Observation Class | Variable | NCI C-code | SDTM v1.4/SDTMIG v3.2 Variable Label | SDTM v1.4/SDTMIG v3.2 Description/CDISC Notes | Final Definition | Order | Group |
---|---|---|---|---|---|---|---|
Demographics | STUDYID | See Identifiers | 1 | 1 | |||
Demographics | DOMAIN | See Identifiers | 2 | 2 | |||
Demographics | USUBJID | See Identifiers | 3 | 3 | |||
Demographics | SUBJID | C83083 SDSVAR-1 - Getting issue details... STATUS | Subject Identifier for the Study | Subject identifier, which must be unique within the study. Often the ID of the subject as recorded on a CRF. | A sequence of characters used to uniquely identify a subject within a study. SDSVAR-2 - Getting issue details... STATUS | 4 | 4 |
Demographics | RFSTDTC | C83395 | Subject Reference Start Date/Time | Reference Start Date/time for the subject in ISO 8601 character format. Usually equivalent to date/time when subject was first exposed to study treatment. Required for all randomized subjects; will be null for all subjects who did not meet the milestone the date requires, such as screen failures or unassigned subjects. | The start date or date and time of the sponsor-defined study reference period, represented in a standardized character forma SDSVAR-3 - Getting issue details... STATUS t. | 5 | 5 |
Demographics | RFENDTC | C83394 | Subject Reference End Date/Time | Reference End Date/time for the subject in ISO 8601 character format. Usually equivalent to the date/time when subject was determined to have ended the trial, and often equivalent to date/time of last exposure to study treatment. Required for all randomized subjects; null for screen failures or unassigned subjects. | The end date or date and time of the sponsor-defined study reference period, represented in a standardized character format. | 6 | 6 |
Demographics | RFXSTDTC | C117455 | Date/Time of First Study Treatment | First date of exposure to any protocol-specified treatment or therapy, equal to the earliest value of EXSTDTC. | The start date or date and time of the first date of exposure to any protocol-specified treatment or therapy, represented in a standardized character format. | 7 | 7 |
Demographics | RFXENDTC | C117454 | Date/Time of Last Study Treatment | Last date of exposure to any protocol-specified treatment or therapy, equal to the latest value of EXENDTC (or the latest value of EXSTDTC if EXENDTC was not collected or is missing). | The end date or date and time of the last date of exposure to any protocol-specified treatment or therapy, represented in a standardized character format. | 8 | 1 |
Demographics | RFICDTC | C117452 | Date/Time of Informed Consent | Date/time of informed consent in ISO 8601 character format. This will be the same as the date of informed consent in the Disposition domain, if that protocol milestone is documented. Would be null only in studies not collecting the date of informed consent. | The date or date and time of informed consent, represented in a standardized character format. | 9 | 2 |
Demographics | RFPENDTC | C117453 | Date/Time of End of Participation | Date/time when subject ended participation or follow-up in a trial, as defined in the protocol, in ISO 8601 character format. Should correspond to the last known date of contact. Examples include completion date, withdrawal date, last follow-up, date recorded for lost to follow up, or death date. | The date or date and time of last contact with or information about a subject in a trial, represented in a standardized character format. | 10 | 3 |
Demographics | DTHDTC | C117450 | Date/Time of Death | Date/time of death for any subject who died, in ISO 8601 format. Should represent the date/time that is captured in the clinical-trial database. | The date or date and time of death, represented in a standardized character format.. | 11 | 4 |
Demographics | DTHFL | C117451 | Subject Death Flag | Indicates the subject died. Should be Y or null. Should be populated even when the death date is unknown. | An indication that the subject died. | 12 | 5 |
Demographics | SITEID | C83081 | Study Site Identifier | Unique identifier for a site within a study. | A sequence of characters used to uniquely identify the facility associated with study-specific activities. | 13 | 6 |
Demographics | INVID | C83078 | Investigator Identifier | An identifier to describe the Investigator for the study. May be used in addition to SITEID. Not needed if SITEID is equivalent to INVID. | A sequence of characters used to uniquely identify the study investigator. | 14 | 7 |
Demographics | INVNAM | C83302 | Investigator Name | Name of the investigator for a site. | The name of the study investigator. | 15 | 1 |
Demographics | BRTHDTC | C83217 | Date/Time of Birth | Date/time of birth of the subject. | The date or date and time of birth, represented in a standardized character format. | 16 | 2 |
Demographics | AGE | C25150 | Age | Age expressed in AGEU. May be derived from RFSTDTC and BRTHDTC, but BRTHDTC may not be available in all cases (due to subject privacy concerns). | A numeric representation of the elapsed time since birth. | 17 | 3 |
Demographics | AGETXT | C90352 | e.g. infant, elderly, in their 20s | ON HOLD SDSVAR-5 - Getting issue details... STATUS | 18 | 4 | |
Demographics | AGEU | C50400 | Age Units | Units associated with AGE. | The unit of time used to express the age, using standardized values. | 19 | 5 |
Demographics | SEX | C28421 | Sex | Sex of the subject. | ON HOLD - Biological sex of the subject. (HHS Guidance) There needs to be a discussion about what this variable should contain or if other variables need to be defined to capture sex. | 20 | 6 |
Demographics | RACE SDSVAR-6 - Getting issue details... STATUS | C17049 | Race | Race of the subject. Sponsors should refer to “Collection of Race and Ethnicity Data in Clinical Trials” (FDA, September 2005) for guidance regarding the collection of race (http://www.fda.gov/RegulatoryInformation/Guidances/ucm126340.htm) See Assumption below regarding RACE. | ON HOLD | 21 | 7 |
Demographics | ETHNIC | C16564 | Ethnicity | The ethnicity of the subject. Sponsors should refer to “Collection of Race and Ethnicity Data in Clinical Trials” (FDA, September 2005) for guidance regarding the collection of ethnicity (http://www.fda.gov/RegulatoryInformation/Guidances/ucm126340.htm). | ON HOLD | 22 | 1 |
Demographics | SPECIES | C45293 | ON HOLD - SEND | 23 | 2 | ||
Demographics | STRAIN | C14419 | ON HOLD - SEND | 24 | 3 | ||
Demographics | SBSTRAIN | C117456 | ON HOLD - SEND | 25 | 4 | ||
