENRF) [CL.MHENRF, C66728]
Permitted Value (Code)
BEFORE [C25629]
DURING/AFTER [C49640]

Interpretation: Original Results [CL.NABCLIN]
Permitted Value (Code)
ABNORMAL
NORMAL

Completion/Reason for Non-Completion [CL.NCOMPLT, C66727]
Permitted Value (Code)
ADVERSE EVENT [C41331]
COMPLETED [C25250]
INFORMED CONSENT [*]
LACK OF EFFICACY [C48226]
LOST TO FOLLOW-UP [C48227]
PHYSICIAN DECISION [C48250]
PROTOCOL VIOLATION [C48251]
RANDOMIZED [*]
SCREEN FAILURE [C49628]
WITHDRAWAL BY SUBJECT [C49634]

* Extended Value


Reference Range Indicator [CL.NRIND, C78736]
Permitted Value (Code)
ABNORMAL [C78802]
HIGH [C78800]
LOW [C78801]
NORMAL [C78727]

No Yes Response Subset [CL.NY, C66742]
Permitted Value (Code) Display Value (Decode)
Y [C49488] Yes
N [C49487] No
U [C17998] Unknown

No Yes Response [CL.NYNA, C66742]
Permitted Value (Code) Display Value (Decode)
Y [C49488] Yes
N [C49487] No
NA [C48660] Not Applicable

Domain Abbreviation (PE) [CL.PE.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
PE [C49608] Physical Exam

PE Tests [CL.PETEST]
Permitted Value (Code)
Abdomen
Appearance/Skin
Cardiovascular
Eyes-Ears-Nose-Throat
Head/Neck (Including Thyroid)
Musculoskeletal
Neurological
Pulmonary
Other

PE Test Codes [CL.PETESTCD]
Permitted Value (Code) Display Value (Decode)
PE01 Appearance/Skin
PE02 Head/Neck (Including Thyroid)
PE03 Eyes-Ears-Nose-Throat
PE04 Cardiovascular
PE05 Pulmonary
PE06 Abdomen
PE07 Neurological
PE08 Musculoskeletal
PE09 Other

PSRESPF [CL.PSRESPF]
Permitted Value (Code)
GOOD
NO CHANGE
POOR

Domain Abbreviation (QS) [CL.QS.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
QS [C49609] Questionnaires

QS Tests [CL.QSTEST]
Permitted Value (Code)
Agitation
Anxiety
Appetite Loss
Attention and Calculation
Difficulty Falling Asleep
Diurnal Variation of Mood
Early Morning Awakening
Global Improvement
Irritability
Lack of Energy
Lack of Reactivity to Pleasant Events
Language
Loss of Interest
Mood-Congruent Delusions
Multiple Awakenings During Sleep
Multiple Physical Complaints
Orientation place score
Orientation time score
Pessimism
Poor Self-Esteem
Recall
Registration
Retardation
Sadness
Suicide
Total Score
Weight Loss

QS Test Codes [CL.QSTESTCD]
Permitted Value (Code) Display Value (Decode)
CGIGLOB Global Improvement
CSDD01 Anxiety
CSDD02 Sadness
CSDD03 Lack of Reactivity to Pleasant Events
CSDD04 Irritability
CSDD05 Agitation
CSDD06 Retardation
CSDD07 Multiple Physical Complaints
CSDD08 Loss of Interest
CSDD09 Appetite Loss
CSDD10 Weight Loss
CSDD11 Lack of Energy
CSDD12 Diurnal Variation of Mood
CSDD13 Difficulty Falling Asleep
CSDD14 Multiple Awakenings During Sleep
CSDD15 Early Morning Awakening
CSDD16 Suicide
CSDD17 Poor Self-Esteem
CSDD18 Pessimism
CSDD19 Mood-Congruent Delusions
CSDDTOT Total Score
MMSEA1 Orientation time score
MMSEA2 Orientation place score
MMSEB Registration
MMSEC Attention and Calculation
MMSED Recall
MMSEET Language
MMSETOT Total Score

