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Tuesday, 6 December 2016

SDTM Domain Structure

Serial No

CDISC Domain Code

Dataset

Description

Definition

Class

Structure

Purpose

Keys*

Topic variables

Identifier variables

Timing variables

Qualifier variables

Rule Variables

  1.  

 

DM

Demographics

The Demographics domain includes a set of essential standard variables that describe each subject in a clinical study. It is the parent domain for all other observations for human clinical subjects.

Special Purpose

Domains

One record per subject

Tabulation

STUDYID, USUBJID

SUBJID

-          Study Identifier for the study

STUDYID

DOMAIN

USUBJID

DMDTC

DMDY

RFSTDTC

RFENDTC

RFXSTDTC

RFXENDTC

RFICDTC

RFPENDTC

DTHDTC

DTHFL

SITEID

INVID

INVNAM

BRTHDTC

AGE

AGEU

SEX

RACE

ETHNIC

ARMCD

ARM

ACTARMCD

ACTARM

COUNTRY

 

  1.  

 

CO

Comments

The Comments dataset accommodates two sources of comments:

1) those collected alongside other data on topical case report form (CRF) pages such as Adverse Events and 2) those collected on a separate page specifically dedicated to comments.

Special Purpose

Domains

One record per comment

per subject

Tabulation

STUDYID, USUBJID, COSEQ

COVAL

-Comments

STUDYID

DOMAIN

USUBJID

COSEQ

CODTC

RDOMAIN

IDVAR

IDVARVAL

COREF

COEVAL

 

  1.  

 

SE

Subject Elements

The subject element table describes the actual order of elements

followed by the subject, together with the start date/time and end

date/time for each element.

Special Purpose

Domains

One record per actual

Element per subject

Tabulation

STUDYID, USUBJID, ETCD, SESTDTC

ETCD

 

 

STUDYID

DOMAIN

USUBJID

SESEQ

SESTDTC

SEENDTC

TAETORD

EPOCH

ELEMENT

SEUPDES

 

  1.  

 

SV

Subject Visits

The subject visits table describes the actual start and end data/time for each visit of each individual subject.

Special Purpose

Domains

One record per actual visit

per subject

Tabulation

STUDYID, USUBJID,VISITNUM

VISITNUM

STUDYID

DOMAIN

USUBJID

VISITDY

SVSTDTC

SVENDTC

SVSTDY

SVENDY

VISIT

SVUPDES

 

  1.  

 

CM

Concomitant

Medications

Case report form (CRF) data that captures the Concomitant

and Prior Medications/Therapies used by the subject.

Examples are the Concomitant Medications/Therapies given

on an as needed basis and the usual Background

Medications/Therapies given for a condition.

Interventions

One record per recorded

medication occurrence or

constant-dosing interval per

subject.

Tabulation

STUDYID, USUBJID, CMTRT, CMSTDTC

CMTRT

STUDYID

DOMAIN

USUBJID

CMSEQ

CMGRPID

CMSPID

CMSTDTC

CMENDTC

CMSTDY

CMENDY

CMDUR

CMSTRF

CMENRF

STRTPT

STTPT

ENRTPT

ENTPT

MODIFY

DECOD

CAT

SCAT

PRESP

OCCUR

STAT

REASND

INDC

CLAS

CLASD

DOSE

DOSTXT

DOSU

DOSFRM

DOSFRQ

DOSTOT

DOSRGM

ROUTE

 

  1.  

 

EX

Exposure

The Exposure domain model records the details of a

subject's exposure to protocol-specified study

treatment. Study treatment may be any intervention

that is prospectively defined as a test material within

a study, and is typically but not always supplied to

the subject.

Interventions

One record per constant

dosing interval per subject

Tabulation

STUDYID, USUBJID, EXTRT, EXSTDTC

EXTRT

STUDYID

DOMAIN

USUBJID

--SEQ

--GRPID

--REFID

--SPID

--LNKID

--LNKGRP

EPOCH

--STDTC

--ENDTC

--STDY

--ENDY

--DUR

--TPT

--TPTNUM

--ELTM

--TPTREF

--RFTDTC

--CAT

--SCAT

--DOSE

--DOSTXT

--DOSU

--DOSFRM

--DOSFRQ

--DOSRGM

--ROUTE

--LOT

--LOC

--LAT

--DIR

--FAST

--ADJ*

 

  1.  

 

EC

Exposure as Collected

The Exposure as Collected domain model reflects

protocol-specified study treatment administrations,

as collected.

 

 

 

 

ECTRT

STUDYID

DOMAIN

USUBJID

--SEQ

--GRPID

--REFID

--SPID

--LNKID

--LNKGRP

EPOCH

--STDTC

--ENDTC

--STDY

--ENDY

--DUR

--TPT

--TPTNUM

--ELTM

--TPTREF

--RFTDTC

--MOOD

--CAT

--SCAT

--PRESP

--OCCUR

--DOSE

--DOSTXT

--DOSU

--DOSFRM

--DOSFRQ

--DOSTOT

--DOSRGM

--ROUTE

--LOT

--LOC

--LAT

--DIR

--PORTOT

--FAST

--PSTRG

--PSTRGU

--ADJ*

 

  1.  