Demographics | ARMCD | C83216 | Planned Arm Code | ARMCD is limited to 20 characters and does not have special character restrictions. The maximum length of ARMCD is longer than for other “short” variables to accommodate the kind of values that are likely to be needed for crossover trials. For example, if ARMCD values for a seven-period crossover were constructed using two-character abbreviations for each treatment and separating hyphens, the length of ARMCD values would be 20. | A short sequence of characters that represents the planned arm to which the subject was assigned. | 26 | 5 |
Demographics | ARM | C15538 | Description of Planned Arm | Name of the Arm to which the subject was assigned. | The name of the planned arm to which the subject was assigned. | 27 | 6 |
Demographics | ACTARMCD | C117449 | Actual Arm Code | Code of actual Arm. When an Arm is not planned (not in Trial Arms), ACTARMCD will be UNPLAN. Randomized subjects who were not treated will be given a value of NOTTRT. Values should be “SCRNFAIL” for screen failures and “NOTASSGN” for subjects not assigned to treatment. Restricted to values in Trial Arms in all other cases. ACTARMCD is limited to 20 characters and does not have special character restrictions. The maximum length of ACTARMCD is longer than for other short variables to accommodate the kind of values that are likely to be needed for crossover trials. | A short sequence of characters that represents the arm in which the subject actually participated. | 28 | 7 |
Demographics | ACTARM | C117448 | Description of Actual Arm | Description of actual Arm. When an Arm is not planned (not in Trial Arms), ACTARM will be “Unplanned Treatment”. Randomized subjects who were not treated will be given a value of “Not Treated”. Values should be “Screen Failure” for screen failures and “Not Assigned” for subjects not assigned to treatment. Restricted to values in Trial Arms in all other cases. | The name of the arm in which the subject actually participated. | 29 | 1 |
Demographics | SETCD | C117457 | ON HOLD - SEND | 30 | 2 | ||
Demographics | COUNTRY | C25464 | Country | Country of the investigational site in which the subject participated in the trial. | The country in which the investigational site is located. | 31 | 3 |
Demographics | DMDTC | C83243 | Date/Time of Collection | Date/time of demographic data collection. | The date or date and time of demographic data collection, represented in a standardized character format. | 32 | 4 |
Demographics | DMDY | C83244 | Study Day of Collection | Study day of collection measured as integer days. | The actual study day of demographic data collection derived relative to the sponsor-defined reference start date. | 33 | 5 |
Demographics | RACEOTH | C104495 | ON HOLD | 34 | 6 | ||
Demographics | CRACE | CDASH Draft definition (CDASH v2.0): An arbitrary classification based on physical characteristics; a group of persons related by common descent or heredity (U.S. Center for Disease Control). | ON HOLD | 35 | 7 | ||
Events | --TERM | C82571 | Reported Term | Topic variable for an event observation, which is the verbatim or pre-specified name of the event. | The reported name of the event. | 1 | 1 |
Events | --MODIFY | See Findings | 2 | 2 | |||
Events | --LLT | C71886 | Lowest Level Term | MedDRA Lowest Level Term. | The lowest-level term assigned to the event from the MedDRA dictionary. | 3 | 3 |
Events | --LLTCD | C117048 | Lowest Level Term Code | MedDRA Lowest Level Term code. | The lowest-level term code assigned to the event from the MedDRA dictionary. | 4 | 4 |
Events | --DECOD | C82977 | Dictionary-Derived Term | Dictionary or sponsor-defined derived text description of the topic variable, --TERM, or the modified topic variable (--MODIFY), if applicable. Equivalent to the Preferred Term (PT in MedDRA). | Standardized or dictionary derived text for the description of an event or intervention. | 5 | 5 |
Events | --PTCD | C117056 | Preferred Term Code | MedDRA Preferred Term code. | The preferred term code assigned to the event from the MedDRA dictionary. | 6 | 6 |
Events | --HLT | C71880 | High Level Term | MedDRA High Level Term from the primary path. | The high-level term from the primary hierarchy assigned to the event from the MedDRA dictionary. | 7 | 7 |
Events | --HLTCD | C117047 | High Level Term Code | MedDRA High Level Term code from the primary path. | The high-level term code from the primary hierarchy assigned to the event from the MedDRA dictionary. | 8 | 1 |
Events | --HLGT | C71889 | High Level Group Term | MedDRA High Level Group Term from the primary path. | The high-level group term from the primary hierarchy assigned to the event from the MedDRA dictionary. | 9 | 2 |
Events | --HLGTCD | C117046 | High Level Group Term Code | MedDRA High Level Group Term code from the primary path. | The high-level group term code from the primary hierarchy assigned to the event from the MedDRA dictionary. | 10 | 3 |
Events | --CAT | See Findings | 11 | 4 | |||
Events | --SCAT | See Findings | 12 | 5 | |||
Events | --PRESP | See Interventions | 13 | 6 | |||
Events | --OCCUR | See Interventions | 14 | 7 | |||
Events | --STAT | ON HOLD Definition: An indication as to whether a pre-specified event or intervention occurred. SDSVAR-7 - Getting issue details... STATUS (Note: The definition for Findings is different.) | 15 | 1 | |||
Events | --REASND | See Findings | 16 | 2 | |||
Events | --BODSYS | C12919 | Body System or Organ Class | Body system or system organ class assigned for analysis from a standard hierarchy (e.g. MedDRA) associated with an event. Example: GASTROINTESTINAL DISORDERS. | A standardized or dictionary derived name for the body system or organ class | 17 | 3 |
Events | --BDSYCD | C117040 | Body System or Organ Class Code | MedDRA System Organ Class code corresponding to --BODSYS assigned for analysis. | A standardized or dictionary derived short sequence of characters used to represent the body system or organ class. | 18 | 4 |
Events | --SOC | C71888 | Primary System Organ Class | MedDRA primary System Organ Class associated with the event. | The system organ class from the primary hierarchy assigned in the MedDRA dictionary. | 19 | 5 |
Events | --SOCCD | C117059 | Primary System Organ Class Code | MedDRA primary System Organ Class code. | The system organ class code from the primary hierarchy assigned in the MedDRA dictionary. | 20 | 6 |
Events | --LOC | See Findings | 21 | 7 | |||
Events | --LAT | See Findings | 22 | 1 | |||
Events | --DIR | See Findings | 23 | 2 | |||
Events | --PORTOT | See Findings | 24 | 3 | |||