Race [CL.RACE, C74457]
Permitted Value (Code)
WHITE [C41261]
AMERICAN INDIAN OR ALASKA NATIVE [C41259]
BLACK OR AFRICAN AMERICAN [C16352]
ASIAN [C41260]
NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER [C41219]
OTHER [*]
MULTIPLE [*]

* Extended Value


Route of Administration [CL.ROUTE, C66729]
Permitted Value (Code)
ORAL [C38288]
SUBCUTANEOUS [C38299]
INTRAMUSCULAR [C28161]
INTRAVENOUS [C38276]
RECTAL [C38295]
TOPICAL [C38304]
NASAL [C38284]
INTRASINAL [C38262]
OTHER [C38290]

Domain Abbreviation (SC) [CL.SC.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
SC [C49610] Subject Characteristics

SC Tests [CL.SCTEST, C103330]
Permitted Value (Code)
Education Level [C17953]
Marital Status [C25188]
Subject Initials [*]

* Extended Value


Subject Characteristic Code (SCTESTCD) [CL.SCTESTCD, C74559]
Permitted Value (Code) Display Value (Decode)
EDLEVEL [C17953] Education Level
MARISTAT [C25188] Marital Status
SUBJINIT [*] Subject Initials

* Extended Value


Domain Abbreviation (SE) [CL.SE.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
SE [C49616] Subject Element

Sex [CL.SEX, C66731]
Permitted Value (Code) Display Value (Decode)
F [C16576] Female
M [C20197] Male
U [C17998] Unknown

Size [CL.SIZE, C66733]
Permitted Value (Code)
SMALL [C25376]
MEDIUM [C49507]
LARGE [C49508]

Specimen Type [CL.SPECTYPE, C78734]
Permitted Value (Code)
BLOOD [C12434]
SERUM [C13325]
URINE [C13283]

Domain Abbreviation (SV) [CL.SV.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
SV [C49617] Subject Visits

Domain Abbreviation (TA) [CL.TA.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
TA [C49618] Trial Arms

Domain Abbreviation (TE) [CL.TE.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
TE [C49619] Trial Elements

Domain Abbreviation (TI) [CL.TI.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
TI [C49620] Trial Inclusion/Exclusion Criteria

Reported Term for the Disposition Record [CL.TREASFF]
Permitted Value (Code)
COMPLETED
DID NOT MEET INCLUSION CRITERIA #3
DISCONTINUED DUE TO ADVERSE EVENT
DISCONTINUED DUE TO CONSENT WITHDRAWEL
DISCONTINUED DUE TO LACK OF THERAPEUTIC RESPONSE
DISCONTINUED DUE TO LOST TO FOLLOW UP
DISCONTINUED DUE TO SPONSOR/INVESTIGATOR DECISION
INFORMED CONSENT OBTAINED
PATIENT DID NOT MEET INCLUSION/EXCLUSION CRITERIA AT SCREENING
PROTOCOL VIOLATION
RANDOMIZED

Domain Abbreviation (TS) [CL.TS.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
TS [C53483] Trial Summary

Trial Summary Parameter Test Name [CL.TSPARM, C67152]
Permitted Value (Code)
Added on to Existing Treatments [C49703]
Age Span [C20587]
Age Unit [*]
Clinical Study Sponsor [C70793]
Control Type [C49647]
Dose Units [C73558]
Dose per Administration [C25488]
Dosing Frequency [C89081]
Investigational Therapy or Treatment [C41161]
Planned Maximum Age of Subjects [C49694]
Planned Minimum Age of Subjects [C49693]
Planned Number of Subjects [C49692]
Route of Administration [C38114]
Sex of Participants [C49696]
Trial Blinding Schema [C49658]
Trial Indication Type [C49652]
Trial Length [C49697]
Trial Phase Classification [C48281]
Trial Primary Objective [C85826]
Trial Secondary Objective [C85827]
Trial Title [C49802]
Trial Type [C49660]
Trial is Randomized [C25196]

