# Creating ADSL

# Introduction

This article describes creating an `ADSL` ADaM. Examples are currently presented and tested using `DM`, `EX` , `AE`, `LB` and `DS` SDTM domains. However, other domains could be used.

Note: All examples assume CDISC SDTM and/or ADaM format as input unless otherwise specified.

# Programming Flow

- Read in Data
- Derive Period, Subperiod, and Phase Variables (e.g. `APxxSDT`, `APxxEDT`, …)
- Derive Treatment Variables (`TRT0xP`, `TRT0xA`)
- Derive/Impute Numeric Treatment Date/Time and Duration (`TRTSDT`, `TRTEDT`, `TRTDURD`)
- Derive Disposition Variables
  - Disposition Dates (e.g. `EOSDT`)
  - Disposition Status (e.g. `EOSTT`)
  - Disposition Reason(s) (e.g. `DCSREAS`, `DCSREASP`)
  - Randomization Date (`RANDDT`)
- Derive Birth Date and Analysis Age (`BRTHDT`, `AAGE`, `AAGEU`)
- Derive Death Variables
  - Death Date (`DTHDT`)
  - Cause of Death (`DTHCAUS`)
  - Duration Relative to Death
- Derive Last Known Date Alive (`LSTALVDT`)
- Derive Groupings and Populations
  - Grouping (e.g. `AGEGR1` or `REGION1`)
  - Population Flags (e.g. `SAFFL`)
- Derive Other Variables
- Add Labels and Attributes

## Read in Data

To start, all data frames needed for the creation of `ADSL` should be read into the environment. This will be a company specific process. Some of the data frames needed may be `DM`, `EX`, `DS`, `AE`, and `LB`.

For example purpose, the CDISC Pilot SDTM datasets—which are included in `{pharmaversesdtm}`—are used.

    library(admiral)
    library(dplyr, warn.conflicts = FALSE)
    library(pharmaversesdtm)
    library(lubridate)
    library(stringr)

    dm <- pharmaversesdtm::dm
    ds <- pharmaversesdtm::ds
    ex <- pharmaversesdtm::ex
    ae <- pharmaversesdtm::ae
    lb <- pharmaversesdtm::lb

    dm <- convert_blanks_to_na(dm)
    ds <- convert_blanks_to_na(ds)
    ex <- convert_blanks_to_na(ex)
    ae <- convert_blanks_to_na(ae)
    lb <- convert_blanks_to_na(lb)

The `DM` domain is used as the basis for `ADSL`:

    adsl <- dm %>%
      select(-DOMAIN)

USUBJID | RFSTDTC | COUNTRY | AGE | SEX | RACE | ETHNIC | ARM | ACTARM
--- | --- | --- | --- | --- | --- | --- | --- | ---
01-701-1015 | 2014-01-02 | USA | 63 | F | WHITE | HISPANIC OR LATINO | Placebo | Placebo
01-701-1023 | 2012-08-05 | USA | 64 | M | WHITE | HISPANIC OR LATINO | Placebo | Placebo
01-701-1028 | 2013-07-19 | USA | 71 | M | WHITE | NOT HISPANIC OR LATINO | Xanomeline High Dose | Xanomeline High Dose
01-701-1033 | 2014-03-18 | USA | 74 | M | WHITE | NOT HISPANIC OR LATINO | Xanomeline Low Dose | Xanomeline Low Dose
01-701-1034 | 2014-07-01 | USA | 77 | F | WHITE | NOT HISPANIC OR LATINO | Xanomeline High Dose | Xanomeline High Dose
01-701-1047 | 2013-02-12 | USA | 85 | F | WHITE | NOT HISPANIC OR LATINO | Placebo | Placebo
01-701-1057 | NA | USA | 59 | F | WHITE | HISPANIC OR LATINO | Screen Failure | Screen Failure
01-701-1097 | 2014-01-01 | USA | 68 | M | WHITE | NOT HISPANIC OR LATINO | Xanomeline Low Dose | Xanomeline Low Dose
01-701-1111 | 2012-09-07 | USA | 81 | F | WHITE | NOT HISPANIC OR LATINO | Xanomeline Low Dose | Xanomeline Low Dose
01-701-1115 | 2012-11-30 | USA | 84 | M | WHITE | NOT HISPANIC OR LATINO | Xanomeline Low Dose | Xanomeline Low Dose

## Derive Period, Subperiod, and Phase Variables (e.g. `APxxSDT`, `APxxEDT`, …)

See the “Visit and Period Variables” vignette for more information.

If the variables are not derived based on a period reference dataset, they may be derived at a later point of the flow. For example, phases like “Treatment Phase” and “Follow up” could be derived based on treatment start and end date.

## Derive Treatment Variables (`TRT0xP`, `TRT0xA`)

The mapping of the treatment variables is left to the ADaM programmer. An example mapping for a study without periods may be:

    adsl <- dm %>%
      mutate(TRT01P = ARM, TRT01A = ACTARM)

For studies with periods see the “Visit and Period Variables” vignette.

