note: boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest...

81
DOMAIN: QS USUBJID STUDYID EPOCH VISITNUM QSDTC QSTESTCD/QSTEST QSORRES QSEVAL NOTE: Boxed annotations indicate supplemental qualifier variables. Result found in QVAL field. =QSCAT

Upload: others

Post on 18-Aug-2020

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QS

USUBJID

STUDYID EPOCH VISITNUM

QSDTC

QSTESTCD/QSTEST

QSORRES

QSEVAL

NOTE: Boxed annotations indicate supplemental qualifier variables. Result found in QVAL field.=QSCAT

Page 2: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QS

QSTESTCD/QSTEST

QSORRES

QSDTCUSUBJID

Page 3: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DM.SEX

DM.BRTHDTC

DM.RACE (If multiple, then = ‘MULTIPLE’)

SCTEST

SCORRES

QNAM=SOTHERSQLABEL=SPANISH, HISPANIC, OR LATINO: OTHER TEXTIDVAR=SCSEQ

QNAM=AOTHERSQLABEL=ASIAN: OTHER TEXTIDVAR=SCSEQ

QNAM=NOTHERSQLABEL=NATIVE HAWAIIAN OR PACIFIC ISLANDER: OTHER TEXTIDVAR=SCSEQ

QNAM=OOTHERSQLABEL=ETHNICITY/RACE: OTHER TEXTIDVAR=SCSEQ

SCTEST

SCORRES

DOMAIN: DM and SC

USUBJID

EPOCH VISITNUM

SCTEST

Page 4: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: SUUSUBJID

SUDTC

SUCAT=DRUG/ALCOHOL USE

SUOCCUR=Y

SUTRT

SUEVLINT=-P30D

SUDUR

SUROUTE

SUCAT=MAJOR DRUG PROBLEMSUTRT

Page 5: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QS

USUBJID

STUDYID EPOCH VISITNUM

QSDTC

QSTESTCD/QSTEST QSORRES

QSEVAL

QSCAT

Page 6: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID

QSDTC

QSEVLINT=-P12M

QSTESTCD/QSTEST

QSORRES

Page 7: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJIDQSDTC

QSEVLINT=-P12M

QSTESTCD/QSTEST

QSORRES

Page 8: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID

QSDTCQSEVLINT=-P12M

QSTESTCD/QSTEST

QSORRES

Page 9: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID

QSDTCQSEVLINT=-P12M

QSTESTCD/QSTEST

QSORRES

Page 10: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID

QSDTCQSEVLINT=-P12M

QSTESTCD/QSTEST

QSORRES

QSTESTCD/QSTEST

QSORRES

Page 11: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

NOTE: Only exceptions to IE are in the database. That includes “No” responses for Inclusion and “YES” responses for exclusion criteria.