* Extended Value


Trial Summary Parameter Test Code [CL.TSPARMCD, C66738]
Permitted Value (Code) Display Value (Decode)
ADDON [C49703] Added on to Existing Treatments
AGEMAX [C49694] Planned Maximum Age of Subjects
AGEMIN [C49693] Planned Minimum Age of Subjects
AGESPAN [C20587] Age Span
AGEU [*] Age Unit
DOSE [C25488] Dose per Administration
DOSFRQ [C89081] Dosing Frequency
DOSU [C73558] Dose Units
LENGTH [C49697] Trial Length
OBJPRIM [C85826] Trial Primary Objective
OBJSEC [C85827] Trial Secondary Objective
PLANSUB [C49692] Planned Number of Subjects
RANDOM [C25196] Trial is Randomized
ROUTE [C38114] Route of Administration
SEXPOP [C49696] Sex of Participants
SPONSOR [C70793] Clinical Study Sponsor
TBLIND [C49658] Trial Blinding Schema
TCNTRL [C49647] Control Type
TINDTP [C49652] Trial Indication Type
TITLE [C49802] Trial Title
TPHASE [C48281] Trial Phase Classification
TRT [C41161] Investigational Therapy or Treatment
TTYPE [C49660] Trial Type

* Extended Value


Domain Abbreviation (TV) [CL.TV.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
TV [C49621] Trial Visits

Unit (UH_MC) [CL.UH_MC, C71620]
Permitted Value (Code) Display Value (Decode)
cm [C49668] Centimeter

Unit (UH_NMC) [CL.UH_NMC, C71620]
Permitted Value (Code) Display Value (Decode)
IN [C48500] Inch

Unit (UW_MC) [CL.UW_MC, C71620]
Permitted Value (Code) Display Value (Decode)
kg [C28252] Kilogram

Unit (UW_NMC) [CL.UW_NMC, C71620]
Permitted Value (Code) Display Value (Decode)
LB [C48531] Pound

Domain Abbreviation (VS) [CL.VS.DOMAIN, C66734]
Permitted Value (Code) Display Value (Decode)
VS [C49622] Vital Signs

Units for Vital Signs Results [CL.VSRESU, C66770]
Permitted Value (Code) Display Value (Decode)
BEATS/MIN [C49673] Beats per Minute
cm [C49668] Centimeter
kg [C28252] Kilogram
mmHg [C49670] Millimeter of Mercury

Vital Signs Test Name [CL.VSTEST, C67153]
Permitted Value (Code)
Body Frame Size [C49680]
Diastolic Blood Pressure [C25299]
Height [C25347]
Pulse Rate [C49676]
Systolic Blood Pressure [C25298]
Weight [C25208]

Vital Signs Test Code [CL.VSTESTCD, C66741]
Permitted Value (Code) Display Value (Decode)
DIABP [C25299] Diastolic Blood Pressure
FRMSIZE [C49680] Body Frame Size
HEIGHT [C25347] Height
PULSE [C49676] Pulse Rate
SYSBP [C25298] Systolic Blood Pressure
WEIGHT [C25208] Weight

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External Dictionaries

External Dictionaries
Reference Name External Dictionary Dictionary Version
Adverse Event Dictionary (CL.AEDICT_F) MEDDRA 8.0
Drug Dictionary (CL.DRUGDICT_F) WHODRUG 200204
ISO3166 (CL.ISO3166) ISO3166

