Example | STUDYID | DOMAIN | USUBJID | FOCID | AESEQ | AESPID | AETERM | AEDECOD | AEBODSYS | AELOC | AELAT | AESEV | AESER | AEACN | AEREL | AEOUT | AESTDTC | AEENDTC |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
IG33_OE_AE_004 | XYZ | AE | XYZ-100-0001 | 5 | 1 | Headaches | Headache | Nervous system disorders | MILD | N | DOSE NOT CHANGED | NOT RELATED | RECOVERED/RESOLVED | 2011-05-02 | 2011-05-06 | |||
IG33_OE_AE_004 | XYZ | AE | XYZ-100-0001 | OD | 6 | 2 | Worsening Dry Eyes | Dry eye | Eye disorders | EYE | RIGHT | MODERATE | N | DOSE NOT CHANGED | NOT RELATED | RECOVERED/RESOLVED | 2011-05-03 | 2011-05-05 |
IG33_OE_AE_004 | XYZ | AE | XYZ-100-0001 | OS | 7 | 2 | Worsening Dry Eyes | Dry eye | Eye disorders | EYE | LEFT | MODERATE | N | DOSE NOT CHANGED | NOT RELATED | RECOVERED/RESOLVED | 2011-05-03 | 2011-05-04 |
Example | STUDYID | DOMAIN | SPDEVID | DISEQ | DIPARMCD | DIPARM | DIVAL |
---|---|---|---|---|---|---|---|
IG33_OE_DI_003 | XYZ | DI | 100 | 1 | TYPE | Device Type | OCT |
IG33_OE_DI_003 | XYZ | DI | 100 | 2 | MANUF | Manufacturer | ZEISS |
IG33_OE_DI_003 | XYZ | DI | 100 | 3 | MODEL | Model | CIRRUS |
IG33_OE_DI_003 | XYZ | DI | 100 | 4 | SERIAL | Serial Number | yyyyyy |
Example | STUDYID | DOMAIN | USUBJID | FOCID | OESEQ | OETESTCD | OETEST | OEORRES | OESTRESC | OELOC | OELAT | OEDIR | OEMETHOD | OEEVAL | VISITNUM | VISIT | OEDTC |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
IG33_OE_OE_001 | XXX | OE | XXX-450-110 | OS | 1 | INTP | Interpretation | NORMAL | NORMAL | LENS | LEFT | SLIT LAMP | INVESTIGATOR | 1 | SCREENING | 2012-03-20 | |
IG33_OE_OE_001 | XXX | OE | XXX-450-110 | OD | 2 | INTP | Interpretation | ABNORMAL | ABNORMAL | LENS | RIGHT | SLIT LAMP | INVESTIGATOR | 1 | SCREENING | 2012-03-20 | |
IG33_OE_OE_001 | XXX | OE | XXX-450-110 | OD | 3 | OEEXAM | Ophthalmic Examination | RED SPOT VISIBLE | RED SPOT VISIBLE | CONJUNCTIVA | RIGHT | MULTIPLE | SLIT LAMP | INVESTIGATOR | 1 | SCREENING | 2012-03-20 |
Example | STUDYID | DOMAIN | USUBJID | FOCID | OESEQ | OETESTCD | OETEST | OEORRES | OEORRESU | OESTRESC | OESTRESN | OESTRESU | OELOC | OELAT | OEMETHOD | OEEVAL | VISITNUM | VISIT | OEDTC |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
IG33_OE_OE_002 | XXX | OE | XXX- 450-120 | OD | 1 | COLOR | Color | BLUE | BLUE | IRIS | RIGHT | SLIT LAMP BIOMICROSCOPY | INVESTIGATOR | 1 | SCREENING | 2012-04-20 | |||
IG33_OE_OE_002 | XXX | OE | XXX- 450-120 | OS | 2 | COLOR | Color | BLUE | BLUE | IRIS | LEFT | SLIT LAMP BIOMICROSCOPY | INVESTIGATOR | 1 | SCREENING | 2012-04-20 | |||
IG33_OE_OE_002 | XXX | OE | XXX- 450-120 | OD | 3 | LENSSTAT | Lens Status | PHAKIC | PHAKIC | LENS | RIGHT | SLIT LAMP BIOMICROSCOPY | INVESTIGATOR | 1 | SCREENING | 2012-04-20 | |||
IG33_OE_OE_002 | XXX | OE | XXX- 450-120 | OS | 4 | LENSSTAT | Lens Status | PSEUDOPHAKIC | PSEUDOPHAKIC | LENS | LEFT | SLIT LAMP BIOMICROSCOPY | INVESTIGATOR | 1 | SCREENING | 2012-04-20 | |||