 

PR

Procedures

The Procedures domain model reflects collected details describing a subject’s therapeutic and diagnostic procedures.

 

 

 

 

PRTRT

STUDYID

DOMAIN

USUBJID

--SEQ

--GRPID

--REFID

--SPID

--LNKID

--LNKGRP

VISITNUM

VISIT

VISITDY

--STDTC

--ENDTC

--STDY

--ENDY

--DUR

--TPT

--TPTNUM

--ELTM

--TPTREF

--RFTDTC

--STRTPT

--STTPT

--ENRTPT

--ENTPT

 

--DECOD

--CAT

--SCAT

--PRESP

--OCCUR

--INDC

--DOSE

--DOSTXT

--DOSU

--DOSFRM

--DOSFRQ

--DOSRGM

--ROUTE

--LOC

--LAT

--DIR

--PORTOT

 

  1.  

 

SU

Substance Use

The intent of the domain is to capture substance use information that may be used to assess the efficacy and/or safety of therapies that look to mitigate the effects of chronic substance use.

Interventions

One record per substance

type per reported occurrence

per subject

Tabulation

STUDYID,USUBJID, SUTRT, SUSTDTC

SUTRT

STUDYID

DOMAIN

USUBJID

--SEQ

--GRPID

--SPID

--STDTC

--ENDTC

--STDY

--ENDY

--DUR

--STRF

--ENRF

--STRTPT

--STTPT

--ENRTPT

--ENTPT

--MODIFY

--DECOD

--CAT

--SCAT

--PRESP

--OCCUR

--STAT

--REASND

--CLAS

--CLASCD

--DOSE

--DOSTXT

--DOSU

--DOSFRM

--DOSFRQ

--DOSTOT

--ROUTE

 

  1.  

 

AE

Adverse Events

Adverse events may be captured either as free text or a pre-specified list of terms.

Events

One record per adverse

event per subject

Tabulation

STUDYID, USUBJID, AEDECOD, AESTDTC

AETERM

STUDYID

DOMAIN

USUBJID

--SEQ

--GRPID

--REFID

--SPID

--STDTC

--ENDTC

--STDY

--ENDY

--DUR

--ENRF

--ENRTPT

--ENTPT

 

--MODIFY

--LLT

--LLTCD

--DECOD

--PTCD

--HLT

--HLTCD

--HLGT

--HLGTCD

--CAT

--SCAT

--PRESP

--BODSYS

--BDSYCD

--SOC

--SOCCD

--LOC

--SEV

--SER

--ACN

--ACNOTH

--REL

--RELNST

--PATT

--OUT

--SCAN

--SCONG

--SDISAB

--SDTH

--SHOSP

--SLIFE

--SOD

--SMIE

--CONTRT

--TOXGR

 

  1.  

 

DS

Disposition

A subject domain utilized for the submission of information encompassing and representing data, vocabulary or records related to disposition. (NCI)

Events

One record per disposition

status or protocol milestone

per subject

Tabulation

STUDYID, USUBJID, DSDECOD, DSSTDTC

DSTERM

STUDYID

DOMAIN

USUBJID

--SEQ

--GRPID

--SPID

EPOCH

--DTC

--STDTC

--STDY

--DECOD

--CAT

--SCAT

 

  1.  

 

HO

Healthcare Encounters

The Healthcare Encounters dataset includes inpatient and outpatient healthcare events (e.g., hospitalizations, nursing home stay, rehabilitation facility stays, ambulatory surgery).

Events

 

 

 

HOTERM

STUDYID

DOMAIN

USUBJID

--SEQ

--GRPID

--REFID

--SPID

--DTC

--STDTC

--ENDTC

--DY

--STDY

--ENDY

--DUR

--STRTPT

--STTPT

--ENRTPT

--ENTPT

 

--DECOD

--CAT

--SCAT

--PRESP

--OCCUR

--STAT

--REASND

 

  1.  

 

MH

Medical History

The medical history dataset includes the subject's prior history at the start of the trial. Examples of subject medical history information could include general medical history, gynecological history, and primary diagnosis.

Events

One record per medical

history event per subject

Tabulation

STUDYID, USUBJID, MHDECOD

MHTERM

STUDYID

DOMAIN

USUBJID

--SEQ

--GRPID

--REFID

--SPID

--DTC

--STDTC

--ENDTC

--DY

--ENRF

--ENRTPT

--ENTPT

--MODIFY

--DECOD

--CAT

--SCAT

--PRESP

--OCCUR

--STAT

--REASND

--BODSYS

 

  1.  

 

DV

Protocol

Deviations

The intent of the domain is to capture protocol violations and deviations during the course of the study and will store only those criteria violation by or deviated from by the subject and not a response to each violation or deviation.

Events

One record per protocol

deviation per subject

Tabulation

STUDYID, USUBJID, DVTERM, DVSTDTC, CETERM

DVTERM

STUDYID

DOMAIN

USUBJID

--SEQ

--REFID

--SPID

EPOCH

--STDTC

--ENDTC

--DECOD

--CAT

--SCAT

 

  1.  

 

CE

Clinical Events

A dataset used to capture clinical events of interest that would not be classified as adverse events.