## Derive/Impute Numeric Treatment Date/Time and Duration (`TRTSDTM`, `TRTEDTM`, `TRTDURD`)

The function `derive_vars_merged()` can be used to derive the treatment start and end date/times using the `ex` domain. A pre-processing step for `ex` is required to convert the variable `EXSTDTC` and `EXSTDTC` to datetime variables and impute missing date or time components. Conversion and imputation is done by `derive_vars_dtm()`.

Example calls:

    # Impute start and end time of exposure to first and last respectively,
    # Do not impute date
    ex_ext <- ex %>%
      derive_vars_dtm(
        dtc = EXSTDTC,
        new_vars_prefix = "EXST"
      ) %>%
      derive_vars_dtm(
        dtc = EXENDTC,
        new_vars_prefix = "EXEN",
        time_imputation = "last"
      )

    adsl <- adsl %>%
      derive_vars_merged(
        dataset_add = ex_ext,
        filter_add = (EXDOSE > 0 |
          (EXDOSE == 0 &
            str_detect(EXTRT, "PLACEBO"))) & !is.na(EXSTDTM),
        new_vars = exprs(TRTSDTM = EXSTDTM, TRTSTMF = EXSTTMF),
        order = exprs(EXSTDTM, EXSEQ),
        mode = "first",
        by_vars = exprs(STUDYID, USUBJID)
      ) %>%
      derive_vars_merged(
        dataset_add = ex_ext,
        filter_add = (EXDOSE > 0 |
          (EXDOSE == 0 &
            str_detect(EXTRT, "PLACEBO"))) & !is.na(EXENDTM),
        new_vars = exprs(TRTEDTM = EXENDTM, TRTETMF = EXENTMF),
        order = exprs(EXENDTM, EXSEQ),
        mode = "last",
        by_vars = exprs(STUDYID, USUBJID)
      )

This call returns the original data frame with the column `TRTSDTM`, `TRTSTMF`, `TRTEDTM`, and `TRTETMF` added. Exposure observations with incomplete date and zero doses of non placebo treatments are ignored. Missing time parts are imputed as first or last for start and end date respectively.

The datetime variables returned can be converted to dates using the `derive_vars_dtm_to_dt()` function.

    adsl <- adsl %>%
      derive_vars_dtm_to_dt(source_vars = exprs(TRTSDTM, TRTEDTM))

Now, that `TRTSDT` and `TRTEDT` are derived, the function `derive_var_trtdurd()` can be used to calculate the Treatment duration (`TRTDURD`).

    adsl <- adsl %>%
      derive_var_trtdurd()

USUBJID | RFSTDTC | TRTSDTM | TRTSDT | TRTEDTM | TRTEDT | TRTDURD
--- | --- | --- | --- | --- | --- | ---
01-701-1015 | 2014-01-02 | 2014-01-02 | 2014-01-02 | 2014-07-02 23:59:59 | 2014-07-02 | 182
01-701-1023 | 2012-08-05 | 2012-08-05 | 2012-08-05 | 2012-09-01 23:59:59 | 2012-09-01 | 28
01-701-1028 | 2013-07-19 | 2013-07-19 | 2013-07-19 | 2014-01-14 23:59:59 | 2014-01-14 | 180
01-701-1033 | 2014-03-18 | 2014-03-18 | 2014-03-18 | 2014-03-31 23:59:59 | 2014-03-31 | 14
01-701-1034 | 2014-07-01 | 2014-07-01 | 2014-07-01 | 2014-12-30 23:59:59 | 2014-12-30 | 183
01-701-1047 | 2013-02-12 | 2013-02-12 | 2013-02-12 | 2013-03-09 23:59:59 | 2013-03-09 | 26
01-701-1057 | NA | NA | NA | NA | NA | NA
01-701-1097 | 2014-01-01 | 2014-01-01 | 2014-01-01 | 2014-07-09 23:59:59 | 2014-07-09 | 190
01-701-1111 | 2012-09-07 | 2012-09-07 | 2012-09-07 | 2012-09-16 23:59:59 | 2012-09-16 | 10
01-701-1115 | 2012-11-30 | 2012-11-30 | 2012-11-30 | 2013-01-23 23:59:59 | 2013-01-23 | 55

## Derive Disposition Variables

### Disposition Dates (e.g. `EOSDT`)

The functions `derive_vars_dt()` and `derive_vars_merged()` can be used to derive a disposition date. First the character disposition date (`DS.DSSTDTC`) is converted to a numeric date (`DSSTDT`) calling `derive_vars_dt()`. The `DS` dataset is extended by the `DSSTDT` variable because the date is required by other derivations, e.g., `RANDDT` as well. Then the relevant disposition date is selected by adjusting the `filter_add` argument.