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Computational Algorithms

Computational Algorithms
Method Type Description
Algorithm to derive AEENDY Computation AEENDY = AEENDTC -RFSTDTC+1 if AEENDTC is on or after RFSTDTC. AEENDTC - RFSTDTC if AEENDTC precedes RFSTDTC
Algorithm to derive AESTDY Computation AESTDY = AESTDTC - RFSTDTC+1 if AESTDTC is on or after RFSTDTC. AESTDTC - RFSTDTC if AESTDTC precedes RFSTDTC
Algorithm to derive the AETRTEM flag Computation AETRTEM = "Y" if Adverse Event was not present prior to the RFSTDTC, or it was present prior to the RFSTDTC but increased in severity during the treatment period. Null otherwise.
Algorithm to derive AGE Computation Age at Screening Date (Screening Date - Birth date). For the complete algorithm see the referenced external document.
Complex Algorithms (complexalgorithms.pdf)
Algorithm to derive CLSIG Computation Only created if value qualifies as potentially clinically significant high or low based on the high and low ranges specified in the Statistical Analysis Plan.
Algorithm to derive CMENDY Computation CMENDY = CMENDTC - RFSTDTC +1 if CMENDTC is on or after RFSTDTC. CMENDTC - RFSTDTC if CMENDTC precedes RFSTDTC
Algorithm to derive CMSTDY Computation CMSTDY = CMSTDTC - RFSTDTC +1 if CMSTDTC is on or after RFSTDTC. CMSTDTC - RFSTDTC if CMSTDTC precedes RFSTDTC
Algorithm to derive DA.VISITNUM Computation Derived from DADTC and SVSTDTC.
Algorithm to derive DADY Computation DADY = DADTC - RFSTDTC+1 if DADTC is on or after RFSTDTC. DADTC - RFSTDTC if DADTC precedes RFSTDTC.
Algorithm to derive DASTRESC Computation DASTRESC = DAORRES
Algorithm to derive DASTRESN Computation DASTRESN = numeric value of DAORRES, when DAORRES contains numeric data.
Algorithm to derive DASTRESU Computation DASTRESU = DAORRESU
Algorithm to derive DSSTDY Computation DSSTDY = DSSTDTC - RFSTDTC+1 if DSSTDTC is on or after RFSTDTC. DSSTDTC - RFSTDTC if DSSTDTC precedes RFSTDTC. Null if RFSTDTC is Null.
Algorithm to derive EGBLFL Computation Safety subjects only: EGBLFL = "Y" for last record with non Null EGORRES on or before the first dose date (RFSTDTC). Null otherwise
Algorithm to derive EGDRVFL Computation EGDRVFL = "Y" for derived EGTESTCDs QTCB and QTCF. Null otherwise.
Complex Algorithms (complexalgorithms.pdf)
Algorithm to derive EGDY Computation EGDY = EGDTC-RFSTDTC+1 if EGDTC is on or after RFTSDTC. EGDTC - RFSTDTC if EGDTC precedes RFSTDTC.
Algorithm to derive EGSTRESC Computation Data collected in non-standard units is converted using standard conversion factors to standard units.
Algorithm to derive EGSTRESN Computation EGSTRESN = numeric value of EGSTRESC, when EGSTRESC contains numeric data.
Algorithm to derive EXDOSE Computation If ARMCD=WONDER10 then EXDOSE = Number of Tablets per Day (QVAL where QNAM=SMNO) * 10. If ARMCD=WONDER20 then EXDOSE = Number of Tablets per Day (QVAL where QNAM=SMNO) * 20. If ARMCD=PLACEBO then EXDOSE = 0.
Algorithm to derive EXDOSU Computation Derived from ARM, ARMCD - equal to mg
Algorithm to derive EXENDY Computation EXENDY = EXENDTC-RFSTDTC+1 if EXENDTC is on or after RFSTDTC. EXENDTC - RFSTDTC if EXENDTC precedes RFSTDTC.
Algorithm to derive EXSTDY Computation EXSTDY = EXSTDTC - RFSTDTC+1 if EXSTDTC is on or after RFSTDTC. EXSTDTC - RFSTDTC if EXSTDTC precedes RFSTDTC.
Algorithm to derive EXTRT Computation Derived from ARM, ARMCD
Algorithm to derive IESTRESC Computation IESTRESC = IEORRES
Algorithm to derive LBBLFL Computation Safety subjects only: LBBLFL = "Y" for last record with non Null LBORRES on or before the first dose date (RFSTDTC). Null otherwise.
Algorithm to derive LBDY Computation LBDY = LBDTC-RFSTDTC+1 if LBDTC is on or after RFSTDTC. LBDTC - RFSTDTC if LBDTC precedes RFSTDTC.
Algorithm to derive LBNRIND Computation Reference Range Indicator based upon standard results and ranges.
Algorithm to derive PEDY Computation PEDY = PEDTC-RFSTDTC+1 if PEDTC is on or after RFSTDTC. PEDTC - RFSTDTC if PEDTC precedes RFSTDTC.
Algorithm to derive PESTRESC Computation PESTRESC = PEORRES