DOMAIN: IE

USUBJID

STUDYID EPOCH VISITNUM

IEDTC

IEORRES

IECAT

IETEST

Page 12: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: IE and SCUSUBJID

IEDTC

IEORRES

IECAT

IETEST

SC.SCTEST

SC.SCORRES

Page 13: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: MH

USUBJID

STUDYID EPOCH VISITNUM

MHDTC

MHTERM MHOCCUR

QNAM=MHASSESQLABEL=HISTORY ASSESSMENTIDVAR=MHSEQ

QNAM=MHSPECIFYQLABEL=HISTORY SPECIFIEDIDVAR=MHSEQ

Page 14: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

MHTERM MHOCCUR

QNAM=MHASSESQLABEL=HISTORY ASSESSMENTIDVAR=MHSEQ

QNAM=MHSPECIFYQLABEL=HISTORY SPECIFIEDIDVAR=MHSEQ

DOMAIN: MHUSUBJID

MHDTC

THIS DATA NOT ENTERED

Page 15: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: RP

USUBJID

STUDYID EPOCH VISITNUM

RPDTC

RPTESTRPORRES

DOMAIN: COCOVALDOMAIN=RPIDVAR=VISITNUM or RPDTC

Page 16: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: CM

USUBJID

STUDYID EPOCH VISITNUM

CMDTC

CMTRT

CMINDC

CMSPID

DATA NOT STORED

CMDOSECMDOSU

CMROUTE

CMDOSFRM

CMDOSFRQ

CMSTDTC

CMENDTC

QNAM=CMFORAEQLABEL=DRUG BEING GIVEN FOR TREATMENT OF AEIDVAR=CMSEQ

CMENRF

QNAM=CMAENUMQLABEL=MEDICATION AE NUMBERIDVAR=CMSEQ

Page 17: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

QNAM=CMSIGQLABEL=MEDICATION SIGNATURE DATEIDVAR=CMSEQ

THIS DATA NOT ENTERED

THIS DATA NOT ENTERED

DOMAIN: CMUSUBJID CMDTC

Page 18: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QS

USUBJID

STUDYID EPOCH VISITNUM

QSDTC

QSTESTCD/QSTEST

QSORRES

QSEVAL

=QSCAT

Page 19: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTESTCD/QSTEST

QSORRES

Page 20: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTESTCD/QSTEST

QSORRES

Page 21: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QS

USUBJID

STUDYID EPOCH VISITNUM

QSDTC

QSTESTCD/QSTEST

QSORRES

QSEVAL

=QSCAT

Page 22: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: SC

USUBJID

STUDYID EPOCH VISITNUM

SCDTC

THIS DATA NOT ENTERED

THIS DATA NOT ENTERED

SCTEST SCORRES

SCTEST SCORRES

Page 23: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: VS

USUBJID

STUDYID EPOCH VISITNUM

VSDTC

VSDTC

VSTESTVSORRES

VSORRESU

THIS DATA NOT ENTERED

THIS DATA NOT ENTERED

QNAM=VSSIGQLABEL=VITALS SIGNATURE DATEIDVAR=VISITNUM

DOMAIN: COCOVALRDOMAIN=VSIDVAR=VSDTC or VISITNUM

Page 24: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: BR

USUBJID

STUDYID EPOCH VISITNUM

BRDTC

BRTESTBRORRES

BRORRESU

DOMAIN: COCOVALRDOMAIN=BRIDVAR=VISITNUM

Page 25: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QS

USUBJID

STUDYID EPOCH VISITNUM

QSDTCQSEVAL

=QSCAT

Page 26: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTEST

QSORRES

=QSSCAT

QSORRESU=YEAR / QSORRESU=MONTH

QSEVLINT=-P30D

QSEVLINT=-P30D QSORRESU=DAY

THIS DATA NOT ENTERED

Page 27: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

THIS DATA NOT ENTERED

DOMAIN: QSUSUBJID QSDTC

QSTEST

QSORRES

=QSSCAT

QSORRESU=DAYQSEVLINT=-P30D

QSEVLINT=-P30D

Page 28: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTEST

QSORRES

=QSSCAT

QSORRESU=MONTH

QSEVLINT=-P3Y

QSORRESU=YEAR / QSORRESU=MONTH

QSORRESU=YEAR / QSORRESU=MONTH

QSORRESU=DAY

QSEVLINT=-P30D

QSEVLINT=-P30DQSORRESU=DOLLAR

Page 29: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

THIS DATA NOT ENTERED

DOMAIN: QSUSUBJID QSDTC

QSTESTQSORRES

QSORRESU=DAYQSEVLINT=-P30D

QSEVLINT=-P30D

QSEVLINT=-P30D

Page 30: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTEST

QSORRES

=QSSCAT

QSEVLINT=-P30D

QSORRES

QSTEST

Page 31: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTESTQSORRES

QSEVLINT=-P30D QSORRESU=DOLLAR

QSEVLINT=-P30D QSORRESU=DOLLAR

QSEVLINT=-P30D QSORRESU=DAY

QSEVLINT=-P30D QSORRESU=DAY

QSEVLINT=-P30D QSORRESU=DAY

QSEVLINT=-P30D

QSEVLINT=-P30D

THIS DATA NOT ENTERED

Page 32: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTESTQSORRES

=QSSCAT

QSORRESU=MONTH

Page 33: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTESTQSORRES QSEVLINT=-P30D QSORRESU=DAY