To add the End of Study date (`EOSDT`) to the input dataset, a call could be:

    # Convert character date to numeric date without imputation
    ds_ext <- derive_vars_dt(
      ds,
      dtc = DSSTDTC,
      new_vars_prefix = "DSST"
    )

    adsl <- adsl %>%
      derive_vars_merged(
        dataset_add = ds_ext,
        by_vars = exprs(STUDYID, USUBJID),
        new_vars = exprs(EOSDT = DSSTDT),
        filter_add = DSCAT == "DISPOSITION EVENT" & DSDECOD != "SCREEN FAILURE"
      )

The `ds_ext` dataset:

USUBJID | DSCAT | DSDECOD | DSTERM | DSSTDT | DSSTDTC
--- | --- | --- | --- | --- | ---
01-701-1015 | PROTOCOL MILESTONE | RANDOMIZED | RANDOMIZED | 2014-01-02 | 2014-01-02
01-701-1015 | DISPOSITION EVENT | COMPLETED | PROTOCOL COMPLETED | 2014-07-02 | 2014-07-02
01-701-1015 | OTHER EVENT | FINAL LAB VISIT | FINAL LAB VISIT | 2014-07-02 | 2014-07-02
01-701-1023 | PROTOCOL MILESTONE | RANDOMIZED | RANDOMIZED | 2012-08-05 | 2012-08-05
01-701-1023 | DISPOSITION EVENT | ADVERSE EVENT | ADVERSE EVENT | 2012-09-02 | 2012-09-02
01-701-1023 | OTHER EVENT | FINAL LAB VISIT | FINAL LAB VISIT | 2012-09-02 | 2012-09-02
01-701-1023 | OTHER EVENT | FINAL RETRIEVAL VISIT | FINAL RETRIEVAL VISIT | 2013-02-18 | 2013-02-18
01-701-1028 | PROTOCOL MILESTONE | RANDOMIZED | RANDOMIZED | 2013-07-19 | 2013-07-19
01-701-1028 | DISPOSITION EVENT | COMPLETED | PROTOCOL COMPLETED | 2014-01-14 | 2014-01-14
01-701-1028 | OTHER EVENT | FINAL LAB VISIT | FINAL LAB VISIT | 2014-01-14 | 2014-01-14

The `adsl` dataset:

USUBJID | EOSDT
--- | ---
01-701-1015 | 2014-07-02
01-701-1023 | 2012-09-02
01-701-1028 | 2014-01-14
01-701-1033 | 2014-04-14
01-701-1034 | 2014-12-30
01-701-1047 | 2013-03-29
01-701-1057 | NA
01-701-1097 | 2014-07-09
01-701-1111 | 2012-09-17
01-701-1115 | 2013-01-23

The `derive_vars_dt()` function allows to impute partial dates as well. If imputation is needed and missing days are to be imputed to the first of the month and missing months to the first month of the year, set `highest_imputation = "M"`.

### Disposition Status (e.g. `EOSSTT`)

The function `derive_vars_merged()` can be used to derive the End of Study status (`EOSSTT`) based on `DSCAT` and `DSDECOD` from `DS`. The relevant observations are selected by adjusting the `filter_add` argument. A function mapping `DSDECOD` values to `EOSSTT` values can be defined and used in the `new_vars` argument. The mapping for the call below is

- `"COMPLETED"` if `DSDECOD == "COMPLETED"`
- `NA_character_` if `DSDECOD` is `"SCREEN FAILURE"`
- `"DISCONTINUED"` otherwise

Example function `format_eosstt()`:

    format_eosstt <- function(x) {
      case_when(
        x %in% c("COMPLETED") ~ "COMPLETED",
        x %in% c("SCREEN FAILURE") ~ NA_character_,
        TRUE ~ "DISCONTINUED"
      )
    }

The customized mapping function `format_eosstt()` can now be passed to the main function. For subjects without a disposition event the end of study status is set to `"ONGOING"` by specifying the `missing_values` argument.

    adsl <- adsl %>%
      derive_vars_merged(
        dataset_add = ds,
        by_vars = exprs(STUDYID, USUBJID),
        filter_add = DSCAT == "DISPOSITION EVENT",
        new_vars = exprs(EOSSTT = format_eosstt(DSDECOD)),
        missing_values = exprs(EOSSTT = "ONGOING")
      )

USUBJID | EOSDT | EOSSTT
--- | --- | ---
01-701-1015 | 2014-07-02 | COMPLETED
01-701-1023 | 2012-09-02 | DISCONTINUED
01-701-1028 | 2014-01-14 | COMPLETED
01-701-1033 | 2014-04-14 | DISCONTINUED
01-701-1034 | 2014-12-30 | COMPLETED
01-701-1047 | 2013-03-29 | DISCONTINUED
01-701-1057 | NA | NA
01-701-1097 | 2014-07-09 | COMPLETED
01-701-1111 | 2012-09-17 | DISCONTINUED
01-701-1115 | 2013-01-23 | DISCONTINUED

This call would return the input dataset with the column `EOSSTT` added.

If the derivation must be changed, the user can create his/her own function to map `DSDECOD` to a suitable `EOSSTT` value.

### Disposition Reason(s) (e.g. `DCSREAS`, `DCSREASP`)

The main reason for discontinuation is usually stored in `DSDECOD` while `DSTERM` provides additional details regarding subject’s discontinuation (e.g., description of `"OTHER"`).