Events | --PARTY | C117052 | Accountable Party | Party accountable for the transferable object (e.g. device, specimen) as a result of the activity performed in the associated --TERM variable. The party could be an individual (e.g., subject), an organization (e.g., sponsor), or a location that is a proxy for an individual or organization (e.g., site). It is usually a somewhat general term that is further identified in the --PRTYID variable. | The role of the individual or entity responsible for the receipt of the transferred object (e.g. device, specimen). | 25 | 4 |
Events | --PRTYID | C117054 | Identification of Accountable Party | Identification of the specific party accountable for the transferable object (e.g. device, specimen) after the action in --TERM is taken. Used in conjunction with --PARTY. | A sequence of characters used to uniquely identify the individual or entity responsible for the receipt of the transferred object (e.g. device, specimen). | 26 | 5 |
Events | --SEV | See Findings | 27 | 6 | |||
Events | --SER | C82578 | Serious Event | Is this is a serious event? Valid values are “Y” and “N”. | An indication as to whether an event meets regulatory criteria for seriousness. | 28 | 7 |
Events | --ACN | C49499 | Action Taken with Study Treatment | Describes changes made to the study treatment as a result of the event. Examples: DOSE INCREASED, DOSE NOT CHANGED. | An action taken to study treatment as the result of the event. | 29 | 1 |
Events | --ACNOTH | C82509 | Other Action Taken | Describes other actions taken as a result of the event that are unrelated to dose adjustments of study treatment. | An action taken, unrelated to study treatment, as the result of the event. SDSVAR-36 - Getting issue details... STATUS | 30 | 2 |
Events | --ACNDEV | C117037 | Action Taken with Device | Action taken with respect to a device in a study, which may or may not be the device under study | An action taken to a device as the result of the event. | 31 | 3 |
Events | --REL | C82552 | Causality | Records the investigator's opinion as to the causality of the event to the treatment. ICH E2A and E2B examples include NOT RELATED, UNLIKELY RELATED, POSSIBLY RELATED, RELATED. | The investigator's assessment of the likelihood that the study treatment was the cause of the event. | 32 | 4 |
Events | --RELNST | C82564 | Relationship to Non-Study Treatment | An opinion as to whether the event may have been due to a treatment other than study drug. Example: "MORE LIKELY RELATED TO ASPIRIN USE." | The investigator's assessment of the causal relationship of the event to a non-study treatment. | 33 | 5 |
Events | --PATT | C82550 | Pattern of Event | Used to indicate the pattern of the event over time. Examples: INTERMITTENT, CONTINUOUS, SINGLE EVENT. | A characterization of the temporal pattern of occurrences of the event. | 34 | 6 |
Events | --OUT | C20200 | Outcome of Event | Description of the outcome of an event. Examples: RECOVERED/RESOLVED, FATAL. | The status associated with the result or conclusion of the event. | 35 | 7 |
Events | --SCAN | C82561 | Involves Cancer | Was the event associated with the development of cancer? Valid values are “Y” and “N”. | An indication as to whether the reason an event was serious was because the event was associated with cancer. | 36 | 1 |
Events | --SCONG | C2849 | Congenital Anomaly or Birth Defect | Was the event associated with congenital anomaly or birth defect? Valid values are “Y” and “N”. | An indication as to whether the reason an event is serious is because the event is associated with congenital anomaly or birth defect in an offspring of the subject. | 37 | 2 |
Events | --SDISAB | C68606 | Persist or Signif Disability/Incapacity | Did the event result in persistent or significant disability/incapacity? Valid values are “Y” and “N”. | An indication as to whether the reason an event is serious is because the event resulted in a significant, persistent or permanent change, impairment, damage or disruption in the subject's body function/structure, physical activities and/or quality of life. | 38 | 3 |
Events | --SDTH | C82549 | Results in Death | Did the event result in death? Valid values are “Y” and “N”. | An indication as to whether the reason an event is serious is because the event resulted in death. | 39 | 4 |
Events | --SHOSP | C68605 | Requires or Prolongs Hospitalization | Did the event require or prolong hospitalization? Valid values are “Y” and “N”. | An indication as to whether the reason an event is serious is because the event resulted in or prolonged hospitalization. | 40 | 5 |
Events | --SLIFE | C82508 | Is Life Threatening | Was the event life threatening? Valid values are “Y” and “N”. | An indication as to whether the reason an event is serious is because the event resulted in a substantial risk of dying. | 41 | 6 |
Events | --SOD | C82548 | Occurred with Overdose | Did the event occur with an overdose? Valid values are “Y” and “N”. | An indication as to whether the reason an event is serious is because the event is associated with overdose. | 42 | 7 |
Events | --SMIE | C82521 | Other Medically Important Serious Event | Do additional categories for seriousness apply? Valid values are “Y” and “N”. | An indication as to whether the reason an event is serious is because the event may jeopardize the subject and may require intervention to prevent one of the other outcomes associated with serious adverse events. | 43 | 1 |
Events | --CONTRT | C53630 | Concomitant or Additional Trtmnt Given | Was another treatment given because of the occurrence of the event? Valid values are “Y” and “N”. SDSVAR-31 - Getting issue details... STATUS | An indication as to whether a non-study treatment was given because of the occurrence of the event. | 44 | 2 |
Events | --TOX | See Findings | 45 | 3 | |||
Events | --TOXGR | See Findings | 46 | 4 | |||
Findings | --TESTCD | C82503 | Short Name of Measurement, Test or Examination | Short character value for --TEST used as a column name when converting a dataset from a vertical format to a horizontal format. The short value can be up to 8 characters. Examples: PLAT, SYSBP, RRMIN, EYEEXAM. | The standardized or dictionary derived short sequence of characters used to represent the assessment. | 1 | 5 |
Findings | --TEST | C82541 | Name of Measurement, Test or Examination | Long name For --TESTCD. Examples: Platelet, Systolic Blood Pressure, Summary (Min) RR Duration, Eye Examination. | The standardized or dictionary derived name of the assessment. | 2 | 6 |
Findings | --MODIFY | C25446 | Modified Term | If the value of --ORRES is modified for coding purposes, then the modified text is placed here. | A value which represents an alteration to a collected value for coding purposes. | 3 | 7 |