Events

One record per event per

subject

Tabulation

STUDYID, USUBJID, CESTDTC

CETERM

STUDYID

DOMAIN

USUBJID

--SEQ

--GRPID

--REFID

--SPID

--DTC

--STDTC

--ENDTC

--DY

--STRF

--ENRF

--STRTPT

--STTPT

--ENRTPT

--ENTPT

 

--DECOD

--CAT

--SCAT

--PRESP

--OCCUR

--STAT

--REASND

--BODSYS

--SEV

 

  1.  

 

EG

ECG Test Results

Findings related to the collection of ECG data, including position of the subject, method of evaluation, all cycle measurements and all findings from the ECG including an overall interpretation if collected or derived.

Findings

One record per ECG

observation per time point per visit per subject

Tabulation

STUDYID, USUBJID, EGTESTCD,

VISITNUM, EGTPTREF, EGTPTNUM

EGTESTCD

STUDYID

DOMAIN

USUBJID

--SEQ

--GRPID

--REFID

--SPID

VISITNUM

VISIT

VISITDY

--DTC

--DY

--TPT

--TPTNUM

--ELTM

--TPTREF

--RFTDTC

 

--TEST

--CAT

--SCAT

--POS

--ORRES

--ORRESU

--STRESC

--STRESN

--STRESU

--STAT

--REASND

--FXN

--NAM

--LEAD

--METHOD

--BLFL

--DRVFL

--EVAL

 

  1.  

 

IE

Inclusion/

Exclusion Criteria

Not Met

The intent of the domain model is to only collect those criteria that cause the subject to be in violation of the inclusion/exclusion criteria not a response to each criterion.

 

Findings

One record per

inclusion/exclusion criterion

not met per subject

Tabulation

STUDYID, USUBJID, IETESTCD

IETESTCD

STUDYID

DOMAIN

USUBJID

--SEQ

--SPID

VISITNUM

VISIT

VISITDY

--DTC

--DY

 

--TEST

--CAT

--SCAT

--ORRES

--STRESC

 

  1.  

 

IS

Immunogenicity Specimen Assessment

It is intended to be used only for data collected regarding the immunogenic potential of materials under study.

Findings

 

 

 

ISTEST

STUDYID

DOMAIN

USUBJID

--SEQ

--GRPID

--REFID

--SPID

--TESTCD

VISITNUM

VISIT

VISITDY

--DTC

--DY

 

--CAT

--SCAT

--ORRES

--ORRESU

--STRESC

--STRESN

--STRESU

--STAT

--REASND

--NAM

--SPEC

--METHOD

--BLFL

--LLOQ

 

  1.  

 

LB

Laboratory Test

Results

Laboratory test findings including, but is not limited to hematology, clinical chemistry and urinalysis data. This domain does not include microbiology or pharmacokinetic data, which are stored in separate domains.

Findings

One record per analyte per

planned time point number

per time point reference per

visit per subject

Tabulation

STUDYID, USUBJID, LBTESTCD,

LBSPEC, VISITNUM, LBTPTREF,

LBTPTNUM

LBTESTCD

STUDYID

DOMAIN

USUBJID

--SEQ

--GRPID

--REFID

--SPID

VISITNUM

VISIT

VISITDY

--DTC

--ENDTC

--DY

--TPT

--TPTNUM

--ELTM

--TPTREF

--RFTDTC

 

--TEST

--CAT

--SCAT

--ORRES

--ORRESU

--ORNRLO

--ORNRHI

--STRESC

--STRESN

--STRESU

--STNRLO

--STNRHI

--STNRC

--NRIND

--STAT

--REASND

--NAM

--LOINC

--SPEC

--SPCCND

--METHOD

--BLFL

--FAST

--DRVFL

--TOX

--TOXGR

 

  1.  

 

PE

Physical

Examination

Findings collected during a physical examination of the subject. It has findings that are discovered that are related to body systems. Does not include vital signs measurements, which are stored in the vital signs domain.

Findings

One record per body system

or abnormality per visit per

subject

Tabulation

STUDYID,

USUBJID,

PETESTCD,

VISITNUM

PETESTCD

STUDYID

DOMAIN

USUBJID

PESEQ

PEGRPID

PESPID

VISITNUM

VISIT

VISITDY

PEDTC

PEDY

PETEST

PEMODIFY

PECAT

PESCAT

PEBODSYS

PEORRES

PEORRESU

PESTRESC

PESTAT

PEREASND

PELOC

PEMETHOD

PEEVAL

 

  1.  

 

QS

Questionnaire

Questionnaires are named, stand-alone instruments designed to provide an assessment of a concept. Questionnaires have a defined standard structure, format, and content; consist of conceptually related items that are typically scored; and have documented methods for administration and analysis.

Findings

One record per

questionnaire per question

per time point per visit per

subject

Tabulation

STUDYID,

USUBJID,

QSCAT,

QSTESTCD,

VISITNUM,

QSTPTREF,

QSTPTNUM

QSTESTCD

STUDYID

DOMAIN

USUBJID

QSSEQ

QSGRPID

QSSPID

VISITNUM

VISIT

VISITDY

QSDTC

QSDY

QSTPT

QSTPTNUM

QSELTM

QSTPTREF

QSRFTDTC

QSEVLINT

QSTEST

QSCAT

QSSCAT

QSORRES

QSORRESU

QSSTRESC

QSSTRESN

QSSTRESU

QSSTAT

QSREASND

QSBLFL

QSDRVFL

QSEVAL

 

  1.  

