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Controlled Terminology

CDISC Controlled Terminology (CT) provides standardized values for SDTM variables.

Overview

Controlled Terminology ensures:

  • Consistency across studies and organizations
  • Interoperability between systems
  • Regulatory compliance with FDA requirements

Embedded CT Packages

Trial Submission Studio includes the following CT versions:

VersionRelease DateStatus
2024-12-20December 2024Current
2024-09-27September 2024Supported
2024-06-28June 2024Supported

Common Codelists

SEX (C66731)

CodeDecoded Value
MMALE
FFEMALE
UUNKNOWN
UNDIFFERENTIATEDUNDIFFERENTIATED

RACE (C74457)

Decoded Value
AMERICAN INDIAN OR ALASKA NATIVE
ASIAN
BLACK OR AFRICAN AMERICAN
NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER
WHITE
MULTIPLE
NOT REPORTED
UNKNOWN

ETHNIC (C66790)

Decoded Value
HISPANIC OR LATINO
NOT HISPANIC OR LATINO
NOT REPORTED
UNKNOWN

COUNTRY (C66729)

ISO 3166-1 alpha-3 country codes:

  • USA, CAN, GBR, DEU, FRA, JPN, etc.

AESEV (C66769) - Severity

Decoded Value
MILD
MODERATE
SEVERE

AESER (C66742) - Serious

CodeDecoded Value
YY
NN

NY (C66742) - No Yes Response

CodeDecoded Value
YY
NN

VSTESTCD (C66741) - Vital Signs Test Codes

CodeDecoded Value
BMIBody Mass Index
DIABPDiastolic Blood Pressure
HEIGHTHeight
HRHeart Rate
PULSEPulse Rate
RESPRespiratory Rate
SYSBPSystolic Blood Pressure
TEMPTemperature
WEIGHTWeight

LBTESTCD - Lab Test Codes

Common examples:

CodeDescription
ALBAlbumin
ALTAlanine Aminotransferase
ASTAspartate Aminotransferase
BILIBilirubin
BUNBlood Urea Nitrogen
CREATCreatinine
GLUCGlucose
HGBHemoglobin
PLATPlatelet Count
WBCWhite Blood Cell Count

Extensible vs Non-Extensible

Non-Extensible Codelists

Values must exactly match the codelist:

  • SEX
  • COUNTRY
  • Unit codelists

Extensible Codelists

Additional values allowed with sponsor definition:

  • RACE (can add study-specific values)
  • Some test codes

Using CT in Trial Submission Studio

Automatic Validation

When you map variables with controlled terminology:

  1. Values are checked against the codelist
  2. Non-matching values are flagged
  3. Suggestions are provided

Value Mapping

For source values not in CT format:

  1. Create value-level mappings
  2. Map “Male” → “M”, “Female” → “F”
  3. Apply consistently

CT Version Selection

  1. Go to Settings → Controlled Terminology
  2. Select the appropriate CT version
  3. Validation uses selected version

Handling CT Errors

Value Not in Codelist

Error: “Value ‘XYZ’ not found in codelist”

Solutions:

  1. Check spelling/case
  2. Find the correct CT value
  3. Map source value to CT value
  4. For extensible codelists, document new value

Common Mappings

Source ValueCT Value
MaleM
FemaleF
YesY
NoN
CaucasianWHITE
African AmericanBLACK OR AFRICAN AMERICAN

Updating CT

New CT versions are released quarterly by CDISC. To use newer versions:

  1. Check for Trial Submission Studio updates
  2. New CT is included in app updates
  3. Select version in settings

Resources

Official References

Next Steps