Findings | --TSTDTL | C117062 | Measurement, Test or Examination Detail | Further description of --TESTCD and --TEST. Example: “The percentage of cells with +1 intensity of staining” when MITESTCD = TTF1. | ON HOLD | 4 | 1 |
Findings | --CAT | C25372 | Category | Used to define a category of topic-variable values. Examples: HEMATOLOGY, URINALYSIS, CHEMISTRY, HAMILTON DEPRESSION SCALE, SF36, MICRO ARRAY, EGFR MUTATION ANALYSIS | A grouping or classification of the topic of the finding, event, or intervention. | 5 | 2 |
Findings | --SCAT | C25692 | Subcategory | Used to define a further categorization of --CAT values. Example: DIFFERENTIAL. | A further grouping or classification of the category for the topic of the finding, event, or intervention. | 6 | 3 |
Findings | --POS | C62164 | Position of Subject During Observation | Position of the subject during a measurement or examination. Examples: SUPINE, STANDING, SITTING. | The particular way that a subject's body is placed or situated during an assessment. | 7 | 4 |
Findings | --ORRES | C117221 | Result or Finding in Original Units | Result of the measurement or finding as originally received or collected. Examples: 120, <1, POS. | The outcome of the assessment as originally received or collected. | 9 | 5 |
Findings | --ORRESU | C82586 | Original Units | Unit for --ORRES. Examples: IN, LB, kg/L. | The unit of measure for the original outcome of the assessment, using standardized values. | 10 | 6 |
Findings | --ORNRLO | C82580 | Normal Range Lower Limit-Original Units | Lower end of normal range or reference range for results stored in --ORRES. | The lowest value in a normal or reference result range, as originally received or collected. | 11 | 7 |
Findings | --ORNRHI | C70933 | Normal Range Upper Limit-Original Units | Upper end of normal range or reference range for results stored in --ORRES. | The highest value in a normal or reference result range, as originally received or collected. | 12 | 1 |
Findings | --STRESC | C117222 | Result or Finding in Standard Format | Contains the result value for all findings, copied or derived from --ORRES in a standard format or in standard units. --STRESC should store all results or findings in character format; if results are numeric, they should also be stored in numeric format in --STRESN. For example, if various tests have results “NONE”, “NEG”, and “NEGATIVE” in --ORRES and these results effectively have the same meaning, they could be represented in standard format in --STRESC as "NEGATIVE". | The standardized outcome of the assessment as reported in character format. | 13 | 2 |
Findings | --STRESN | C70952 | Numeric Result/Finding in Standard Units | Used for continuous or numeric results or findings in standard format; copied in numeric format from --STRESC. --STRESN should store all numeric test results or findings. | The standardized outcome of the assessment as reported in numeric format. | 14 | 3 |
Findings | --STRESU | C82587 | Standard Units | Standardized units used for --STRESC and --STRESN. Example: mol/L. | The unit of measure for the standardized outcome of the assessment, using standardized values. | 15 | 4 |
Findings | --STNRLO | C25555 | Normal Range Lower Limit-Standard Units | Lower end of normal range or reference range for standardized results (e.g., --STRESC, --STRESN) represented in standardized units (--STRESU). | The standardized lowest value in a normal or reference result range. | 16 | 5 |
Findings | --STNRHI | C25706 | Normal Range Upper Limit-Standard Units | Upper end of normal range or reference range for standardized results (e.g., --STRESC, --STRESN) represented in standardized units (--STRESU). | The standardized highest value in a normal or reference result range. | 17 | 6 |
Findings | --STNRC | C78727 | Normal Range for Character Results | Normal range or reference range for results stored in --STRESC that are character in ordinal or categorical scale. Example: Negative to Trace. | A reference set of values identifying the normal range for character results in an ordinal scale or categorical grouping. | 18 | 7 |
Findings | --NRIND | C82532 | Normal/Reference Range Indicator | Used to indicate the value is outside the normal range or reference range. May be defined by --ORNRLO and --ORNRHI or other objective criteria. Examples: Y, N; HIGH, LOW; NORMAL; ABNORMAL. | A classification of the result as it relates to a normal or reference result range. | 19 | 1 |
Findings | --RESCAT | C82498 | Result Category | Used to categorize the result of a finding. Example: MALIGNANT or BENIGN for tumor findings. RESISTANCE VARIANT for genetic variation. | A grouping or classification of the results of an assessment. | 20 | 2 |
Findings | --STAT | C41202 | Completion Status | Used to indicate that a question was not asked or a test was not done, or a test was attempted but did not generate a result. Should be null or have a value of NOT DONE. | ON HOLD Definition: An indication as to whether a requested result was obtained. The definition for Events and Interventions is different. | 21 | 3 |
Findings | --REASND | C82556 | Reason Not Done | Reason not done. Used in conjunction with --STAT when value is NOT DONE. | The explanation for why requested information was not available. | 22 | 4 |
Findings | --XFN | C82536 | External File Path | Filename for an external file, such as one for an ECG waveform or a medical image. | The filename and/or path to external data not stored in the same format and possibly not the same location as the other data for a study. | 23 | 5 |
Findings | --NAM | C117200 | Laboratory/Vendor Name | Name or identifier of the vendor (e.g., laboratory) that provided the test results. | The name of the vendor that performs an assessment. | 24 | 6 |
Findings | --LOINC | C82502 | LOINC Code | Logical Observation Identifiers Names and Codes (LOINC) code for the topic variable such as a lab test. | A short sequence of characters used to represent laboratory and clinical tests within the Logical Observation Identifiers Names and Codes (LOINC) database. | 25 | 7 |
Findings | --SPEC | C70713 | Specimen Material Type | Defines the type of specimen used for a measurement. Examples: SERUM, PLASMA, URINE, DNA, RNA. | The type of sample material taken from a biological entity for testing, diagnostic, propagation, treatment or research purposes. | 26 | 1 |
Findings | --ANTREG | C12680 | Anatomical Region | Defines the specific anatomical or biological region of a tissue, organ specimen or the region from which the specimen is obtained, as defined in the protocol, such as a section or part of what is described in the --SPEC variable. Examples: CORTEX, MEDULLA, MUCOSA | ON HOLD | 27 | 2 |