 

RP

Reproductive System Findings

The Reproductive System Findings domain captures all Reproductive information related to a subject

Findings

 

 

 

RPTESTCD

STUDYID

DOMAIN

USUBJID

RPSEQ

RPGRPID

RPREFID

RPSPID

VISITNUM

VISIT

VISITDY

RPDTC

RPDY

RPTEST

RPCAT

RPSCAT

RPORRES

RPORRESU

RPSTRESC

RPSTRESN

RPSTRESU

RPSTAT

RPREASND

RPBLFL

RPDRVFL

 

  1.  

 

SC

Subject

Characteristics

The subject characteristics domain is for data not collected in other domains that is subject-related.

Findings

One record per

characteristic per subject

Tabulation

STUDYID,

USUBJID,

SCTESTCD

SCTESTCD

STUDYID

DOMAIN

USUBJID

SCSEQ

SCGRPID

SCSPID

SCDTC

SCDY

SCTEST

SCCAT

SCSCAT

SCORRES

SCORRESU

SCSTRESC

SCSTRESN

SCSTRESU

SCSTAT

SCREASND

 

  1.  

 

SS

Subject status

Subject Status is for data relating to general subject characteristics that are evaluated periodically to determine if they have changed.

Findings

 

 

 

SSTESTCD

STUDYID

DOMAIN

USUBJID

SSSEQ

SSGRPID

SSSPID

VISITNUM

VISIT

VISITDY

SSDTC

SSDY

SSTEST

SSCAT

SSSCAT

SSORRES

SSSTRESC

SSSTAT

SSREASND

SSEVAL

 

  1.  

 

VS

Vital Signs

Measurements including but not limited to blood pressure, temperature, respiration, body surface area, BMI, height and weight.

Findings

One record per vital sign

measurement per time point

per visit per subject

Tabulation

STUDYID, USUBJID, VSTESTCD,

VISITNUM, VSTPTREF, VSTPTNUM

VSTESTCD

STUDYID

DOMAIN

USUBJID

VSSEQ

VSGRPID

VSSPID

VISITNUM

VISIT

VISITDY

VSDTC

VSDY

VSTPT

VSTPTNUM

VSELTM

VSTPTREF

VSRFTDTC

VSTEST

VSCAT

VSSCAT

VSPOS

VSORRES

VSORRESU

VSSTRESC

VSSTRESN

VSSTRESU

VSSTAT

VSREASND

VSLOC

VSLAT

VSBLFL

VSDRVFL

 

  1.  

 

DA

Drug

Accountability

Data regarding the accountability of study drug, such as information on the receipt, dispensing, return, and packaging.

 

Findings

One record per drug

accountability finding per

subject

Tabulation

STUDYID,

USUBJID,

DATESTCD,

DADTC

DATESTCD

STUDYID

DOMAIN

USUBJID

DASEQ

DAGRPID

DAREFID

DASPID

VISITNUM

VISIT

VISITDY

DADTC

DADY

DATEST

DACAT

DASCAT

DAORRES

DAORRESU

DASTRESC

DASTRESN

DASTRESU

DASTAT

DAREASND

 

  1.  

 

MB

Microbiology

Specimen

Microbiology specimen findings, including gram stain results, and organisms found.

Findings

One record per

microbiology specimen

finding per time point per

visit per subject

Tabulation

STUDYID,

USUBJID,

MBTESTCD,

VISITNUM,

MBTPTREF,

MBTPTNUM

MBTESTCD

STUDYID

DOMAIN

USUBJID

MBSEQ

MBGRPID

MBREFID

MBSPID

VISITNUM

VISIT

VISITDY

MBDTC

MBDY

MBTPT

MBTPTNUM

MBELTM

MBTPTREF

MBRFTDTC

MBTEST

MBCAT

MBSCAT

MBORRES

MBORRESU

MBSTRESC

MBSTRESN

MBSTRESU

MBRESCAT

MBSTAT

MBREASND

MBNAM

MBLOINC

MBSPEC

MBSPCCND

MBLOC

MBMETHOD

MBBLFL

MBDRVFL

 

  1.  

 

MS

Microbiology

Susceptibility

This includes microbiology susceptibility test results,

plus results of any other organism-related tests.

Findings

One record per

microbiology susceptibility

test (or other organism-

related finding) per

organism found in MB

Tabulation

STUDYID,

USUBJID,

MSTESTCD,

VISITNUM,

MSTPTREF,

MSTPTNUM

MSTESTCD

STUDYID

DOMAIN

USUBJID

MSSEQ

MSGRPID

MSREFID

MSSPID

VISITNUM

VISIT

VISITDY

MSDTC

MSDY

MSTPT

MSTPTNUM

MSELTM

MSTPTREF

MSTEST

MSCAT

MSSCAT

MSORRES

MSORRESU

MSSTRESC

MSSTRESN

MSSTRESU

MSRESCAT

MSSTAT

MSREASND

MSNAM

MSLOINC

MSMETHOD

MSBLFL

MSDRVFL

 

  1.  