IG33_OE_OE_002 | XXX | OE | XXX- 450-120 | OD | 5 | HYPERMIA | Hyperemia | PRESENT | PRESENT | CONJUNCTIVA | RIGHT | OPHTHALMOSCOPY | INVESTIGATOR | 1 | SCREENING | 2012-04-20 | |||
IG33_OE_OE_002 | XXX | OE | XXX- 450-120 | OS | 6 | HYPERMIA | Hyperemia | ABSENT | ABSENT | CONJUNCTIVA | LEFT | OPHTHALMOSCOPY | INVESTIGATOR | 1 | SCREENING | 2012-04-20 | |||
IG33_OE_OE_002 | XXX | OE | XXX- 450-120 | OD | 7 | CUPDISC | Cup-to-Disc Ratio | 0.5 | RATIO | 0.5 | 0.5 | RATIO | OPTIC DISC | RIGHT | OPHTHALMOSCOPY | INVESTIGATOR | 1 | SCREENING | 2012-04-20 |
IG33_OE_OE_002 | XXX | OE | XXX- 450-120 | OS | 8 | CUPDISC | Cup-to-Disc Ratio | 0.6 | RATIO | 0.6 | 0.6 | RATIO | OPTIC DISC | LEFT | OPHTHALMOSCOPY | INVESTIGATOR | 1 | SCREENING | 2012-04-20 |
Example | STUDYID | DOMAIN | USUBJID | FOCID | OESEQ | OELNKID | OETESTCD | OETEST | OEORRES | OEORRESU | OESTRESC | OESTRESN | OESTRESU | OELOC | OELAT | OEMETHOD | OEEVAL | VISITNUM | VISIT | OEDTC |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
IG33_OE_OE_003 | XYZ | OE | XYZ-100-001 | OS | 1 | EDEMA | Edema | PRESENT | PRESENT | MACULA | LEFT | OPHTHALMOSCOPY | INVESTIGATOR | 1 | SCREENING | 2012-04-25 | ||||
IG33_OE_OE_003 | XYZ | OE | XYZ- 100-001 | OD | 2 | EDEMA | Edema | ABSENT | ABSENT | MACULA | RIGHT | OPHTHALMOSCOPY | INVESTIGATOR | 1 | SCREENING | 2012-04-25 | ||||
IG33_OE_OE_003 | XYZ | OE | XYZ- 100-001 | OS | 3 | 1 | EDEMA | Edema | PRESENT | PRESENT | MACULA | LEFT | OPTICAL COHERENCE TOMOGRAPHY | INDEPENDENT ASSESSOR | 1 | SCREENING | 2012-04-25 | |||
IG33_OE_OE_003 | XYZ | OE | XYZ- 100-001 | OD | 4 | 2 | EDEMA | Edema | ABSENT | ABSENT | MACULA | RIGHT | OPTICAL COHERENCE TOMOGRAPHY | INDEPENDENT ASSESSOR | 1 | SCREENING | 2012-04-25 | |||
IG33_OE_OE_003 | XYZ | OE | XYZ- 100-001 | OS | 5 | 1 | THICK | Thickness | 1030 | um | 1030 | 1030 | um | MACULA | LEFT | OPTICAL COHERENCE TOMOGRAPHY | INDEPENDENT ASSESSOR | 1 | SCREENING | 2012-04-25 |
IG33_OE_OE_003 | XYZ | OE | XYZ- 100-001 | OD | 6 | 2 | THICK | Thickness | 1005 | um | 1005 | 1005 | um | MACULA | RIGHT | OPTICAL COHERENCE TOMOGRAPHY | INDEPENDENT ASSESSOR | 1 | SCREENING | 2012-04-25 |
Example | STUDYID | DOMAIN | USUBJID | FOCID | OESEQ | OETESTCD | OETEST | OECAT | OEORRES | OESTRESC | OESTRESN | OELOC | OELAT | OEMETHOD | OEEVAL | VISITNUM | VISIT | OEDTC | OETPT | OETPTNUM |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
IG33_OE_OE_004 | XYZ | OE | XYZ-100-0001 | OD | 1 | DRPCMTGR | Drop Comfort Grade | OCCULAR COMFORT | 1 | 1 | 1 | EYE | RIGHT | VISUAL ANALOG SCALE | STUDY SUBJECT | 1 | VISIT 1 | 2011-02-11T09:00 | UPON INSTILLATION | 1 |
IG33_OE_OE_004 | XYZ | OE | XYZ-100-0001 | OD | 2 | DRPCMTGR | Drop Comfort Grade | OCCULAR COMFORT | 10 | 10 | 10 | EYE | RIGHT | VISUAL ANALOG SCALE | STUDY SUBJECT | 1 | VISIT 1 | 2011-02-11T09:01 | 1 MINUTE POST-INSTILLATION | 2 |
IG33_OE_OE_004 | XYZ | OE | XYZ-100-0001 | OS | 1 | DRPCMTGR | Drop Comfort Grade | OCCULAR COMFORT | 1 | 1 | 1 | EYE | LEFT | VISUAL ANALOG SCALE | STUDY SUBJECT | 1 | VISIT 1 | 2011-05-01T09:00 | UPON INSTILLATION | 1 |
