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This is an example of a study were the sponsor collected events associated with the operation of the electronic cigarette device.

The International Medical Device Regulators Forum (IMDRF) document “IMDRF Terminologies for Categorized Adverse Event Reporting (AER): Terms, Terminology Structure and Codes was used by the sponsor. Annex A ( 2022) provide the medical problem codes. The name and version of the dictionary used to map terms must be provided in a Define.XML ExternalCodeList element. TEDCODE  DEDCODE was the Level 3 IMDRF term. 

Xformpusher
OrderCDASHIG VariableQuestion TextPromptData TypeCRF Completion InstructionsSDTMIG TargetSDTM Variable MappingControlled Terminology Codelist NamePermissible ValuesPre-populated ValueQuery DisplayList StyleHidden
1SPTOBIDWhat was the tobacco product identifier? Tobacco Product Identifier textIndicate the tobacco product that  was involved in the incident.SPTOBID


VAPE-Z01
radio
6PITERM

What was the event associated with this tobacco product? 

Tobacco Product EventtextRecord a description of the event that occurred.PITERM






7PISTDATWhat was the start date when the event first occurred or was identified?Start DatetextRecord the date that the event first occurred or was noted using this format (DD-MON-YYYY).PISTDTC






10PIEPATTHow frequently did the event occur?Event FrequencytextRecord how often the event occurred.PIPATT

Single Event; Intermittent; Continuous

radio
11PIACNDEVWhat action was taken with the study device?Action Taken With DevicetextRecord what action was taken with the tobacco product as a result of the event.PIACNDEV
(DEACNDEV)No Change; Tobacco Product Replaced; 


radio
12PIAENO(n)What was the identifier for the primary adverse event(s) associated with or related to this device event?Related Adverse Event IDtextRecord the ID of the primary AE associated with event, if any.N/AASSOCIATE WITH RELATED RECORD VIA RELREC





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Dataset wrap
Nameto
Dataset2
RowSTUDYIDDOMAINSPTOBIDTOSEQTOTESTCDTOTESTTOCATTOORRESTOORRESUTOSTRESCTOSTRESNTOSTRESU
1TB005TOVAPE-Z01

1

TBPRDCATTobacco Product CategoryPRODUCT IDENTIFIERENDS (VAPES)
ENDS (VAPES)

2TB005TOVAPE-Z012TBPRSCATTobacco Product SubcategoryPRODUCT IDENTIFIERClosed E-Cigarette
Closed E-Cigarette

3TB005TOVAPE-Z013MANUFManufacturerPRODUCT IDENTIFIERXX Vapes USA
XXX Vapes USA

The International Medical Device Regulators Forum (IMDRF) document “IMDRF Terminologies for Categorized Adverse Event Reporting (AER): Terms, Terminology Structure and Codes was used by the sponsor. Annex A ( 2022) provide the medical problem codes. The name and version of the dictionary used to map terms must be provided in a Define.XML ExternalCodeList element. DEDCODE was the Level 3 IMDRF term. 

Example PI  Variable Metadata

Variable Label Type Codelist
DEIMDRCDIMDRF CodetextIMDRFANNEXA 
DEIMDRFL2IMDRF Level 2textIMDRFANNEXA
DEIMDRFL1IMDRF Level 1textIMDRFANNEXA


Example External Dictionaries

Codelist

External Dictionary Name

Dictionary Version

Reference

IMDRFANNEXA IMDRF Terminologies for Categorized Adverse Event Reporting (AER): Terms, Terminology Structure and Codes : Annex A 

Release Number: 2022

https://www.imdrf.org/consultations/imdrf-terminologies-categorized-adverse-event-reporting-aer-terms-terminology-structure-and-codes

Dataset wrap
NamePI
Dataset2

Row

STUDYID

DOMAIN

USUBJID

SPTOBID

PISEQ

PITERM

PIDECOD

PIMODIFY

PIEVACT

PISTDTC


PIIMDRCD

PIIMDRL2

PIIMDRL1

1

TB005

PI

2029

VAPE-Z01

1

Broken Heater

Mechanical Problem

Mechanical Problem

Device Replaced

2009-12-28


A05

Mechanical Problem

Mechanical Problem

2

TB005

PI

1059

VAPE-Z01

1

Won’t charge

Charging Problem

Charging Problem

Battery Replaced

2009-01-05


A0706

Charging Problem

Electrical /Electronic Property Problem

3

TB005

PI

3067

VAPE-Z01

1

Battery Malfunction

Battery Problem

Battery Problem

Battery Replaced

2009-01-05


A0705

Battery Problem

Electrical /Electronic Property Problem

Nsvmeta
DomainPI
VariableLabelTypeRoleOrigin
PIIMDRCDIMDR Code CharNon-standard Variable Qualifier of DEDECOD  Assigned
PIIMDRL2IMDR Level 2CharNon-standard Variable Qualifier of DEDECOD Assigned
PIIMDRL1IMDR Level 1CharNon-standard Variable Qualifier of DEDECOD Assigned

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