Num | Field or Record and Variable Population | GuidanceImplementation |
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1 | Result precision | - For numeric non-derived data, --ORRES will represent results to precision collected. Precision will not be artificially changed due to computer storage considerations.
- For numeric derived data, --ORRES and --STRESC will represent the correct number of significant figures based upon the calculation used to derive the value. Trailing zeroes will be retained when significant.
| 2 | Standardized units | Applicants may standardize units within a study for a given test per scientific and regulatory requirements. Standardization of units is recommended when data for the same test are collected via different sources using different units. In such cases, --ORRESU will represent the collected unit and --STRESU will represent the standardized unit. | 3 | Original and standardized results Variables (--ORRES, --ORRESU, --STRESC, --STRESU, --STRESN) | If supplemental free text is collected for a result via CRF, then refer to Section 2.8.7.4, Free Text from Case Report Forms (CRFs). For responses collected via QRS instruments, refer to Section 2.8.7.2, Questionnaires, Ratings, and Scales. For all other results: Image Added - --ORRES will be populated with the result of the measurement or finding as originally collected or received (, using controlled terminology where when applicable).
- When applicable, the unit associated with the value of --
STRESC - ORRES will be populated in
the following way when ORRES is populated:
- By conversion of values in --ORRES to values in standard units
When - ORRESU, using controlled terminology.
- Values will be populated in --STRESC when --ORRES is
populated, --STRESC must also be , regardless of whether the data values are character or numeric variable is populated either - will be:
- Derived by the conversion of numeric values in --ORRES to numeric values with standard units. Standard units will be represented in --STRESU using controlled terminology.
- Numeric --ORRES values with characters attached (e.g.,
or by the assignment - a greater than (>) or less than (<) sign) will be converted to standard units and the value of --STRESC will maintain the attached character (e.g., >10,000, <1).
- The assigned of the value of --ORRES
, as in the Physical Examination (PE) domain, where --STRESC could contain a dictionary-derived term. A further step is necessary when --STRESC contains numeric values. These are converted to numeric type and written - .
- For nonclinical studies, in the Macroscopic and Microscopic Findings (MA/MI) domains, --ORRES may contain a finding with multiple concatenated modifiers. In this case, --STRESC would represent only the finding without the modifiers.
- Numeric values represented in --STRESC will be assigned to --STRESN.
Because may contain a mixture of numeric and character values- is a character value, then, --STRESN
may contain null values, as shown in the following figure.Image Removed Figure. Original to Standardized Results When the original measurement or finding is a selection from a defined codelist, in general, the --ORRES and --STRESC variables contain results in decoded format (i.e., the textual interpretation of whichever code was selected from the codelist). In some cases where the code values in the codelist are statistically meaningful standardized values or scores, which are defined by sponsors or by valid methodologies such as SF36 questionnaires, the --ORRES variables will contain the decoded format, whereas the --STRESC variables as well as the --STRESN variables will contain the standardized values or scores. Occasionally data that are intended to be numeric are collected with characters attached that cause the character-to-numeric conversion to fail. For example, numeric cell counts in the source data may be specified with a greater than (>) or less than (<) sign attached (e.g., >10,000, <1). In these cases, the value with the greater than (>) or less than (<) sign attached should be moved to the --STRESC variable, and --STRESN should be null. The rules for modifying the value for analysis purposes should be defined in the analysis plan and a numeric value should only be imputed in the ADaM datasets. If the value in --STRESC has different units, the greater than (>) or less than (<) sign should be maintained. See Example 1, Rows 11 and 12 | 2 | Derived Records | 3 | 4 | - will be null.
- Numeric values with attached characters (e.g., >10,000, <1) are considered to be character results and will not be populated in --STRESN.
| 4 | Reason Test Performed (--REASPF) | --REASPF will represent the reason a test was performed, if collected. | 5 | Tests not done | When an entire examination (e.g., Laboratory Test Results (LB)), a group of tests (e.g., hematology or urinalysis), or an individual test (e.g., glucose) is not done for a USUBJID, POOLID, or SPTOBID and this information is explicitly captured with or without the reason for not collecting the information, record(s) can be created in the dataset to represent these data. In such cases, applicants may include: - individual records for each test not done for each subject or pool; or
- one record for each subject or pool for a group of tests that were not done. In such cases:
- The paired values of --TESTCD and --TEST will represent a general description of testing in scope for the domain and will be used for all groupings of not done tests within the domain.
- --TESTCD will be the domain code concatenated with the word "ALL".
- --TEST will be the domain description per controlled terminology.
- --CAT will represent the group of tests not done.
- --ORRES will be null.
- --STAT will be "NOT DONE".
- --REASND will be the reason the group of tests was not done, if collected.
For example, if a group of hematology or urinalysis tests represented in the LB domain are not done for a subject, then: USUBJID | LBTESTCD | LBTEST | LBCAT | LBORRES | LBSTAT | LBREASND |
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ABC-001 | LBALL | Laboratory Test Results | HEMATOLOGY |
| NOT DONE |
| ABC-001 | LBALL | Laboratory Test Results | URINALYSIS |
| NOT DONE | No urine specimen present |
| 6 | Biological significance | Nonclinical only: - For assessments of biological significance when the overall interpretation is a record in the domain, use the supplemental qualifier (SUPP--) record (with QNAM = --BIOSIG) linked to the record that contains the overall interpretation or a particular result.
- An example would be a QNAM value of LBBIOSIG in SUPPLB with a value of "Y", indicating that a lab result for albumin of 30 mg/mL was biologically significant.
- Biological significance is not the same as the concepts of normal and abnormal, which are generally represented in --ORRES.
| 7 | Clinical significance | Product Impact on Individual Health only: - For assessments of clinical significance when the overall interpretation is a record in the domain, use the --CLSIG (Clinically Significant) variable on the record that contains the overall interpretation or a particular result.
- For example, EGCLSIG = "Y" indicates that an ECG result of "ATRIAL FIBRILLATION" was clinically significant.
- Clinical significance is not the same as the concepts of normal and abnormal and lab values out of normal range, which are generally submitted in --ORRES and normal range/indicator variables respectively.
| 8 | Records for derived results | Nonclinical: - When there is a need to derive results based on collected values in --ORRES (e.g., means or ratios based on collected values), a new record for the derived result will be created in the dataset. In such cases, --DRVFL will be populated with "Y" in the derived record. --GRPID may be used to explicitly define the relationship between a derived record and the records from which it was derived. This practice would be especially important in the case of multiple derived records in a domain for the same subject (e.g., 2 baseline averages).
- For example, a mean systolic blood pressure derived from collected systolic blood pressure would be represented in the following way:
CVGRPID | CVTEST | CVORRES | CVDRFL | CVDTC |
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1 | Systolic Blood Pressure | 154 |
| 2023-04-02T09:52 | 1 | Systolic Blood Pressure | 149 |
| 2023-04-02T09:54 | 1 | Systolic Blood Pressure | 153 |
| 2023-04-02T09:55 | 1 | Systolic Blood Pressure | 152 | Y | 2023-04-02 |
Product Impact on Individual Health: - Derived records will only be created for QRS domains as applicable. Refer to Section 2.8.7.2, Questionnaires, Ratings, and Scales (QRS).
- Otherwise, records for derived results will not be created. When needed such results will be derived as part of analysis.
| 9 | Dates collected as results | - When appropriate, dates that are collected results will be represented as results in variable --ORRES.
- Dates will be represented in --ORRES in ISO 8601 format.
- Prior to representing a date as a result, confirm the date is actually a finding for an observation and not the timing of an observation.
| 5 | 6 | 7 | 8 | 9 |
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