The function `derive_vars_merged()` can be used to derive a disposition reason (along with the details, if required) at a specific timepoint. The relevant observations are selected by adjusting the `filter_add` argument.

To derive the End of Study reason(s) (`DCSREAS` and `DCSREASP`), the function will map `DCSREAS` as `DSDECOD`, and `DCSREASP` as `DSTERM` if `DSDECOD` is not `"COMPLETED"`, `"SCREEN FAILURE"`, or `NA`, `NA` otherwise.

    adsl <- adsl %>%
      derive_vars_merged(
        dataset_add = ds,
        by_vars = exprs(USUBJID),
        new_vars = exprs(DCSREAS = DSDECOD, DCSREASP = DSTERM),
        filter_add = DSCAT == "DISPOSITION EVENT" &
          !(DSDECOD %in% c("SCREEN FAILURE", "COMPLETED", NA))
      )

USUBJID | EOSDT | EOSSTT | DCSREAS | DCSREASP
--- | --- | --- | --- | ---
01-701-1015 | 2014-07-02 | COMPLETED | NA | NA
01-701-1023 | 2012-09-02 | DISCONTINUED | ADVERSE EVENT | ADVERSE EVENT
01-701-1028 | 2014-01-14 | COMPLETED | NA | NA
01-701-1033 | 2014-04-14 | DISCONTINUED | STUDY TERMINATED BY SPONSOR | SPONSOR DECISION (STUDY OR PATIENT DISCONTINUED BY THE SPONSOR)
01-701-1034 | 2014-12-30 | COMPLETED | NA | NA
01-701-1047 | 2013-03-29 | DISCONTINUED | ADVERSE EVENT | ADVERSE EVENT
01-701-1057 | NA | NA | NA | NA
01-701-1097 | 2014-07-09 | COMPLETED | NA | NA
01-701-1111 | 2012-09-17 | DISCONTINUED | ADVERSE EVENT | ADVERSE EVENT
01-701-1115 | 2013-01-23 | DISCONTINUED | ADVERSE EVENT | ADVERSE EVENT

This call would return the input dataset with the column `DCSREAS` and `DCSREASP` added.

If the derivation must be changed, the user can define that derivation in the `filter_add` argument of the function to map `DSDECOD` and `DSTERM` to a suitable `DCSREAS`/`DCSREASP` value.

The call below maps `DCSREAS` and `DCREASP` as follows:

- `DCSREAS` as `DSDECOD` if `DSDECOD` is not `"COMPLETED"` or `NA`, `NA` otherwise
- `DCSREASP` as `DSTERM` if `DSDECOD` is equal to `OTHER`, `NA` otherwise

    adsl <- adsl %>%
      derive_vars_merged(
        dataset_add = ds,
        by_vars = exprs(USUBJID),
        new_vars = exprs(DCSREAS = DSDECOD),
        filter_add = DSCAT == "DISPOSITION EVENT" &
          DSDECOD %notin% c("SCREEN FAILURE", "COMPLETED", NA)
      ) %>%
      derive_vars_merged(
        dataset_add = ds,
        by_vars = exprs(USUBJID),
        new_vars = exprs(DCSREASP = DSTERM),
        filter_add = DSCAT == "DISPOSITION EVENT" & DSDECOD %in% "OTHER"
      )

USUBJID | EOSDT | EOSSTT | DCSREAS | DCSREASP
--- | --- | --- | --- | ---
01-701-1015 | 2014-07-02 | COMPLETED | NA | NA
01-701-1023 | 2012-09-02 | DISCONTINUED | ADVERSE EVENT | NA
01-701-1028 | 2014-01-14 | COMPLETED | NA | NA
01-701-1033 | 2014-04-14 | DISCONTINUED | STUDY TERMINATED BY SPONSOR | NA
01-701-1034 | 2014-12-30 | COMPLETED | NA | NA
01-701-1047 | 2013-03-29 | DISCONTINUED | ADVERSE EVENT | NA
01-701-1057 | NA | NA | NA | NA
01-701-1097 | 2014-07-09 | COMPLETED | NA | NA
01-701-1111 | 2012-09-17 | DISCONTINUED | ADVERSE EVENT | NA
01-701-1115 | 2013-01-23 | DISCONTINUED | ADVERSE EVENT | NA

### Randomization Date (`RANDDT`)

The function `derive_vars_merged()` can be used to derive randomization date variable. To map Randomization Date (`RANDDT`), the call would be:

    adsl <- adsl %>%
      derive_vars_merged(
        dataset_add = ds_ext,
        filter_add = DSDECOD == "RANDOMIZED",
        by_vars = exprs(STUDYID, USUBJID),
        new_vars = exprs(RANDDT = DSSTDT)
      )

This call would return the input dataset with the column `RANDDT` is added.