IG33_OE_OE_004 | XYZ | OE | XYZ-100-0001 | OS | 2 | DRPCMTGR | Drop Comfort Grade | OCCULAR COMFORT | 10 | 10 | 10 | EYE | LEFT | VISUAL ANALOG SCALE | STUDY SUBJECT | 1 | VISIT 1 | 2011-05-01T09:01 | 1 MINUTE POST-INSTILLATION | 2 |
Example | STUDYID | DOMAIN | USUBJID | FOCID | SPDEVID | PRSEQ | PRLNKID | PRTRT | PRPRESP | PROCCUR | PRLOC | PRLAT | PRSTDTC | VISITNUM | VISIT |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
IG33_OE_PR_003 | XYZ | PR | XYZ- 100-001 | OS | 100 | 1 | 1 | OCT | Y | Y | EYE | LEFT | 2012-04-25T09:30:00 | 1 | SCREENING |
IG33_OE_PR_003 | XYZ | PR | XYZ- 100-001 | OD | 100 | 2 | 2 | OCT | Y | Y | EYE | RIGHT | 2012-04-25T10:10:00 | 1 | SCREENING |
IG33_OE_PR_003 | XYZ | PR | XYZ- 100-001 | OS | 100 | 3 | 3 | OCT | Y | Y | EYE | LEFT | 2012-05-25T08:00:00 | 2 | VISIT 1 |
IG33_OE_PR_003 | XYZ | PR | XYZ- 100-001 | OD | 100 | 4 | 4 | OCT | Y | Y | EYE | RIGHT | 2012-05-25T08:30:00 | 2 | VISIT 1 |
IG33_OE_PR_003 | XYZ | PR | XYZ- 100-001 | OU | 5 | OCT | Y | N | 3 | VISIT 2 |
Example | STUDYID | RDOMAIN | USUBJID | IDVAR | IDVARAL | RELTYPE | RELID |
---|---|---|---|---|---|---|---|
IG33_OE_RELREC_003 | XYZ | PR | PRLNKID | ONE | 13 | ||
IG33_OE_RELREC_003 | XYZ | OE | OELNKID | MANY | 13 |
Example | STUDYID | RDOMAIN | USUBJID | IDVAR | IDVARVAL | QNAM | QLABEL | QVAL |
---|---|---|---|---|---|---|---|---|
IG33_OE_SUPPOE_001 | XXX | OE | XXX- 450-110 | OESEQ | 3 | OECLSIG | Clinically Significant | Y |
IG33_OE_SUPPOE_001 | XXX | OE | XXX- 450-110 | OESEQ | 3 | OEDIR1 | Directionality 1 | SUPERIOR |
IG33_OE_SUPPOE_001 | XXX | OE | XXX- 450-110 | OESEQ | 3 | OEDIR2 | Directionality 2 | TEMPORAL |
Example | STUDYID | RDOMAIN | USUBJID | IDVAR | IDVARVAL | QNAM | QLABEL | QVAL |
---|---|---|---|---|---|---|---|---|
IG33_OE_SUPPOE_002 | XXX | OE | XXX- 450-120 | OESEQ | 5 | OECLSIG | Clinically Significant | Y |
IG33_OE_SUPPOE_002 | XXX | OE | XXX- 450-120 | OESEQ | 7 | TSTCND | Testing Condition | DILATED |
IG33_OE_SUPPOE_002 | XXX | OE | XXX- 450-120 | OESEQ | 8 | TSTCND | Testing Condition | DILATED |
Example | STUDYID | RDOMAIN | USUBJID | IDVAR | IDVARVAL | QNAM | QLABEL | QVAL |
---|---|---|---|---|---|---|---|---|
IG33_OE_SUPPOE_003 | XYZ | OE | XYZ- 100-001 | OESEQ | 1 | OECLSIG | Clinically Significant | Y |
IG33_OE_SUPPOE_003 | XYZ | OE | XYZ- 100-001 | OESEQ | 2 | OECLSIG | Clinically Significant | N |
IG33_OE_SUPPOE_003 | XYZ | OE | XYZ- 100-001 | OELNKID | 1 | EVLDTC | Evaluation Date | 2012-04-30 |
IG33_OE_SUPPOE_003 | XYZ | OE | XYZ- 100-001 | OELNKID | 2 | EVLDTC | Evaluation Date | 2012-04-30 |
Example | STUDYID | RDOMAIN | USUBJID | IDVAR | IDVARVAL | QNAM | QLABEL | QVAL |
---|---|---|---|---|---|---|---|---|
IG33_OE_SUPPOE_004 | XYZ | OE | XYZ-100-0001 | OECAT | OCULAR COMFORT | RESCRT | Result Criteria | 10-point VAS (1=Best, 10=Worst) |
Example | STUDYID | RDOMAIN | USUBJID | IDVAR | IDVARVAL | QNAM | QLABEL | QVAL |
---|---|---|---|---|---|---|---|---|
IG33_OE_SUPPPR_003 | XYZ | PR | XYZ- 100-001 | PRSEQ | 5 | OEREASOC | Reason for Occur Value | Patient was sick for # weeks |