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Custom domains and corresponding specifications may be created based on the three general observation classes described in the SDTM.

These general rules apply when determining which variables to include in a domain:

• The Identifier variables, STUDYID, USUBJID, DOMAIN, and --SEQ are required in all domains based on the general observation classes. Other Identifiers may be added as needed.
• Any Timing variables are permissible for use in any submission dataset based on a general observation class except where restricted by specific domain assumptions.

• Any additional Qualifier variables from the same general observation class may be added to a domain model except where restricted by specific domain assumptions.
• Sponsors may not add any variables other than those described in the preceding 3 bullets. The SDTM allows for the inclusion of a sponsor's non-SDTM variables using the Supplemental Qualifiers special-purpose dataset structure, described in Section 8.4, Relating Non-standard Variable Values to a Parent Domain. As the SDTM continues to evolve, certain additional standard variables may be added to the general observation classes. 
• Standard variables must not be renamed or modified for novel usage. Their metadata should not be changed.
• A Permissible variable should be used in an SDTM dataset wherever appropriate.  
  • If a study includes a data item that would be represented in a Permissible variable, then that variable must be included in the SDTM dataset, even if null. Refer to the Define-XML standard (available at https://www.cdisc.org/standards/data-exchange/define-xml) for additional details on how to manage no data availability.
  • If a study did not include a data item that would be represented in a Permissible variable, then that variable should not be included in the SDTM dataset and should not be declared in the Define-XML document.

New domain specifications may be created when domain specifications in this guide don't exist

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