Findings | --SPCCND | C70714 | Specimen Condition | Defines the condition of the specimen. Example: CLOUDY. | The physical state or quality of a sample for assessment. | 28 | 3 |
Findings | --SPCUFL | C105758 | Specimen Usability for the Test | Describes the usability of the specimen for the test. The value will be N if the specimen is not usable, and null if the specimen is usable. | An indication as to whether a sample is suitable for testing. | 29 | 4 |
Findings | --LOC | C25341 | Location Used for the Measurement | Anatomical location of the subject relevant to the collection of the measurement. Examples: RECTAL for temperature, ARM for blood pressure. | ON HOLD | 30 | 5 |
Findings | --LAT | C25185 | Laterality | Qualifier for anatomical location or specimen further detailing laterality. Examples: RIGHT, LEFT, BILATERAL | ON HOLD | 31 | 6 |
Findings | --DIR | C54215 | Directionality | Qualifier for anatomical location or specimen further detailing directionality. Examples: ANTERIOR, LOWER, PROXIMAL | ON HOLD | 32 | 7 |
Findings | --PORTOT | C103166 | Portion or Totality | Qualifier for anatomical location or specimen further detailing the distribution, which means arrangement of, apportioning of. . Examples: ENTIRE, SINGLE, SEGMENT, MANY. | ON HOLD | 33 | 1 |
Findings | --METHOD | C82535 | Method of Test or Examination | Method of the test or examination. Examples: EIA (Enzyme Immunoassay), ELECTROPHORESIS, DIPSTICK | ON HOLD | 34 | 2 |
Findings | --RUNID | C117058 | Run ID | A unique identifier for a particular run of a test on a particular batch of samples. | A sequence of characters used to uniquely identify a particular run of a test on a particular batch of samples. | 35 | 3 |
Findings | --ANMETH | C117039 | Analysis Method | Analysis method applied to obtain a summarized result. Analysis method describes the method of secondary processing applied to a complex observation result (e.g. an image or a genetic sequence). | ON HOLD | 36 | 4 |
Findings | --LEAD | C50282 | Lead Identified to Collect Measurements | Lead or leads identified to capture the measurement for a test from an instrument. Examples: LEAD I, LEAD V2, LEAD CM5. | An electrical recording from some region of the body that represents the voltage difference between two electrodes. | 37 | 5 |
Findings | --CSTATE | C88429 | Consciousness State | The consciousness state of the subject at the time of measurement. Examples: CONSCIOUS, SEMI-CONSCIOUS, UNCONSCIOUS | The subject's level of consciousness. | 38 | 6 |
Findings | --BLFL | C82526 | Baseline Flag | Indicator used to identify a baseline value. Should be Y or null. | An indication that the record is the baseline assessment. | 39 | 7 |
Findings | --FAST | C93566 | Fasting Status | Indicator used to identify fasting status. Valid values include Y, N, U or null if not relevant. | An indication as to whether a subject has abstained from food and liquid for a prescribed amount of time. | 40 | 1 |
Findings | --DRVFL | C81197 | Derived Flag | Used to indicate a derived record (e.g., a record that represents the average of other records such as a computed baseline). Should be Y or null. | An indication that the measurement or finding is not a collected value but is processed or computed by the sponsor from collected data. | 41 | 2 |
Findings | --EVAL | C51824 | Evaluator | Role of the person who provided the evaluation. Used only for results that are subjective (e.g., assigned by a person or a group). Examples: ADJUDICATION COMMITTEE, INDEPENDENT ASSESSOR, RADIOLOGIST. | The role of the person(s) providing an evaluation, appraisal, or interpretation. | 42 | 3 |
Findings | --EVALID | C117043 | Evaluator Identifier | Used to distinguish multiple evaluators with the same role recorded in --EVAL. Examples: RADIOLOGIST1 or RADIOLOGIST2 | A sequence of characters used to uniquely identify the evaluator(s). | 43 | 4 |
Findings | --ACPTFL | C117038 | Accepted Record Flag | In cases where more than one assessor provides an evaluation of a result or response, this flag identifies the record that is considered, by an independent assessor, to be the accepted evaluation. Expected to be Y or null. | An indication that one record out of multiple records is the final, endorsed assessment. | 44 | 5 |
Findings | --TOX | C27990 | Toxicity | Description of toxicity quantified by --TOXGR such as NCI CTCAE Short Name. Examples: HYPERCALCEMIA, HYPOCALCEMIA. Sponsor should specify which scale and version is used in the Sponsor Comments column of the Define-XML document. | A standardized or dictionary derived name for an untoward event or finding. | 45 | 6 |
Findings | --TOXGR | C82528 | Toxicity Grade | Records toxicity grade using a standard toxicity scale (such as the NCI CTCAE). Sponsor should specify which scale and version is used in the Sponsor Comments column of the Define data definition document. Example: 2. | A standardized categorical classification of the severity of an event or finding. | 46 | 7 |
Findings | --SEV | C25676 | Severity | Describes the severity or intensity of a particular finding. Examples: MILD, MODERATE, SEVERE. | The quality or degree of harm associated with a finding or event. | 47 | 1 |
Findings | --DTHREL | C82563 | Relationship to Death | Describes the relationship of a particular finding to the death of a subject. Examples: Y, N or U. | ON HOLD | 48 | 2 |
Findings | --LLOQ | C82589 | Lower Limit of Quantitation | Indicates the lower limit of quantitation for an assay. Units will be those used for --STRESU. | The lowest threshold for reliably detecting the result of a specific test in standardized units. | 49 | 3 |
Findings | --ULOQ | C85533 | Upper Limit of Quantitation | Indicates the upper limit of quantitation for an assay. Units will be those used for --STRESU. | The highest threshold for reliably detecting the result of a specific test in standardized units. | 50 | 4 |
Findings | --EXCLFL | C117045 | Exclude from Statistics | Indicates whether the values in the result variables for this record should be excluded from summary statistical calculations such as Mean, Standard Deviation, and Count (and others). Expected to be Y or null. --EXCLFL should not be used when --STAT is NOT DONE. Not to be used with human clinical trials. | An indication that the result is to be excluded from a result set used for a statistical calculation. | 51 | 5 |
Findings | --REASEX | C117057 | Reason for Exclusion from Statistics | Reason excluded from statistics. Used in conjunction with --EXCLFL when its value is Y. Not to be used with human clinical trials | The explanation for why a result is excluded from a result set used for a statistical calculation. | 52 | 6 |
