| # | Question | Response / annotation |
|---|---|---|
|
1
|
Date of death
field_001
|
DTHDTC |
|
2
|
Autopsy performed
field_002
|
DDORRES when DDTESTCD = AUTOPSY |
|
3
|
Primary cause of death
field_003
|
DDORRES when DDTESTCD = PRCDTH |
|
4
|
Specify, if other
field_004
|
PRCDTHS in SUPPDD |
|
5
|
Secondary cause for death
field_005
|
DDORRES when DDTESTCD = SECDTH |
| # | Question | Response / annotation |
|---|---|---|
|
1
|
Sex
demog.SEX
|
SEX |
|
2
|
Age
demog.AGE_RAW
|
AGE |
|
3
|
Age units
demog.AGE_U
|
AGEU |
|
4
|
Ethnicity
demog.ETHNIC
|
ETHNIC |
|
5
|
Race
demog.RACE
|
RACE |
|
6
|
Specify if Race is “Other”
demog.RACESP
|
RACESP in SUPPDM |
|
7
|
Date of birth
demog.BIRTHDT_RAW
|
BRTHDTC |
|
8
|
What is the subject’s childbearing status?
demog.CHILDPOT
|
RPORRES when RPTESTCD = CHILDPOT |
| # | Question | Response / annotation |
|---|---|---|
|
1
|
Date Consent Form Signed
enrlment.ICDT_RAW
|
RFICDTC DSSTDTC when DSDECOD = INFORMED CONSENT OBTAINED |
|
2
|
Consent Version Number
enrlment.ICVERS
|
ICVERS in SUPPDS when DSDECOD = INFORMED CONSENT OBTAINED |
|
3
|
Protocol Version
enrlment.PRTVERS
|
PRTVERS in SUPPDS when DSDECOD = INFORMED CONSENT OBTAINED |
|
4
|
Date of Enrollment
enrlment.ENRLDT_RAW
|
DSSTDTC when DSDECOD = ENROLLED |
|
5
|
Date of Randomization
enrlment.RANDDT_RAW
|
DSSTDTC when DSDECOD = RANDOMIZED |
|
6
|
Randomization number
enrlment.RANDNO
|
DSREFID when DSDECOD = RANDOMIZED |
| # | Question | Response / annotation |
|---|---|---|
|
1
|
Subject Identifier
SUBJID
|
SUBJID USUBJID |
|
2
|
Date of Birth
BRTHDAT
|
BRTHDTC |
|
3
|
Sex
SEX
|
SEX |
|
4
|
Race
RACE
|
RACE |
|
5
|
Ethnicity
ETHNIC
|
ETHNIC |
|
6
|
Country of Enrollment
COUNTRY
|
COUNTRY |
|
7
|
Duration of Asthma Diagnosis (Years)
ASTHMA_DUR
|
ASTDUR in SUPPDM |
|
8
|
Randomization Sequence (assigned by IRT after eligibility confirmed)
RANDOM_SEQ
|
ARMCD / ARM |
|
9
|
Did the subject fail screening?
SCRN_FAIL
|
[NOT SUBMITTED] |