QSEVLINT=-P30D QSORRESU=DAY

THIS DATA NOT ENTERED

Page 34: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTESTQSORRES=QSSCAT

QSEVLINT=-P3Y

QSEVLINT=-P30D

Page 35: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTEST

QSORRES

QSEVLINT=-P30D QSORRESU=DAY

THIS DATA NOT ENTERED

QSEVLINT=-P30D

QSEVLINT=-P30D QSORRESU=DAY

QSEVLINT=-P30D

QSEVLINT=-P30D

Page 36: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTEST

QSORRES

=QSSCAT

QSEVLINT=-P30D

QSEVLINT=-P30D QSORRESU=DAY

Page 37: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTEST

QSORRES

QSEVLINT=-P30D

THIS DATA NOT ENTERED

Page 38: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QS

USUBJID

STUDYID EPOCH VISITNUM

QSDTCQSEVAL

=QSCAT

Page 39: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QS

USUBJID

STUDYID EPOCH VISITNUM

QSDTCQSEVAL

=QSCAT

QSTEST

QSORRES

Page 40: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: SC, DM, DS

USUBJID

STUDYID EPOCH VISITNUM

SCDTC/DSDTC

SC.SCORRES SC.SCTEST

SC.SCORRES SC.SCTEST

DM.ARM

DM.RFSTDTC

DS.DSOCCUR DS.DSTERM

SC.SCTEST SC.SCORRES

DS.DSCAT=DISPOSITION EVENT

SC.SCTEST SC.SCORRES

THIS DATA NOT ENTERED

DOMAIN: COVariables COVAL-COVALNRDOMAIN=DSIDVAR=VISITNUM

Page 41: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

US

UBJ

ID

DO

MA

IN: Q

S

QSD

TC

QSC

AT=

RIS

K BE

HA

VIO

RS

SU

RVE

Y

QST

EST

QSO

RR

ES

QSE

VLIN

T=-P

3OD

QSS

CA

T =

DR

UG

USE

QSO

RR

ESU

=DA

YQ

SOR

RES

U=D

AY

STU

DYI

DE

POC

HV

ISIT

NU

M

QSE

VAL

Page 42: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QS

USUBJID QSDTC

QSTEST

QSCAT=RISK BEHAVIOR SURVEY

QSEVLINT=-P30D

QSSCAT=DRUG INJECTION

QSSCAT=SEXUAL ACTIVITY

QSORRES

QSSCAT=SEXUAL ACTIVITY – CLIENT WITH FEMALE PARTNER

Page 43: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

QSSCAT=SEXUAL ACTIVITY – MALE CLIENT WITH FEMALE PARTNER

DOMAIN: QS

USUBJID QSDTC

QSCAT=RISK BEHAVIOR SURVEY

QSTEST

QSORRES

QSEVLINT=-P30D

QSSCAT=SEXUAL ACTIVITY – MALE CLIENT WITH MALE PARTNER

QSSCAT=SEXUAL ACTIVITY – CLIENT WITH MALE PARTNER

QSSCAT=SEXUAL ACTIVITY – FEMALE CLIENT WITH MALE PARTNER

QSSCAT=SEXUAL ACTIVITY – CLIENT WITH MALE PARTNER

Page 44: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QS

USUBJID

STUDYID EPOCH VISITNUM

QSDTCQSEVAL

=QSCAT

QSTEST

QSORRES

QSEVLINT=-P4W

Page 45: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QS

USUBJID QSDTC

QSTEST

=QSCAT

QSORRES

QSEVLINT=-P4W

Page 46: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QS

USUBJID QSDTC

QSTEST

=QSCAT

QSORRES

QSEVLINT=-P4W

Page 47: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QS

USUBJID

STUDYID EPOCH VISITNUM

QSDTCQSEVAL

=QSCAT

QSTESTQSORRES

Page 48: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

US

UBJ

ID

DO

MA

IN: S

U

SU

DTC

STU

DYI

DE

POC

HVI

SIT

NU

M

SU

TRT

SU

STD

TC

DO

MA

IN:

CO

CO

VAL

RD

OM

AIN

=SU

IDV

AR=V

ISIT

NU

M

SU

OC

CU

R

SU

CA

T=S

UBS

TAN

CE

USE

REP

OR

T

Page 49: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QS

USUBJID

STUDYID EPOCH VISITNUM

QSDTCQSEVAL

QSCAT=URICA

QSTEST

QSORRES

Page 50: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QS

USUBJID QSDTC

QSTEST

QSCAT=URICA

QSORRES

Page 51: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

QNAM = LBSHIPBYQLABEL = SHIPPED BYIDVAR=LBSEQ

DOMAIN: LB

USUBJID

STUDYID EPOCH VISITNUM

QNAM = SHIPDTCQLABEL = DATE URINE SHIPPEDIDVAR=LBSEQ

QNAM = LBNOSHIPQLABEL = REASON URINE NOT SHIPPEDIDVAR=LBSEQ

QNAM = LBSHIPQLABEL = SAMPLE SHIPPEDIDVAR=LBSEQ

LBDTC

LBSTAT/LBREASND

Additional values captured from the Northwest Toxicology Urinalysis lab file.

THIS DATA NOT ENTERED

QNAM=LBVISDTCQLABEL=LAB VISIT DATEIDVAR = LBSEQ

LBSPID

Page 52: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: LB

USUBJID

STUDYID EPOCH VISITNUM

LBDTC

LBCAT=DRUG SCREEN

LBTEST

LBORRES

QNAM=LBVISDTCQLABEL=LAB VISIT DATEIDVAR = LBSEQ

QNAM = LBTEMPQLABEL = URINE TEMP WITHIN EXPECTED RANGEIDVAR = LBSEQ

QNAM = LBSUPERQLABEL = URINE COLLECTION SUPERVISEDIDVAR = LBSEQ

Page 53: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: AE

USUBJID

STUDYID EPOCH VISITNUM

IF NO, THEN NO RECORD EXISTS IN SDTM AE FILE

AESPIDAETERM (AEDECOD, AEBODSYS)