Identifiers | STUDYID | C83082 | Study Identifier | Unique identifier for a study. | A sequence of characters used by the sponsor to uniquely identify the study. | 1 | 7 |
Identifiers | DOMAIN | C49556 | Domain Abbreviation | Two-character abbreviation for the domain most relevant to the observation. The Domain abbreviation is also used as a prefix for variables to ensure uniqueness when datasets are merged. | An abbreviation for a collection of observations, with a topic-specific commonality. | 2 | 1 |
Identifiers | USUBJID | C70731 | Unique Subject Identifier | Identifier used to uniquely identify a subject across all studies for all applications or submissions involving the product. | A sequence of characters used to uniquely identify a subject across all studies for all applications or submissions involving the product. | 3 | 2 |
Identifiers | POOLID | C117053 | Pool Identifier | An identifier used to identify a result from a group of subjects that is not assignable to a specific subject. | A sequence of characters used to uniquely identify a group of subjects that have been pooled together. | 4 | 3 |
Identifiers | SPDEVID | C117060 | Sponsor Device Identifier | Sponsor-defined identifier for a device | A sequence of characters used by the sponsor to uniquely identify a specific device. SDSVAR-8 - Getting issue details... STATUS | 5 | 4 |
Identifiers | --SEQ | C70710 | Sequence Number | Sequence number to ensure uniqueness of records within a dataset for a subject (or within a parameter, in the case of the Trial Summary domain). May be any valid number (including decimals) and does not have to start at 1. | A number used to identify records within a dataset. | 6 | 5 |
Identifiers | --GRPID | C82529 | Group ID | Optional group identifier, used to link together a block of related records within a subject in a domain. Also used to link together a block of related records in the Trial Summary dataset (Section 3.4). | A sequence of characters used to uniquely identify related records for a subject within a domain, or related parameters in the Trial Summary dataset. | 7 | 6 |
Identifiers | --REFID | C82531 | Reference ID | Optional internal or external identifier such as lab specimen ID, or UUID for an ECG waveform or a medical image. | A sequence of characters used to uniquely identify a source of information. | 8 | 7 |
Identifiers | --SPID | C82530 | Sponsor-Defined Identifier | Sponsor-defined identifier. Example: pre-printed line identifier on a Concomitant Medications page. | A sponsor-defined sequence of characters used to identify an instance of an observation. | 9 | 1 |
Identifiers | --LNKID | C117050 | Link ID | Identifier used to link related records across domains. This may be a one-to-one or a one-to-many relationship. For Example: A single tumor may have multiple measurements/assessments performed at each study visit. | A sequence of characters used to uniquely identify a record in one domain and link it to one or more records in another domain. | 10 | 2 |
Identifiers | --LNKGRP | C117049 | Link Group ID | Identifier used to link related records across domains. This will usually be a many-to-one relationship. For example: Multiple tumor measurements/assessments will contribute to a single response to therapy determination record. | A sequence of characters used to uniquely identify a group of records in one domain and link it to one or more records in another domain. . | 11 | 3 |
Interventions | --TRT | C82542 | Name of Treatment | The topic for the intervention observation, usually the verbatim name of the treatment, drug, medicine, or therapy given during the dosing interval for the observation. | The reported name of the drug, procedure, or therapy. | 1 | 4 |
Interventions | --MODIFY | See Findings | 2 | 5 | |||
Interventions | --DECOD | See Events | 3 | 6 | |||
Interventions | --MOOD | C117051 | Mood | Mode or condition of the record (e.g., SCHEDULED, PERFORMED). | The state that may be applied to a record to indicate its phase in a life cycle or business process, e.g., scheduled, performed. | 4 | 7 |
Interventions | --CAT | See Findings | 5 | 1 | |||
Interventions | --SCAT | See Findings | 6 | 2 | |||
Interventions | --PRESP | C82510 | Pre-specified | Used when a specific intervention is pre-specified on a CRF. Values should be “Y” or null. | An indication that the event or intervention was prospectively stated or detailed on the CRF. | 7 | 3 |
Interventions | --OCCUR | C25275 | Occurrence | Used to record whether a pre-specified intervention occurred when information about the occurrence of a specific intervention is solicited. | An indication as to whether a pre-specified event or intervention has occurred. | 8 | 4 |
Interventions | --STAT | See Findings | 9 | 5 | |||
Interventions | --REASND | See Findings | 10 | 6 | |||
Interventions | --INDC | C41184 | Indication | Denotes the indication for the intervention (e.g., why the therapy was taken or administered). | The sign, symptom or condition that is the basis for initiation of a treatment. | 11 | 7 |
Interventions | --CLAS | C25346 | Class | Class for a medication or treatment, often obtained from a coding dictionary. | A standardized or dictionary derived grouping of drugs, procedures, or therapies. | 12 | 1 |
Interventions | --CLASCD | C82501 | Class Code | Used to represent code for --CLAS. | A standardized or dictionary derived short sequence of characters used to represent a grouping of drugs, procedures, or therapies.. | 13 | 2 |
Interventions | --DOSE | C25488 | Dose | Amount of --TRT given. Not populated when --DOSTXT is populated. | The quantity of an agent (such as a drug, substance or radiation) taken or absorbed at a single administration. | 14 | 3 |
Interventions | --DOSTXT | C70961 | Dose Description | Dosing information collected in text form. Examples: <1 per day, 200-400. Not populated when --DOSE is populated. | A textual description of the quantity of an agent (such as a drug, substance or radiation) taken or absorbed at a single administration. | 15 | 4 |
Interventions | --DOSU | C73558 | Dose Units | Units for --DOSE, --DOSTOT, or --DOSTXT (Examples: ng, mg, mg/kg). | The unit of measure for the agent (such as a drug, substance or radiation), using standardized values. | 16 | 5 |
Interventions | --DOSFRM | C42636 | Dose Form | Dose form for the treatment. Examples: TABLET, CAPSULE. | The shape or configuration in which an agent (such as a drug, substance or radiation) is physically presented. | 17 | 6 |