 

PC

Pharmacokinetic

Concentrations

Concentrations of drugs/metabolites in fluids or tissues as a function of time.

Findings

One record per analyte per

planned time point number

per time point reference per

visit per subject"

Tabulation

STUDYID,

USUBJID,

PCTESTCD,

VISITNUM,

PCTPTREF,

PCTPTNUM

PCTESTCD

STUDYID

DOMAIN

USUBJID

PCSEQ

PCGRPID

PCREFID

PCSPID

VISITNUM

VISIT

VISITDY

PCDTC

PCENDTC

PCDY

PCTPT

PCTPTNUM

PCELTM

PCTPTREF

PCRFTDTC

PCEVLINT

PCTEST

PCCAT

PCSCAT

PCORRES

PCORRESU

PCSTRESC

PCSTRESN

PCSTRESU

PCSTAT

PCREASND

PCNAM

PCSPEC

PCSPCCND

PCMETHOD

PCFAST

PCDRVFL

PCLLOQ

PCULOQ

 

  1.  

 

PP

Pharmacokinetic

Parameters

Pharmacokinetic parameters derived from

pharmacokinetic concentration-time (PC) data.

Findings

One record per PK

parameter per time-

concentration profile per

modeling method per

subject

Tabulation

STUDYID, USUBJID, PPTESTCD, PPCAT, VISITNUM, PPTPTREF

PPTESTCD

STUDYID

DOMAIN

USUBJID

PPSEQ

PPGRPID

PPDTC

PPRFTDTC

PPSTINT

PPENINT

PPTEST

PPCAT

PPSCAT

PPORRES

PPORRESU

PPSTRESC

PPSTRESN

PPSTRESU

PPSTAT

PPREASND

PPSPEC

 

  1.  

 

FA

Findings About

Events or

Interventions

A dataset used to capture the findings about an event or intervention that cannot be represented within an event or intervention record or as a supplemental qualifier.

Findings

One record per finding per

object per time point per

time point reference per

visit per subject

Tabulation

STUDYID, USUBJID, FATESTCD,

FAOBJ, VISITNUM, FATPTREF,

FATPTNUM

FATESTCD

STUDYID

DOMAIN

USUBJID

FASEQ

FAGRPID

FASPID

VISITNUM

VISIT

VISITDY

FADTC

FADY

FATEST

FAOBJ

FACAT

FASCAT

FAORRES

FAORRESU

FASTRESC

FASTRESN

FASTRESU

FASTAT

FAREASND

FALOC

FALAT

FABLFL

FAEVAL

 

  1.  

 

TA

Trial Arms

The trial arms table describes each planned arm in the trial. An arm is described as an ordered sequence of elements.

Trial Design

One record per planned

Element per Arm

Tabulation

STUDYID, ARMCD, TAETORD

ARMCD

STUDYID

DOMAIN

TAETORD

EPOCH

ARM

ETCD

ELEMENT

TABRANCH

TATRANS

  1.  

 

TV

Trial Visits

The Trial Visits (TV) dataset describes the planned Visits in a trial. Visits are defined as "clinical encounters" and are

described using the timing variables VISIT, VISITNUM, and VISITDY.

Protocols define Visits in order to describe assessments and procedures that are to be performed at the Visits.

Trial Design

One record per planned

Visit per Arm

Tabulation

STUDYID,

VISITNUM,

ARMCD

VISITNUM

STUDYID

DOMAIN

VISITDY

 

VISIT

ARMCD

ARM

TVSTRL

TVENRL

  1.  

 

TI

Trial Inclusion/

Exclusion Criteria

The Trial Inclusion Exclusion (TI) dataset is not subject oriented. It contains all the inclusion and exclusion criteria for the trial, and thus provides information that may not be present in the subject-level data on inclusion and exclusion criteria. The IE domain contains records only for inclusion and exclusion criteria that subjects did not meet.

Trial Design

One record per I/E criterion

Tabulation

STUDYID, IETESTCD

IETESTCD

STUDYID

DOMAIN

 

IETEST

IECAT

IESCAT

TIVERS

TIRL

 

  1.  

 

TS

Trial Summary

The Trial Summary (TS) dataset allows the sponsor to submit a summary of the trial in a structured format. Each

record in the Trial Summary dataset contains the value of a parameter, a characteristic of the trial. For example,

Trial Summary is used to record basic information about the study such as trial phase, protocol title, and trial

objectives. The Trial Summary dataset contains information about the planned and actual trial characteristics.

Trial Design

One record per trial

summary parameter

value

Tabulation

STUDYID, TSPARMCD, TSSEQ

TSPARMCD

STUDYID

DOMAIN

TSSEQ

TSGRPID

 

TSPARM

TSVAL

TSVALNF

TSVALCD

TSVCDREF

TSVCDVER

 

  1.  

 

TE

Trial Elements

describes the Elements used in the trial. The Trial Elements (TE) dataset contains the definitions of the elements that appear in the Trial Arms (TA) dataset.

An Element may appear multiple times in the Trial Arms table because it appears either 1) in multiple Arms, 2)

multiple times within an Arm, or 3) both. However, an Element will appear only once in the Trial Elements table. 