QNAM = AEDESCQLABEL = AE DESCRIPTIONIDVAR = AESEQ

QNAM = AETYPEQLABEL = AE TYPE OF REPORTIDVAR = AESEQAESTDTC

AEDTC

AESTDTC

AEREL

AESEV

AEACN

AESEQ

Page 54: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: AEUSUBJID

AEDTC

AEOUT

AESER

AEENRF

THIS DATA NOT ENTERED

QNAM = AESIGDTCQLABEL = AE SIGNATURE DATEIDVAR = AESEQ

QNAM = AECHGDTCQLABEL = AE INTENSITY CHANGE DATEIDVAR = AESEQ

AEDUR

QNAM = AESEVCHGQLABEL = AE SEVERITY CHANGEIDVAR = AESEQ

QNAM = AEMED1-3QLABEL = AE MEDICATION NUMBER 1-3IDVAR = AESEQ

AESHOSP

AEACNOTH

AEACNOTH

AEACNOTH

AECONTRT

Page 55: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

NO DATA IN DATABASE

Page 56: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

NO DATA IN DATABASE

Page 57: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

NO DATA IN DATABASE

Page 58: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

NO DATA IN DATABASE

Page 59: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

NO DATA IN DATABASE

Page 60: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

NO DATA IN DATABASE

Page 61: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QS

USUBJID

STUDYID EPOCH VISITNUM

QSDTCQSEVAL

QSTEST

QSORRES

QSCAT=BRIEF SUBSTANCE CRAVING SCALE

Page 62: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTEST

QSCAT=BRIEF SUBSTANCE CRAVING SCALE

QSORRES

Page 63: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: TU

USUBJID

STUDYID EPOCH VISITNUM

TUDTC

TUTEST/TUTESTCDTUORRES

=TUCAT

TUTEST/TUTESTCD

TUORRES

QNAM = TUENROTHQLABEL = NOT ENROLLED FOR OTHER REASONIDVAR = TUSEQ

QNAM = TUEOTHERQLABEL = NOT ATTENDED FOR OTHER REASONIDVAR = TUSEQ

TUSTDTCTUSPID

Page 64: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QS

USUBJID

STUDYID EPOCH VISITNUM

QSDTCQSEVAL

QSTEST

QSORRES

=QSCAT

Page 65: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: TU

USUBJID

STUDYID EPOCH VISITNUM

TUDTC

TUTEST/TUTESTCD

=TUCAT

TUORRES

TUTEST/TUTESTCD

TUSTDTC

QNAM = TUEOTHERQLABEL = NOT ATTENDED FOR OTHER REASONIDVAR = TUSEQ

QNAM = TUHOTHERQLABEL = OTHER SELF HELP MATERIALSIDVAR = TUSEQ

TUORRES

TUSPID

TUSPID QNAM = TUSREASQLABEL = NOT ATTENDED REASONIDVAR = TUSEQ

Page 66: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: DA

USUBJID

STUDYID EPOCH VISITNUM

DADTC

DATESTDAORRES

DACAT=STUDY MEDICATION

Page 67: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: EX

USUBJID

STUDYID EPOCH VISITNUM

EXDTC

EXSTDTC

EXTRT=NICODERM CQ EXDOSFRM,EXDOSE,EXDOSU=PATCH

EXADJ

EXADJ

QNAM = EXCOMPQLABEL = SUBJECT MEDICATION COMPLIANCEIDVAR = EXSEQ

Page 68: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QS

USUBJID

STUDYID EPOCH VISITNUM

QSDTCQSEVAL

=QSCAT

Page 69: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTEST

QSORRES

=QSSCAT

THIS DATA NOT ENTERED

QSEVLINT=-P30D

QSEVLINT=-P30D QSORRESU=DAY

Page 70: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

THIS DATA NOT ENTERED

DOMAIN: QSUSUBJID QSDTC

QSTEST

QSORRES

=QSSCAT

QSORRESU=DAYQSEVLINT=-P30D

QSEVLINT=-P30D

Page 71: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTEST

QSORRES

=QSSCAT

QSORRESU=MONTH

QSEVLINT=-P3Y

QSORRESU=YEAR / QSORRESU=MONTH

QSEVLINT=-P30DQSORRESU=DOLLAR

QSORRESU=DAY

QSEVLINT=-P30D

Page 72: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

THIS DATA NOT ENTERED

DOMAIN: QSUSUBJID QSDTC

QSTESTQSORRES

QSORRESU=DAYQSEVLINT=-P30D

QSEVLINT=-P30D

QSEVLINT=-P30D

Page 73: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTEST

QSORRES

=QSSCAT

QSEVLINT=-P30D

QSORRES

QSTEST

Page 74: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTESTQSORRES

QSEVLINT=-P30D QSORRESU=DOLLAR

QSEVLINT=-P30D QSORRESU=DOLLAR

QSEVLINT=-P30D QSORRESU=DAY

QSEVLINT=-P30D QSORRESU=DAY

QSEVLINT=-P30D QSORRESU=DAY

QSEVLINT=-P30D

QSEVLINT=-P30D

THIS DATA NOT ENTERED

Page 75: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTESTQSORRES

=QSSCAT

QSORRESU=MONTH

Page 76: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTESTQSORRES QSEVLINT=-P30D QSORRESU=DAY

QSEVLINT=-P30D QSORRESU=DAY

THIS DATA NOT ENTERED

Page 77: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTESTQSORRES=QSSCAT

QSEVLINT=-P3Y

QSEVLINT=-P30D

Page 78: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTEST

QSORRES

QSEVLINT=-P30D QSORRESU=DAY

THIS DATA NOT ENTERED

QSEVLINT=-P30D

QSEVLINT=-P30D QSORRESU=DAY

QSEVLINT=-P30D

QSEVLINT=-P30D

Page 79: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTEST

QSORRES

=QSSCAT

QSEVLINT=-P30D

QSEVLINT=-P30D QSORRESU=DAY

Page 80: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: QSUSUBJID QSDTC

QSTEST

QSORRES

QSEVLINT=-P30D

THIS DATA NOT ENTERED

Page 81: NOTE: Boxed annotations indicate supplemental qualifier … · epoch visitnum qsdtc qstestcd/qstest qsorres qseval note: boxed annotations indicate supplemental qualifier variables

DOMAIN: DS

USUBJID

STUDYID EPOCH VISITNUM

DSDTC

DSTERM/DSDECOD DSCAT=DISPOSITION EVENT

DSSTDTC

DSSTDTC

DSSTDTC

DM.RFENDTC

DOMAIN: COVariables COVAL-COVALNRDOMAIN=DSIDVAR=VISITNUM

QNAM = DSTERMWKQLABEL = TERMINATION STUDY WEEKIDVAR = DSSEQ