1 | EX | STUDYID | Study Identifier | Char | | Identifier | Req | Unique identifier for a study. |
2 | EX | DOMAIN | Domain Abbreviation | Char | | Identifier | Req | Two-character abbreviation for the domain. |
3 | EX | USUBJID | Unique Subject Identifier | Char | | Identifier | Req | Identifier used to uniquely identify a subject across all studies for all applications or submissions involving the product. |
4 | EX | EXSEQ | Sequence Number | Num | | Identifier | Req | Sequence Number given to ensure uniqueness of subject records within a domain. May be any valid number. |
5 | EX | EXGRPID | Group ID | Char | | Identifier | Perm | Used to tie together a block of related records in a single domain for a subject. |
6 | EX | EXREFID | Reference ID | Char | | Identifier | Perm | Internal or external identifier (e.g., kit number, bottle label, vial identifier). |
7 | EX | EXSPID | Sponsor-Defined Identifier | Char | | Identifier | Perm | Sponsor-defined reference number. Perhaps pre-printed on the CRF as an explicit line identifier or defined in the sponsor's operational database. Example: Line number on a CRF Page. |
8 | EX | EXLNKID | Link ID | Char | | Identifier | Perm | Identifier used to link related records across domains. |
9 | EX | EXLNKGRP | Link Group ID | Char | | Identifier | Perm | Identifier used to link related, grouped records across domains. |
10 | EX | EXTRT | Name of Treatment | Char | | Topic | Req | Name of the protocol-specified study treatment given during the dosing period for the observation. |
11 | EX | EXCAT | Category of Treatment | Char | | Grouping Qualifier | Perm | Used to define a category of EXTRT values. |
12 | EX | EXSCAT | Subcategory of Treatment | Char | | Grouping Qualifier | Perm | A further categorization of EXCAT values. |
13 | EX | EXDOSE | Dose | Num | | Record Qualifier | Exp | Amount of EXTRT when numeric. Not populated when EXDOSTXT is populated. |
14 | EX | EXDOSTXT | Dose Description | Char | | Record Qualifier | Perm | Amount of EXTRT when non-numeric. Dosing amounts or a range of dosing information collected in text form. Example: 200-400. Not populated when EXDOSE is populated. |
15 | EX | EXDOSU | Dose Units | Char | C71620 | Variable Qualifier | Exp | Units for EXDOSE, EXDOSTOT, or EXDOSTXT representing protocol-specified values. Examples: ng, mg, mg/kg, mg/m2. |
16 | EX | EXDOSFRM | Dose Form | Char | C66726 | Variable Qualifier | Exp | Dose form for EXTRT. Examples: TABLET, LOTION. |
17 | EX | EXDOSFRQ | Dosing Frequency per Interval | Char | C71113 | Variable Qualifier | Perm | Usually expressed as the number of repeated administrations of EXDOSE within a specific time period. Examples: Q2H, QD, BID. |
18 | EX | EXDOSRGM | Intended Dose Regimen | Char | | Variable Qualifier | Perm | Text description of the intended schedule or regimen for the Intervention. Example: TWO WEEKS ON, TWO WEEKS OFF. |
19 | EX | EXROUTE | Route of Administration | Char | C66729 | Variable Qualifier | Perm | Route of administration for the intervention. Examples: ORAL, INTRAVENOUS. |
20 | EX | EXLOT | Lot Number | Char | | Record Qualifier | Perm | Lot Number of the intervention product. |
21 | EX | EXLOC | Location of Dose Administration | Char | C74456 | Record Qualifier | Perm | Specifies location of administration. Examples: ARM, LIP. |
22 | EX | EXLAT | Laterality | Char | C99073 | Variable Qualifier | Perm | Qualifier for anatomical location further detailing laterality of the intervention administration. Examples: LEFT, RIGHT. |
23 | EX | EXDIR | Directionality | Char | C99074 | Variable Qualifier | Perm | Qualifier for anatomical location further detailing directionality. Examples: ANTERIOR, LOWER, PROXIMAL, UPPER. |
24 | EX | EXFAST | Fasting Status | Char | C66742 | Record Qualifier | Perm | Indicator used to identify fasting status. Examples: Y, N. |
25 | EX | EXADJ | Reason for Dose Adjustment | Char | | Record Qualifier | Perm | Describes reason or explanation of why a dose is adjusted. |
26 | EX | EPOCH | Epoch | Char | C99079 | Timing | Perm | Trial Epoch of the Exposure record. Examples: RUN-IN, TREATMENT. |
27 | EX | EXSTDTC | Start Date/Time of Treatment | Char | ISO 8601 | Timing | Exp | The date/time when administration of the treatment indicated by EXTRT and EXDOSE began. |
28 | EX | EXENDTC | End Date/Time of Treatment | Char | ISO 8601 | Timing | Exp | The date/time when administration of the treatment indicated by EXTRT and EXDOSE ended. For administrations considered given at a point in time (e.g., oral tablet, pre-filled syringe injection), where only an administration date/time is collected, EXSTDTC should be copied to EXENDTC as the standard representation. |
29 | EX | EXSTDY | Study Day of Start of Treatment | Num | | Timing | Perm | Study day of EXSTDTC relative to DM.RFSTDTC. |
30 | EX | EXENDY | Study Day of End of Treatment | Num | | Timing | Perm | Study day of EXENDTC relative to DM.RFSTDTC. |
31 | EX | EXDUR | Duration of Treatment | Char | ISO 8601 | Timing | Perm | Collected duration of administration represented in ISO 8601 duration format. Used only if collected on the CRF and not derived from start and end date/times. |
32 | EX | EXTPT | Planned Time Point Name | Char | | Timing | Perm | 1. Text Description of time when administration should occur. 2. This may be represented as an elapsed time relative to a fixed reference point, such as time of last dose. See EXTPTNUM and EXTPTREF. |
33 | EX | EXTPTNUM | Planned Time Point Number | Num | | Timing | Perm | Numerical version of EXTPT to aid in sorting. |
34 | EX | EXELTM | Planned Elapsed Time from Time Point Ref | Char | ISO 8601 | Timing | Perm | Planned elapsed time (in ISO 8601 format) relative to the planned fixed reference (EXTPTREF). This variable is useful where there are repetitive measures. Not a clock time. Represented in ISO 8601 duration format. |
35 | EX | EXTPTREF | Time Point Reference | Char | | Timing | Perm | Name of the fixed reference point referred to by EXELTM, EXTPTNUM, and EXTPT. Examples: PREVIOUS DOSE, PREVIOUS MEAL. |
36 | EX | EXRFTDTC | Date/Time of Reference Time Point | Char | ISO 8601 | Timing | Perm | Date/time for a fixed reference time point defined by EXTPTREF in ISO 8601 character format. |