Trial Design

One record per planned

Element

Tabulation

STUDYID, ETCD

ETCD

STUDYID

DOMAIN

TEDUR

ELEMENT

TESTRL

TEENRL

  1.  

 

RELREC

Related Records

The Related Records (RELREC) special-purpose dataset can also be used to identify relationships between datasets (e.g., a one-to-many or parent-child relationship). The relationship is defined by including a single record for each related dataset that identifies the key(s) of the dataset that can be used to relate the respective records.  Relationships between datasets should only be recorded in the RELREC dataset when the sponsor has found it necessary to split information between datasets that are related, and that may need to be examined together for analysis or proper interpretation. Note that it is not necessary to use the RELREC dataset to identify associations from data in the SUPP-- datasets or the CO dataset to their parent general-observation-class dataset records or  special-purpose domain records, as both these datasets include the key variable identifiers of the parent record(s) that are necessary to make the association.

Special Purpose

Datasets

One record per related

record, group of records or

datasets

Tabulation

STUDYID, RDOMAIN, USUBJID,

IDVAR, IDVARVAL, RELID

There have no Role column in IG

STUDYID

RDOMAIN

USUBJID

IDVAR

IDVARVAL

RELID

 

RELTYPE

 

  1.  

 

SUPP--

**

Supplemental

Qualifiers for

[domain name]

 

Special-Purpose

Datasets

One record per IDVAR,

IDVARVAL, and QNAM

value per subject

Tabulation

STUDYID, RDOMAIN, USUBJID,

IDVAR, IDVARVAL, QNAM

 

STUDYID

RDOMAIN

USUBJID

IDVAR

IDVARVAL

 

QNAM

QLABEL

QVAL

QORIG

QEVAL

 

  1.  

 

DD

Death Details

The domain is designed to hold supplemental data that are typically collected when a death occurs, such as the official cause of death. It does not replace existing

data such as the SAE details in AE. Furthermore, it does not introduce a new requirement to collect information that is not already indicated as Good Clinical

Practice or defined in regulatory guidelines. Instead, it provides a consistent place within SDTM to hold information that previously did not have a clearly

defined home.

Findings

DDTESTCD

STUDYID

DOMAIN

USUBJID

DDSEQ

DDDTC

DDDY

DDTEST

DDORRES

DDSTRESC

DDRESCAT

DDEVAL

 

  1.  

 

MI

Microscopic Findings

The Microscopic Findings dataset provides a record for each microscopic finding observed.  There may be multiple microscopic tests on a subject or specimen.

Findings

MITESTCD

STUDYID

DOMAIN

USUBJID

MISEQ

MIGRPID

MIREFID

MISPID

VISITNUM

VISIT

VISITDY

MIDTC

MIDY

MITEST

MITSTDTL

MICAT

MISCAT

MIORRES

MIORRESU

MISTRESC

MISTRESN

MISTRESU

MIRESCAT

MISTAT

MIREASND

MINAM

MISPEC

MISPCCND

MILOC

MILAT

MIDIR

MIMETHOD

MIBLFL

MIEVAL

 

  1.  

 

MO

Morphology Findings

Macroscopic results (e.g. size, shape, color, and abnormalities of body parts or specimens) that are seen by the naked eye or observed via procedures such as

imaging modalities, endoscopy, or other technologies. Many morphology results are obtained from a procedure, although information about the procedure may or

may not be collected.

Findings

 

 

 

MOTESTCD

STUDYID

DOMAIN

USUBJID

MOSEQ

MOGRPID

MOREFID

MOSPID

MOLNKID

VISITNUM

VISIT

VISITDY

MODTC

MODY

MOTPT

MOTPTNUM

MOELTM

MOTPTREF

MORFTDTC

MOTEST

MOCAT

MOSCAT

MOPOS

MOORRES

MOORRESU

MOSTRESC

MOSTRESN

MOSTRESU

MOSTAT

MOREASND

MOXFN

MONAM

MOLOC

MOLAT

MODIR

MOPORTOT

MOMETHOD

MOANMETH

MOBLFL

MODRVFL

MOEVAL

 

 

  1.  

 

TU

Tumor Identification

The TU domain represents data that uniquely identifies tumors (i.e. malignant tumors and other sites of disease, e.g. lymph nodes). The tumors are identified by

an investigator and/or independent assessor and classified according to the disease assessment criteria. In RECIST terms this equates to the identification of

Target, Non-Target or New tumors. A record in the TU domain contains the following information: a unique tumor ID value; anatomical location of the tumor;

method used to identify the tumor; role of the individual identifying the tumor; and timing information. 

Findings

 

 

 

TUTESTCD

STUDYID

DOMAIN

USUBJID

TUSEQ

TUGRPID

TUREFID

TUSPID

TULNKID

VISITNUM

VISIT

VISITDY

EPOCH

TUDTC

TUDY

TUTEST

TUORRES

TUSTRESC

TUNAM

TULOC

TULAT

TUDIR

TUPORTOT

TUMETHOD

TUEVAL

TUEVALID

TUACPTFL

 

  1.  

 

TR

Tumor Results

The TR domain represents quantitative measurements and/or qualitative assessments of the tumors i.e. malignant tumors and other sites of disease, e.g. lymph

nodes) identified in the TU domain. These measurements are usually taken at baseline and then at each subsequent assessment to support response evaluations. A

record in the TR domain contains the following information: a unique tumor ID value; test and result; method used; role of the individual assessing the tumor;

and timing information. 