USUBJID | RANDDT
--- | ---
01-701-1015 | 2014-01-02
01-701-1023 | 2012-08-05
01-701-1028 | 2013-07-19
01-701-1033 | 2014-03-18
01-701-1034 | 2014-07-01
01-701-1047 | 2013-02-12
01-701-1057 | NA
01-701-1097 | 2014-01-01
01-701-1111 | 2012-09-07
01-701-1115 | 2012-11-30

## Derive Birth Date and Analysis Age (`BRTHDT`, `AAGE`, `AAGEU`)

The function `derive_vars_aage()` can be used to derive analysis age (`AAGE`) and analysis age unit (`AAGEU`). The function derives the age based on the birth date (`BRTHDT`) and a reference date, which is typically the randomization date (`RANDDT`).

Note that `BRTHDT` must be derived first from `BRTHDTC` using `derive_vars_dt()`.

    # Derive birth date from BRTHDTC
    adsl <- adsl %>%
      derive_vars_dt(
        new_vars_prefix = "BRTH",
        dtc = BRTHDTC
      )

Typically, dates of birth are collected only as years. However, this data has complete birth dates. The function `derive_vars_dt()` has the flexibility to do imputation on partial dates. Please see the `derive_vars_dt()` documentation and examples for more details or check out the Date and Time Imputation vignette.

Now that we have `BRTHDT`, we can use `derive_var_aage()` to derive `AAGE` and `AAGEU`.

    adsl <- adsl %>%
      derive_vars_aage(
        start_date = BRTHDT,
        end_date = RANDDT
      )

This call returns the input dataset with `AAGE` and `AAGEU` added. By default, the age is calculated in years.

USUBJID | BRTHDT | RANDDT | AAGE | AAGEU
--- | --- | --- | --- | ---
01-701-1015 | 1950-12-26 | 2014-01-02 | 63 | YEARS
01-701-1023 | 1948-07-22 | 2012-08-05 | 64 | YEARS
01-701-1028 | 1942-07-11 | 2013-07-19 | 71 | YEARS
01-701-1033 | 1940-03-10 | 2014-03-18 | 74 | YEARS
01-701-1034 | 1937-06-24 | 2014-07-01 | 77 | YEARS
01-701-1047 | 1928-01-22 | 2013-02-12 | 85 | YEARS
01-701-1057 | 1954-12-20 | NA | NA | NA
01-701-1097 | 1945-12-23 | 2014-01-01 | 68 | YEARS
01-701-1111 | 1931-08-25 | 2012-09-07 | 81 | YEARS
01-701-1115 | 1928-11-23 | 2012-11-30 | 84 | YEARS

## Derive Death Variables

### Death Date (`DTHDT`)

The function `derive_vars_dt()` can be used to derive `DTHDT`. This function allows the user to impute the date as well. If you have partial dates and are in need of imputation then please see the `derive_vars_dt()` documentation and examples for more details or check out the Date and Time Imputation vignette.

    adsl <- adsl %>%
      derive_vars_dt(
        new_vars_prefix = "DTH",
        dtc = DTHDTC
      )

USUBJID | TRTEDT | DTHDTC | DTHDT | DTHFL
--- | --- | --- | --- | ---
01-701-1211 | 2013-01-12 | 2013-01-14 | 2013-01-14 | Y
01-701-1442 | 2014-04-26 | NA | NA | NA
01-704-1445 | 2014-11-01 | 2014-11-01 | 2014-11-01 | Y
01-705-1058 | NA | NA | NA | NA
01-708-1347 | 2013-06-18 | NA | NA | NA
01-710-1083 | 2013-08-01 | 2013-08-02 | 2013-08-02 | Y
01-710-1235 | 2013-03-27 | NA | NA | NA
01-715-1207 | 2013-05-27 | NA | NA | NA
01-718-1172 | 2013-11-29 | NA | NA | NA

### Cause of Death (`DTHCAUS`)

The cause of death `DTHCAUS` can be derived using the function `derive_vars_extreme_event()`.

Since the cause of death could be collected/mapped in different domains (e.g. `DS`, `AE`, `DD`), it is important the user specifies the right source(s) to derive the cause of death from.

For example, if the date of death is collected in the AE form when the AE is Fatal, the cause of death would be set to the preferred term (`AEDECOD`) of that Fatal AE, while if the date of death is collected in the `DS` form, the cause of death would be set to the disposition term (`DSTERM`). To achieve this, the `event()` objects within `derive_vars_extreme_event()` must be specified and defined such that they fit the study requirement.

An example call to `derive_vars_extreme_event()` would be:

    adsl <- adsl %>%
      derive_vars_extreme_event(
        by_vars = exprs(STUDYID, USUBJID),
        events = list(
          event(
            dataset_name = "ae",
            condition = AEOUT == "FATAL",
            set_values_to = exprs(DTHCAUS = AEDECOD),
          ),
          event(
            dataset_name = "ds",
            condition = DSDECOD == "DEATH" & grepl("DEATH DUE TO", DSTERM),
            set_values_to = exprs(DTHCAUS = DSTERM),
          )
        ),
        source_datasets = list(ae = ae, ds = ds),
        tmp_event_nr_var = event_nr,
        order = exprs(event_nr),
        mode = "first",
        new_vars = exprs(DTHCAUS)
      )