Algorithm to derive QSBLFL Computation Safety subjects only: QSBLFL = "Y" for last record with non Null QSORRES on or before the first dose date (RFSTDTC). Null otherwise.
Algorithm to derive QSDY Computation QSDY= QSDTC-RFSTDTC+1 if QSDTC is on or after RFSTDTC. QSDTC - RFSTDTC if QSDTC precedes RFSTDTC.
Algorithm to derive QSSTRESC Computation If questionnaire result is a numerically relevant code then code stored here; else character result equal to QSORRES. Character results contain mixed case data.
Algorithm to derive QSSTRESN Computation When QSORRES is numeric then QSSTRESN equal to numeric result
Algorithm to derive QTCB Computation QTcB = QT interval / square root of (60 / heart rate). For the complete algorithm see the referenced external document.
Complex Algorithms (complexalgorithms.pdf)
Algorithm to derive QTCF Computation QTcF = QT interval / cubic root of (60 / heart rate). For the complete algorithm see the referenced external document.
Complex Algorithms (complexalgorithms.pdf)
Algorithm to derive RDOMAIN Computation Domain abbreviation from where data originated.
Algorithm to derive RELID Computation All records for the same USUBJID with the same RELID are considered related.
Algorithm to derive RFENDTC Computation RFENDTC = termination date, for safety subjects. Null for screen failures.
Algorithm to derive RFSTDTC Computation RFSTDTC = first date/time of study drug, for safety subject. Null for screen failures.
Algorithm to derive the SAFETY population flag Computation SAFETY = "Y" for randomized subjects who took at least one dose study medication. Null otherwise.
Algorithm to derive SCDY Computation SCDY = SCDTC-RFSTDTC+1 if SCDTC is on or after RFSTDTC. SCDTC - RFSTDTC if SCDTC precedes RFSTDTC.
Algorithm to derive SCSTRESC Computation SCSTRESC = SCORRES
Algorithm to derive SEENDTC Computation If Element = SCREEN, derived from SVENDTC where VISIT = SCREENING. If Element = EOS, derived from DS where DSCAT = DISPOSITION EVENT or from the latest EXENDTC from EX whichever is later. For treatment Elements, derived from last EXENDTC for the element. For the complete algorithm see the referenced external document.
Complex Algorithms (complexalgorithms.pdf)
Algorithm to derive SEQ Computation Sequential number identifying records within each USUBJID in the domain.
Algorithm to derive SESTDTC Computation If Element = SCREEN, derived from SVSTDTC where VISIT = SCREENING or from DS where DSDECOD = 'INFORMED CONSENT', whichever is earliest. If Element = EOS, derived from DS where DSCAT = DISPOSITION EVENT. For treatment Elements, derived from first EXSTDTC for the element. For the complete algorithm see the referenced external document.
Complex Algorithms (complexalgorithms.pdf)
Algorithm to derive SV.VISIT Computation Derived from visit-based subject-level domains
Algorithm to derive VISITNUM Computation Derived from visit-based subject-level domains
Algorithm to derive SVENDTC Computation SVENDTC = SVSTDTC
Algorithm to derive SVSTDTC Computation Derived from visit-based subject-level domains
Algorithm to derive SVSTDY Computation SVSTDY = SVSTDTC-RFSTDTC+1 if SVSTDTC is on or after RFSTDTC. SVSTDTC - RFSTDTC if SVSTDTC precedes RFSTDTC.
Algorithm to derive TSSEQ Computation Sequential number identifying records within each TSPARM in the domain.
Algorithm to derive USUBJID Computation Concatenation of STUDYID and SUBJID catx(".",STUDYID,SUBJID)
Algorithm to derive VSBLFL Computation Safety subjects only: VSBLFL = "Y" for last record with non Null VSORRES on or before the first dose date (RFSTDTC). Null otherwise.
Algorithm to derive VSDY Computation VSDY = VSDTC-RFSTDTC+1 if VSDTC is on or after RFSTDTC. VSDTC - RFSTDTC if VSDTC precedes RFSTDTC.
Algorithm to derive VSSTRESC Computation Data collected in non-standard units (i.e. lbs, inches) is converted using standard conversion factors to standard units (kg, cm).
Algorithm to derive VSSTRESN Computation VSSTRESN = numeric value of VSSTRESC, when VSSTRESC contains numeric data.