 

Clinically accepted evaluation criteria expect that a tumor identified by the tumor ID is the same tumor at each subsequent assessment. The TR domain does not

include anatomical location information on each measurement record because this would be a duplication of information already represented in TU. This

duplication of data was a deciding factor in multi-domain approach to representing this data.

Findings

 

 

 

TRTESTCD

STUDYID

DOMAIN

USUBJID

TRSEQ

TRGRPID

TRREFID

TRSPID

TRLNKID

TRLNKGRP

VISITNUM

VISIT

VISITDY

EPOCH

TRDTC

TRDY

TRTEST

TRORRES

TRORRESU

TRSTRESC

TRSTRESN

TRSTRESU

TRSTAT

TRREASND

TRNAM

TRMETHOD

TREVAL

TREVALID

TRACPTFL

 

 

  1.  

 

RS

Disease Response

RS (Disease Response): The RS domain represents the response evaluation(s) determined from the data in TR. Data from other sources (in other SDTM

domains) might also be used in an assessment of response.

Findings

 

 

 

RSTESTCD

STUDYID

DOMAIN

USUBJID

RSSEQ

RSGRPID

RSREFID

RSSPID

RSLNKID

RSLNKGRP

VISITNUM

VISIT

VISITDY

EPOCH

RSDTC

RSDY

RSTEST

RSCAT

RSORRES

RSSTRESC

RSSTAT

RSREASND

RSNAM

RSEVAL

RSEVALID

RSACPTFL

 

  1.  

 

SR

Skin Response

The Skin Response (SR) is the first implementation of the Findings About concept that is Findings About an Intervention and uses a different domain code

instead of FA.

Findings about or Interventions

 

 

 

SRTESTCD

STUDYID

DOMAIN

USUBJID

SRSEQ

SRGRPID

SRREFID

SRSPID

VISITNUM

VISIT

VISITDY

SRDTC

SRDY

SRTPT

SRTPTNUM

SRELTM

SRTPTREF

SRRFTDTC

SRTEST

SROBJ

SRCAT

SRSCAT

SRORRES

SRORRESU

SRSTRESC

SRSTRESN

SRSTRESU

SRSTAT

SRREASND

SRNAM

SRSPEC

SRLOC

SRLAT

SRMETHOD

SREVAL

 

  1.  

C117755

AG

Procedure Agents

A domain for the agents administered to the subject as part of a procedure or assessment as opposed to drugs, medications and therapies administered with therapeutic intent.

 

 

 

 

 

 

 

 

 

  1.  

C49565

AU

Autopsy

Additional data about deaths, specific to findings from autopsies.

 

 

 

 

 

 

 

 

 

  1.  

C111138

BE

Biospecimen Events

An events domain that documents biospecimen collection and storage information.

 

 

 

 

 

 

 

 

 

  1.  

C49566

BM

Bone Measurements

Findings resulting from evaluations of bone mineral density.

 

 

 

 

 

 

 

 

 

  1.  

C49567

BR

Biopsy

Findings resulting from biopsies.

 

 

 

 

 

 

 

 

 

  1.  

C111137

BS

Biospecimen

A findings domain that documents biospecimen handling information.

 

 

 

 

 

 

 

 

 

  1.  

C102605

CV

Cardiovascular System Findings

A domain for physiological findings related to the cardiovascular system, including the heart, blood vessels and lymphatic vessels.

 

 

 

 

 

 

 

 

 

  1.  

C102616

DE

Device Events

A domain for device-related events.

 

 

 

 

 

 

 

 

 

  1.  

C102618

DI

Device Identifiers

A domain for the submission of information that identifies a specific device unit.

 

 

 

 

 

 

 

 

 

  1.  

C102619

DO

Device Properties

A domain for the characteristics of the device that do not vary over the course of the study.

 

 

 

 

 

 

 

 

 

  1.  

C95088

DP

Developmental Milestone

This domain captures the outcome of developmental milestone testing during a scheduled period of observation.

 

 

 

 

 

 

 

 

 

  1.  

C102620

DR

Device to Subject Relationship

A domain for the linkage of each subject to the device(s) to which they may have been exposed.

 

 

 

 

 

 

 

 

 

  1.  

C102621

DT

Device Tracking and Disposition

A domain for logistics and disposition information specific to a given device.

 

 

 

 

 

 

 

 

 

  1.  

C102622

DU

Device-In-Use

A domain for the findings for the values of measurements and settings that are intentionally set on a device when it is in use. These are characteristics that exist for the device, and have a specific setting for a use instance.

 

 

 

 

 

 

 

 

 

  1.  

C102617

DX

Device Exposure

A domain for a subject's exposure to a medical device under study.

 

 

 

 

 

 

 

 

 

  1.  

C102630

ED

Endocrine System Findings

A domain for physiological findings related to the endocrine system, including the glands and cells that make hormones that are released directly into the blood and travel to tissues and organs all over the body.

 

 

 

 

 

 

 

 

 

  1.  