Interventions | --DOSFRQ | C15682 | Dosing Frequency per Interval | Usually expressed as the number of doses given per a specific interval. Examples: Q2H, QD, PRN. | The number of times that an agent (such as a drug, substance or radiation) is administered per unit of time. | 18 | 7 |
Interventions | --DOSTOT | C70888 | Total Daily Dose | Total daily dose of --TRT using the units in --DOSU. Used when dosing is collected as Total Daily Dose. | The quantity of an agent (such as a drug, substance or radiation) taken or absorbed on a single day. | 19 | 1 |
Interventions | --DOSRGM | C71137 | Intended Dose Regimen | Text description of the (intended) schedule or regimen for the Intervention. Example: TWO WEEKS ON, TWO WEEKS OFF. | The planned schedule for the administration of an agent (such as a drug, substance or radiation). | 20 | 2 |
Interventions | --ROUTE | C38114 | Route of Administration | Route of administration for the intervention. Examples: ORAL, INTRAVENOUS. | Designation of the part of the body through which or into which, or the way in which, a substance is introduced. | 21 | 3 |
Interventions | --LOT | C70848 | Lot Number | Lot number for the intervention described in --TRT. | An identifier assigned by the manufacturer or distributor to a specific quantity of manufactured material or product within a batch. | 22 | 4 |
Interventions | --LOC | See Findings | 23 | 5 | |||
Interventions | --LAT | See Findings | 24 | 6 | |||
Interventions | --DIR | See Findings | 25 | 7 | |||
Interventions | --PORTOT | See Findings | 26 | 1 | |||
Interventions | --FAST | See Findings | 27 | 2 | |||
Interventions | --PSTRG | C53294 | Pharmaceutical Strength | Amount of an active ingredient expressed quantitatively per dosage unit, per unit of volume, or per unit of weight, according to the pharmaceutical dose form. Example: 50 mg/TABLET, 300 mg/L | The amount of active ingredient per unit of pharmaceutical dosage form. | 28 | 3 |
Interventions | --PSTRGU | C117055 | Pharmaceutical Strength Units | Unit for --PSTRG. Example: mg/TABLET, mg/mL | The unit of measure for the amount of active ingredient per unit of pharmaceutical dosage form, using standardized values. | 29 | 4 |
Interventions | --TRTV | C927 | Treatment Vehicle | Vehicle for administration of treatment, such as a liquid in which the treatment drug is dissolved. Example: SALINE. | A carrier or inert medium in which a medicinally active agent is administered. | 30 | 5 |
Interventions | --VAMT | C82553 | Treatment Vehicle Amount | Amount of the prepared product (treatment + vehicle) administered or given. Note: should not be diluent amount alone. | Amount of the prepared product (treatment plus vehicle) administered. | 31 | 6 |
Interventions | --VAMTU | C82583 | Treatment Vehicle Amount Units | Units for the prepared product (treatment + vehicle). Examples: mL, mg. | The unit of measure for the prepared product (treatment plus vehicle) using standardized values. | 32 | 7 |
Interventions | --ADJ | C82555 | Reason for Dose Adjustment | Describes reason or explanation of why a dose is adjusted. Examples ADVERSE EVENT, INSUFFICIENT RESPONSE, NON-MEDICAL REASON. | The explanation given for why a dose was changed as compared to a previous dose. | 33 | 1 |
Timing | VISIT | C83093 | Visit Name | Protocol-defined description of a clinical encounter. | The protocol-defined label for a clinical encounter. | 2 | 2 |
Timing | VISITDY | C83450 | Planned Study Day of Visit | Planned study day of VISIT. Should be an integer. | The planned study day of a clinical encounter relative to the sponsor-defined reference start date. | 3 | 3 |
Timing | VISITNUM | C83101 | Visit Number | Clinical encounter number. Numeric version of VISIT, used for sorting. | An assigned numeric identifier that aligns to the chronological order of a clinical encounter. | 3 | 4 |
Timing | TAETORD | C83438 | Planned Order of Element within Arm | Number that gives the planned order of the Element within the Arm (see Trial Arms, Section 3.2.2 ). | An assigned numeric identifier that gives the planned order of the element within the trial arm of the study. | 4 | 5 |
Timing | EPOCH | C71738 | Epoch | Epoch associated with the start date/time of the observation, or the date/time of collection if start date/time is not collected. (See Section 3.2.2). | A time period in a study with a specific purpose. | 5 | 6 |
Timing | --DTC | C82515 | Date/Time of Collection | Collection date and time of an observation represented in IS0 8601 character format. | The date or date and time of specimen or data collection from the subject, represented in a standardized character format. | 6 | 7 |
Timing | --STDTC | C82517 | Start Date/Time of Observation | Start date/time of an observation represented in IS0 8601 character format. | The start date or date and time of an intervention or event, represented in a standardized character format. | 7 | 1 |
Timing | --ENDTC | C82516 | End Date/Time of Observation | End date/time of the observation represented in IS0 8601 character format. | The end date or date and time of an intervention, event, or finding represented in a standardized character format. | 8 | 2 |
Timing | --DY | C82437 | Study Day of Visit/Collection/Exam | Actual study day of visit/collection/exam expressed in integer days relative to the sponsor-defined RFSTDTC in Demographics. | The actual study day of an intervention, event, or finding, derived relative to the sponsor-defined reference start date. | 9 | 3 |
Timing | --STDY | C82570 | Study Day of Start of Observation | Actual study day of start of observation expressed in integer days relative to the sponsor-defined RFSTDTC in Demographics. | The actual study day of the start of an intervention or event, derived relative to the sponsor-defined reference start date. | 10 | 4 |
Timing | --ENDY | C82569 | Study Day of End of Observation | Actual study day of end of observation expressed in integer days relative to the sponsor-defined RFSTDTC in Demographics. | The actual study day of the end of an intervention or event, derived relative to the sponsor-defined reference start date. | 11 | 5 |
Timing | --DUR | C25330 | Duration | Collected duration of an event, intervention, or finding represented in ISO 8601 character format. Used only if collected on the CRF and not derived. | The collected length of time during which an observation continues, represented in a standardized character format. | 12 | 6 |
Timing | --TPT | C82539 | Planned Time Point Name | Text description of time when a measurement or observation should be taken as defined in the protocol. This may be represented as an elapsed time relative to a fixed reference point, such as time of last dose. See --TPTNUM and --TPTREF. | The description of when an observation is planned to occur. | 13 | 7 |