USUBJID | EOSDT | DTHDTC | DTHDT | DTHCAUS
--- | --- | --- | --- | ---
01-701-1211 | 2013-01-14 | 2013-01-14 | 2013-01-14 | SUDDEN DEATH
01-704-1445 | 2014-11-01 | 2014-11-01 | 2014-11-01 | COMPLETED SUICIDE
01-710-1083 | 2013-08-02 | 2013-08-02 | 2013-08-02 | MYOCARDIAL INFARCTION

The function also offers the option to add some traceability variables (e.g. `DTHDOM` would store the domain where the date of death is collected, and `DTHSEQ` would store the `xxSEQ` value of that domain). The traceability variables should be added to the `event()` calls and included in the `new_vars` parameter of `derive_vars_extreme_event()`.

    adsl <- adsl %>%
      select(-DTHCAUS) %>% # Remove it before deriving it again
      derive_vars_extreme_event(
        by_vars = exprs(STUDYID, USUBJID),
        events = list(
          event(
            dataset_name = "ae",
            condition = AEOUT == "FATAL",
            set_values_to = exprs(DTHCAUS = AEDECOD, DTHDOM = "AE", DTHSEQ = AESEQ),
          ),
          event(
            dataset_name = "ds",
            condition = DSDECOD == "DEATH" & grepl("DEATH DUE TO", DSTERM),
            set_values_to = exprs(DTHCAUS = DSTERM, DTHDOM = "DS", DTHSEQ = DSSEQ),
          )
        ),
        source_datasets = list(ae = ae, ds = ds),
        tmp_event_nr_var = event_nr,
        order = exprs(event_nr),
        mode = "first",
        new_vars = exprs(DTHCAUS, DTHDOM, DTHSEQ)
      )

USUBJID | TRTEDT | DTHDTC | DTHDT | DTHCAUS | DTHDOM | DTHSEQ
--- | --- | --- | --- | --- | --- | ---
01-701-1211 | 2013-01-12 | 2013-01-14 | 2013-01-14 | SUDDEN DEATH | AE | 9
01-704-1445 | 2014-11-01 | 2014-11-01 | 2014-11-01 | COMPLETED SUICIDE | AE | 1
01-710-1083 | 2013-08-01 | 2013-08-02 | 2013-08-02 | MYOCARDIAL INFARCTION | AE | 1

Following the derivation of `DTHCAUS` and related traceability variables, it is then possible to derive grouping variables such as death categories (`DTHCGRx`) using standard tidyverse code.

    adsl <- adsl %>%
      mutate(DTHCGR1 = case_when(
        is.na(DTHDOM) ~ NA_character_,
        DTHDOM == "AE" ~ "ADVERSE EVENT",
        str_detect(DTHCAUS, "(PROGRESSIVE DISEASE|DISEASE RELAPSE)") ~ "PROGRESSIVE DISEASE",
        TRUE ~ "OTHER"
      ))

### Duration Relative to Death

The function `derive_vars_duration()` can be used to derive duration relative to death like the Relative Day of Death (`DTHADY`) or the numbers of days from last dose to death (`LDDTHELD`).

Example calls:

- Relative Day of Death

    adsl <- adsl %>%
      derive_vars_duration(
        new_var = DTHADY,
        start_date = TRTSDT,
        end_date = DTHDT
      )

- Elapsed Days from Last Dose to Death

    adsl <- adsl %>%
      derive_vars_duration(
        new_var = LDDTHELD,
        start_date = TRTEDT,
        end_date = DTHDT,
        add_one = FALSE
      )

USUBJID | TRTEDT | DTHDTC | DTHDT | DTHCAUS | DTHADY | LDDTHELD
--- | --- | --- | --- | --- | --- | ---
01-701-1211 | 2013-01-12 | 2013-01-14 | 2013-01-14 | SUDDEN DEATH | 61 | 2
01-704-1445 | 2014-11-01 | 2014-11-01 | 2014-11-01 | COMPLETED SUICIDE | 175 | 0
01-710-1083 | 2013-08-01 | 2013-08-02 | 2013-08-02 | MYOCARDIAL INFARCTION | 12 | 1

## Derive the Last Date Known Alive (`LSTALVDT`)

Similarly as for the cause of death (`DTHCAUS`), the last known alive date (`LSTALVDT`) can be derived from multiples sources using `derive_vars_extreme_event()`.

An example could be (`--DTC` dates are converted to numeric dates imputing missing day and month to the first):

