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Understanding CDISC-like Data Structures

CDISC stands for Clinical Data Interchange Standards Consortium.  It is an organization that develops global data standards to support  the collection, management, and submission of clinical trial data.  These standards help ensure that clinical data is consistent,  structured, and easily understood by regulatory agencies such as  the FDA and EMA.

CDISC standards are widely used in the pharmaceutical industry to  organize and submit clinical trial data. They provide a common  structure that allows researchers, sponsors, and regulators to  interpret data in a consistent way.

Two of the most commonly used CDISC data models are SDTM and ADaM.

Model Full Name Purpose
SDTM Study Data Tabulation Model Standard format for raw clinical trial data submission
ADaM Analysis Data Model Dataset structure used for statistical analysis

The SDTM model organizes clinical trial data into specific domains,  where each domain represents a type of information collected during  the trial.

Domain Description
DM Demographics data for each subject
AE Adverse events experienced by subjects
LB Laboratory test results
VS Vital signs such as blood pressure and heart rate
EX Exposure to the study drug

The ADaM model is derived from SDTM datasets and is specifically  designed for statistical analysis. It contains analysis-ready  datasets that include derived variables, flags, and population  indicators used in statistical testing.

In R, CDISC-like data structures are often represented as data frames  where each domain is stored as a separate dataset.

# Example SDTM-like Demographics dataset
DM <- data.frame(
  USUBJID = c("SUBJ001", "SUBJ002", "SUBJ003"),
  AGE = c(45, 52, 37),
  SEX = c("M", "F", "M"),
  TRTGRP = c("Drug", "Placebo", "Drug")
)

# View dataset
str(DM)
summary(DM)

Understanding CDISC-like data structures is important for working  with clinical trial data because it ensures compliance with  regulatory requirements and supports accurate, reproducible analysis.  These standardized formats make it easier to share, review, and  interpret clinical data across different organizations.