Timing | --TPTNUM | C82545 | Planned Time Point Number | Numeric version of planned time point used in sorting. | The numeric identifier of when an observation is planned to occur. | 14 | 1 |
Timing | --ELTM | C82572 | Planned Elapsed Time from Time Point Ref | Planned Elapsed time in ISO 8601 character format relative to a planned fixed reference (--TPTREF) such as “Previous Dose” or “Previous Meal”. This variable is useful where there are repetitive measures. Not a clock time or a date/time variable, but an interval, represented as ISO duration. | The interval of time between a planned time point and a fixed reference point, represented in a standardized character format. | 15 | 2 |
Timing | --TPTREF | C82576 | Time Point Reference | Description of the fixed reference point referred to by --ELTM, --TPTNUM, and --TPT. Examples: PREVIOUS DOSE, PREVIOUS MEAL. | The description of a time point that acts as a fixed reference for a series of planned time points. | 16 | 3 |
Timing | --RFTDTC | C82518 | Date/Time of Reference Time Point | Date/time for a fixed reference time point defined by --TPTREF in ISO 8601 character format. | The actual date or date and time of a time point that acts as a fixed reference for a series of planned time points, represented in a standardized character format.. | 17 | 4 |
Timing | --STRF | C82559 | Start Relative to Reference Period | Identifies the start of the observation as being before, during, or after the sponsor-defined reference period. The sponsor-defined reference period is a continuous period of time defined by a discrete starting point and a discrete ending point represented by RFSTDTC and RFENDTC in Demographics. Note: This variable will be deprecated (phased out) in a future (post SDTM v1.4) release. The functionality of this variable can be replaced by the use of --STRTPT with --STTPT = RFSTDTC. | The characterization of the start of an observation relative to the study reference period. | 18 | 5 |
Timing | --ENRF | C82557 | End Relative to Reference Period | Identifies the end of the observation as being before, during or after the sponsor-defined reference period. The sponsor-defined reference period is a continuous period of time defined by a discrete starting point and a discrete ending point represented by RFSTDTC and RFENDTC in Demographics. Note: This variable will be deprecated (phased out) in a future (post SDTM v1.4) release. The functionality of this variable can be replaced by the use of --ENRTPT with --ENTPT = RFENDTC. | The characterization of the end of an observation relative to the study reference period. | 19 | 6 |
Timing | --EVLINT | C82534 | Evaluation Interval | Duration of interval associated with an observation such as a finding --TESTCD, represented in ISO 8601 character format. Example: -P2M to represent a period of the past 2 months as the evaluation interval for a question from a questionnaire such as SF-36. | The planned time interval for which an observation is assessed, represented in a standardized character format. | 20 | 7 |
Timing | --EVINTX | C117044 | Evaluation Interval Text | Evaluation interval associated with an observation, where the interval is not able to be represented in ISO 8601 format. Examples: LIFETIME, LAST NIGHT, RECENTLY, OVER THE LAST FEW WEEKS. | A textual description of the planned time interval for which an observation is assessed, where the interval is not able to be represented in a standardized character format. | 21 | 1 |
Timing | --STRTPT | C82560 | Start Relative to Reference Time Point | Identifies the start of the observation as being before or after the sponsor-defined reference time point defined by variable --STTPT. | The characterization of the start of an observation relative to a reference time point. | 22 | 2 |
Timing | --STTPT | C82575 | Start Reference Time Point | Description or date/time in ISO 8601 or other character format of the sponsor-defined reference point referred to by --STRTPT. Examples: "2003-12-15" or "VISIT 1". | The description or date and/or time of a time point that acts as a fixed reference for characterizing the start of an observation. | 23 | 3 |
Timing | --ENRTPT | C82558 | End Relative to Reference Time Point | Identifies the end of the observation as being before or after the sponsor-defined reference time point defined by variable --ENTPT. | The characterization of the end of an observation relative to a reference time point. | 24 | 4 |
Timing | --ENTPT | C82574 | End Reference Time Point | Description or date/time in ISO 8601 or other character format of the sponsor-defined reference point referred to by --ENRTPT. Examples: "2003-12-25" or "VISIT 2". | The description or date and/or time of a time point that acts as a fixed reference for characterizing the end of an observation. | 25 | 5 |
Timing | --STINT | C117061 | Planned Start of Assessment Interval | The start of a planned evaluation or assessment interval in ISO 8601 character format relative to the Time Point Reference (--TPTREF). | The start of a planned assessment interval relative to a reference time point, represented in a standardized character format. | 26 | 6 |
Timing | --ENINT | C117042 | Planned End of Assessment Interval | The end of a planned evaluation or assessment interval in ISO 8601 character format relative to the Time Point Reference (--TPTREF). | The end of a planned assessment interval relative to a reference time point, represented in a standardized character format.. | 27 | 7 |
Timing | --DETECT | C117041 | Time in Days to Detection | The number of days from the start of dosing to the earliest detection of a condition or pathogen. | ON HOLD | 28 | 1 |
Timing | --CDUR | ON HOLD | 29 | 2 | |||
Timing | --CDURU | ON HOLD | 30 | 3 |
3 Comments
Vineet Sharma
Some of the final definitions are "ON HOLD". What is the intention behind this hold?
Thanks,
Vineet
Carey Smoak
For SPDEVID, recommend removing the word "specific" in the final definition for SPDEVID. This would particularly apply to devices not under study. For example, MRIs may be required for Alzheimer studies. Would the sponsor need to specifically identify all of the MRIs used by sites in a particular study? If not, then devices not under study could be more generically identified, not specifically identified.
Sterling Hardy
Hi Carey,
I created a JIRA issue for your comment. If you have any additional comments, please create a JIRA issue in the SDTM Variable Definitions project.
Sterling