    adsl <- adsl %>%
      derive_vars_extreme_event(
        by_vars = exprs(STUDYID, USUBJID),
        events = list(
          event(
            dataset_name = "ae",
            order = exprs(AESTDTC, AESEQ),
            condition = !is.na(AESTDTC),
            set_values_to = exprs(
              LSTALVDT = convert_dtc_to_dt(AESTDTC, highest_imputation = "M"),
              seq = AESEQ
            ),
          ),
          event(
            dataset_name = "ae",
            order = exprs(AEENDTC, AESEQ),
            condition = !is.na(AEENDTC),
            set_values_to = exprs(
              LSTALVDT = convert_dtc_to_dt(AEENDTC, highest_imputation = "M"),
              seq = AESEQ
            ),
          ),
          event(
            dataset_name = "lb",
            order = exprs(LBDTC, LBSEQ),
            condition = !is.na(LBDTC),
            set_values_to = exprs(
              LSTALVDT = convert_dtc_to_dt(LBDTC, highest_imputation = "M"),
              seq = LBSEQ
            ),
          ),
          event(
            dataset_name = "adsl",
            condition = !is.na(TRTEDT),
            set_values_to = exprs(LSTALVDT = TRTEDT, seq = 0),
          )
        ),
        source_datasets = list(ae = ae, lb = lb, adsl = adsl),
        tmp_event_nr_var = event_nr,
        order = exprs(LSTALVDT, seq, event_nr),
        mode = "last",
        new_vars = exprs(LSTALVDT)
      )

USUBJID | TRTEDT | DTHDTC | LSTALVDT
--- | --- | --- | ---
01-701-1015 | 2014-07-02 | NA | 2014-07-02
01-701-1023 | 2012-09-01 | NA | 2012-09-02
01-701-1028 | 2014-01-14 | NA | 2014-01-14
01-701-1033 | 2014-03-31 | NA | 2014-04-14
01-701-1034 | 2014-12-30 | NA | 2014-12-30
01-701-1047 | 2013-03-09 | NA | 2013-04-07
01-701-1097 | 2014-07-09 | NA | 2014-07-09
01-701-1111 | 2012-09-16 | NA | 2012-09-17
01-701-1115 | 2013-01-23 | NA | 2013-01-23
01-701-1118 | 2014-09-09 | NA | 2014-09-09

Traceability variables can be added by specifying the variables in the `set_values_to` parameter of the `event()` function.

    adsl <- adsl %>%
      select(-LSTALVDT) %>% # Created in the previous call
      derive_vars_extreme_event(
        by_vars = exprs(STUDYID, USUBJID),
        events = list(
          event(
            dataset_name = "ae",
            order = exprs(AESTDTC, AESEQ),
            condition = !is.na(AESTDTC),
            set_values_to = exprs(
              LSTALVDT = convert_dtc_to_dt(AESTDTC, highest_imputation = "M"),
              LALVSEQ = AESEQ,
              LALVDOM = "AE",
              LALVVAR = "AESTDTC"
            ),
          ),
          event(
            dataset_name = "ae",
            order = exprs(AEENDTC, AESEQ),
            condition = !is.na(AEENDTC),
            set_values_to = exprs(
              LSTALVDT = convert_dtc_to_dt(AEENDTC, highest_imputation = "M"),
              LALVSEQ = AESEQ,
              LALVDOM = "AE",
              LALVVAR = "AEENDTC"
            ),
          ),
          event(
            dataset_name = "lb",
            order = exprs(LBDTC, LBSEQ),
            condition = !is.na(LBDTC),
            set_values_to = exprs(
              LSTALVDT = convert_dtc_to_dt(LBDTC, highest_imputation = "M"),
              LALVSEQ = LBSEQ,
              LALVDOM = "LB",
              LALVVAR = "LBDTC"
            ),
          ),
          event(
            dataset_name = "adsl",
            condition = !is.na(TRTEDT),
            set_values_to = exprs(LSTALVDT = TRTEDT, LALVSEQ = NA_integer_, LALVDOM = "ADSL", LALVVAR = "TRTEDTM"),
          )
        ),
        source_datasets = list(ae = ae, lb = lb, adsl = adsl),
        tmp_event_nr_var = event_nr,
        order = exprs(LSTALVDT, LALVSEQ, event_nr),
        mode = "last",
        new_vars = exprs(LSTALVDT, LALVSEQ, LALVDOM, LALVVAR)
      )

USUBJID | TRTEDT | DTHDTC | LSTALVDT | LALVDOM | LALVSEQ | LALVVAR
--- | --- | --- | --- | --- | --- | ---
01-701-1015 | 2014-07-02 | NA | 2014-07-02 | ADSL | NA | TRTEDTM
01-701-1023 | 2012-09-01 | NA | 2012-09-02 | LB | 107 | LBDTC
01-701-1028 | 2014-01-14 | NA | 2014-01-14 | ADSL | NA | TRTEDTM
01-701-1033 | 2014-03-31 | NA | 2014-04-14 | LB | 107 | LBDTC
01-701-1034 | 2014-12-30 | NA | 2014-12-30 | ADSL | NA | TRTEDTM
01-701-1047 | 2013-03-09 | NA | 2013-04-07 | LB | 134 | LBDTC
01-701-1097 | 2014-07-09 | NA | 2014-07-09 | ADSL | NA | TRTEDTM
01-701-1111 | 2012-09-16 | NA | 2012-09-17 | LB | 73 | LBDTC
01-701-1115 | 2013-01-23 | NA | 2013-01-23 | ADSL | NA | TRTEDTM
01-701-1118 | 2014-09-09 | NA | 2014-09-09 | ADSL | NA | TRTEDTM

## Derive Groupings and Populations

### Grouping (e.g. `AGEGR1` or `REGION1`)

Numeric and categorical variables (`AGE`, `RACE`, `COUNTRY`, etc.) may need to be grouped to perform the required analysis. `{admiral}` provides the `derive_vars_cat()` function to create such groups. This function is especially useful if more than one variable needs to be created for each condition, e.g., `AGEGR1` and `AGEGR1N`.