C49588

FH

Family History

A subject domain utilized for the submission of information encompassing and representing data, vocabulary or records related to family history. (NCI)

 

 

 

 

 

 

 

 

 

  1.  

C117756

FT

Functional Tests

A domain for named, stand-alone task-based evaluations designed to provide an assessment of mobility, dexterity, or cognitive ability.

 

 

 

 

 

 

 

 

 

  1.  

C102640

GI

Gastrointestinal System Findings

A domain for physiological findings related to the gastrointestinal system, including the esophagus, stomach, small and large intestine, anus, liver, biliary tract and pancreas.

 

 

 

 

 

 

 

 

 

  1.  

C102641

HM

Hematopoietic System Findings

A domain for physiological findings related to the hematopoietic system, including the bone marrow and lymph nodes involved in the production of blood.

 

 

 

 

 

 

 

 

 

  1.  

C49589

HU

Healthcare Resource Utilization

Healthcare resource utilization data such as subject visits to physicians, hospitalizations, and nursing home stays.

 

 

 

 

 

 

 

 

 

  1.  

C102651

IG

Integumentary System Findings

A domain for physiological findings related to the integumentary system, including the epidermis, dermis, all of the derivatives of the epidermis, hairs, nails, sudoriferous and sebaceous glands, and mammary glands.

 

 

 

 

 

 

 

 

 

  1.  

C102649

IM

Immune System Findings

A domain for physiological findings related to the immune system, including the thymus, spleen and tonsils.

 

 

 

 

 

 

 

 

 

  1.  

C102674

MK

Musculoskeletal Findings, Connective and Soft Tissue Findings

A domain for morphological and physiological findings related to the system of muscles, tendons, ligaments, bones, joints and associated tissues.

 

 

 

 

 

 

 

 

 

  1.  

C49604

ML

Meal Data

Information regarding the subject's meal consumption, such as fluid intake, amounts, form (solid or liquid state), frequency, etc., typically used for pharmacokinetic analysis.

 

 

 

 

 

 

 

 

 

  1.  

C102677

NV

Nervous System Findings

A domain for physiological findings related to the nervous system, including the brain, spinal cord, the cranial and spinal nerves, autonomic ganglia and plexuses.

 

 

 

 

 

 

 

 

 

  1.  

C106552

PB

Pharmacogenomics Biomarker

A special-purpose domain that relates a set of genetic variations to an inference about the medical meaning of that set of genetic variations.

 

 

 

 

 

 

 

 

 

  1.  

C111289

PF

Pharmacogenomics Findings

A findings domain for gene expression and genetic variation assessments.

 

 

 

 

 

 

 

 

 

  1.  

C61529

PG

Pharmacogenomics/Genetics Methods and Supporting Information

Pharmacogenomics findings that initially focus on genotype and gene expression data.

 

 

 

 

 

 

 

 

 

  1.  

C111300

PS

Protocol Summary for PGx

A special purpose domain that contains the protocol summary information for pharmacogenomics assessments.

 

 

 

 

 

 

 

 

 

  1.  

C111290

PT

Pharmacogenomics Trial Characteristics

A special purpose domain that contains design parameters used in performing pharmacogenomic assessments.

 

 

 

 

 

 

 

 

 

  1.  

C95098

RE

Respiratory System Findings

A domain for physiological findings related to the respiratory system, including the organs that are involved in breathing such as the nose, throat, larynx, trachea, bronchi and lungs.

 

 

 

 

 

 

 

 

 

  1.  

C106571

SB

Subject Biomarker

A special purpose domain that associates the subject with the medical conclusions contained in the pharmacogenomics biological state (PB) domain based on the observations reported in pharmacogenomics findings (PF) domain.

 

 

 

 

 

 

 

 

 

  1.  

C49610

SC

Subject Characteristics

The subject characteristics domain is for data not collected in other domains that is subject-related.

 

 

 

 

 

 

 

 

 

  1.  

C49611

SG

Surgery

Surgical information.

 

 

 

 

 

 

 

 

 

  1.  

C49612

SK

Skin Test

Findings from diagnostic skin tests.

 

 

 

 

 

 

 

 

 

  1.  

C49613

SL

Sleep Polysomnography Data

Findings from diagnostic sleep tests (polysomnography).

 

 

 

 

 

 

 

 

 

  1.  

C95100

TF

Tumor Findings

This domain captures the tumor findings of the nonclinical subject.

 

 

 

 

 

 

 

 

 

  1.  

C95101

TP

Trial Paths

The trial paths domain is not subject oriented. This domain provides the complete planned non-treatment related sequences of stages for each path in a study.

 

 

 

 

 

 

 

 

 

  1.  

C95103

TX

Trial Sets

The trial stages domain is not subject oriented. It contains one record for each trial set characteristic including experimental factors, treatment factors, inherent characteristics, or distinct sponsor designations.

 

 

 

 

 

 

 

 

 

  1.  

C102726

UR

Urinary System Findings

A domain for physiological findings related to the urinary tract, including the organs involved in the creation and excretion of urine such as the kidneys, ureters, bladder and urethra.

 

 

 

 

 

 

 

 

 

  1.  

C106581

VR

Viral Resistance Findings

A findings domain that contains information about virus drug-resistance.

 

 

 

 

 

 

 

 

 

 

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