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Comments

Comments
CommentOID Description
COM.LBREFID Accession number
COM.RELTYPE All values are null since this is used only when identifying a dataset-level relationship.
COM.ARMCD Assigned based on Randomization Number. See Note 2.1
Reviewers Guide (reviewersguide.pdf)
COM.MHBODSYS Assigned for Medical History but not Psychiatric History
COM.ARM Assigned from TA.ARM based on ARMCD.
COM.EG.VISITNUM Assigned from the TV domain based on the VISIT
COM.IE.VISITNUM Assigned from the TV domain based on the VISIT
COM.PE.VISITNUM Assigned from the TV domain based on the VISIT
COM.QS.VISITNUM Assigned from the TV domain based on the VISIT
COM.VS.VISITNUM Assigned from the TV domain based on the VISIT
COM.CMCLASCD Coded to ATC level 3 Code based on CMINDC
COM.CMCLAS Coded to ATC level 3 Term based on CMINDC
COM.DSDECOD CRF controlled terminology was mapped to match CDISC controlled terminology.
COM.MHENRF CRF controlled terminology was mapped to match CDISC controlled terminology.
COM.AGEU Defaulted to YEARS
COM.EGSPID ECG parameter ordering variable
COM.EGEVAL Equal to INVESTIGATOR for CRF data
COM.EGPOS Equal to SUPINE
COM.CMROUTE Free text from CRF mapped to CDISC CT
COM.SUBJECTDATA-JOIN-DM Join any Subject Level dataset with the Demographics dataset based on [IG.datasetname]IT.USUBJID = [IG.DM]IT.USUBJID, assuming 'IG.datasetname' is the OID of the ItemGroupDef that defines the subject-level dataset to be joined with the Demographics dataset.
COM.IDVAR Name of the variables for the related records.
COM.DOMAIN.QS QS is submitted as a split dataset. The split was done based on QSCAT as QSCG (CLINICAL GLOBAL IMPRESSIONS), QSCS (CORNELL SCALE FOR DEPRESSION INDEMENTIA) and QSMM (MINI MENTAL STATE EXAMINATION). See additional documentation in the Reviewer's Guide, Split Datasets Section.
Reviewers Guide (reviewersguide.pdf)
COM.SUPPQS.QVAL.RTRINIT QSMM-CRF Page 13; QSCS-CRF Pages 14; QSCG-CRF Page 17
COM.DOMAIN.DM See Reviewer's Guide, Section 2.1 Demographics
Reviewers Guide (reviewersguide.pdf)
COM.VSSTRESU Standard units consistent with CDISC controlled terminology
COM.STUDY.DATA The data submitted only includes subjects in the USA since other sites did not enroll any subjects.
COM.IDVARVAL Value of identifying variable described in IDVAR.

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