Additionally, one needs to be careful when considering the order of the conditions in the lookup table. The category is assigned based on the first match. That means catch-all conditions must come after specific conditions, e.g. `!is.na(COUNTRY)` must come after `COUNTRY %in% c("CAN", "USA")`.

    # Create lookup tables
    agegr1_lookup <- exprs(
      ~condition,           ~AGEGR1,
      AGE < 18,               "<18",
      between(AGE, 18, 64), "18-64",
      AGE > 64,               ">64",
      is.na(AGE),         "Missing"
    )

    region1_lookup <- exprs(
      ~condition,                          ~REGION1,
      COUNTRY %in% c("CAN", "USA"), "North America",
      !is.na(COUNTRY),          "Rest of the World",
      is.na(COUNTRY),                     "Missing"
    )

    adsl <- adsl %>%
      derive_vars_cat(
        definition = agegr1_lookup
      ) %>%
      derive_vars_cat(
        definition = region1_lookup
      )

Alternatively, you can also solve this task with custom functions:

    format_agegr1 <- function(var_input) {
      case_when(
        var_input < 18 ~ "<18",
        between(var_input, 18, 64) ~ "18-64",
        var_input > 64 ~ ">64",
        TRUE ~ "Missing"
      )
    }
    format_region1 <- function(var_input) {
      case_when(
        var_input %in% c("CAN", "USA") ~ "North America",
        !is.na(var_input) ~ "Rest of the World",
        TRUE ~ "Missing"
      )
    }

    adsl %>%
      mutate(
        AGEGR1 = format_agegr1(AAGE),
        REGION1 = format_region1(COUNTRY)
      )

USUBJID | AGE | SEX | COUNTRY | AGEGR1 | REGION1
--- | --- | --- | --- | --- | ---
01-701-1015 | 63 | F | USA | 18-64 | North America
01-701-1023 | 64 | M | USA | 18-64 | North America
01-701-1028 | 71 | M | USA | >64 | North America
01-701-1033 | 74 | M | USA | >64 | North America
01-701-1034 | 77 | F | USA | >64 | North America
01-701-1047 | 85 | F | USA | >64 | North America
01-701-1057 | 59 | F | USA | 18-64 | North America
01-701-1097 | 68 | M | USA | >64 | North America
01-701-1111 | 81 | F | USA | >64 | North America
01-701-1115 | 84 | M | USA | >64 | North America

### Population Flags (e.g. `SAFFL`)

Since the populations flags are mainly company/study specific no dedicated functions are provided, but in most cases they can easily be derived using `derive_var_merged_exist_flag`.

An example of an implementation could be:

    adsl <- adsl %>%
      derive_var_merged_exist_flag(
        dataset_add = ex,
        by_vars = exprs(STUDYID, USUBJID),
        new_var = SAFFL,
        false_value = "N",
        missing_value = "N",
        condition = (EXDOSE > 0 | (EXDOSE == 0 & str_detect(EXTRT, "PLACEBO")))
      )

USUBJID | TRTSDT | ARM | ACTARM | SAFFL
--- | --- | --- | --- | ---
01-701-1015 | 2014-01-02 | Placebo | Placebo | Y
01-701-1023 | 2012-08-05 | Placebo | Placebo | Y
01-701-1028 | 2013-07-19 | Xanomeline High Dose | Xanomeline High Dose | Y
01-701-1033 | 2014-03-18 | Xanomeline Low Dose | Xanomeline Low Dose | Y
01-701-1034 | 2014-07-01 | Xanomeline High Dose | Xanomeline High Dose | Y
01-701-1047 | 2013-02-12 | Placebo | Placebo | Y
01-701-1057 | NA | Screen Failure | Screen Failure | N
01-701-1097 | 2014-01-01 | Xanomeline Low Dose | Xanomeline Low Dose | Y
01-701-1111 | 2012-09-07 | Xanomeline Low Dose | Xanomeline Low Dose | Y
01-701-1115 | 2012-11-30 | Xanomeline Low Dose | Xanomeline Low Dose | Y

## Derive Other Variables

The users can add specific code to cover their need for the analysis.

The following functions are helpful for many ADSL derivations:

- `derive_vars_merged()` - Merge Variables from a Dataset to the Input Dataset
- `derive_var_merged_exist_flag()` - Merge an Existence Flag
- `derive_vars_merged_summary()` - Merge Summary Variables

See also Generic Functions.

## Add Labels and Attributes

Note that attributes may not be preserved in some cases after processing with `{admiral}`. The recommended approach is to apply variable labels and other metadata as a final step in your data derivation process using packages like:

- metacore: establish a common foundation for the use of metadata within an R session.

- metatools: enable the use of metacore objects. Metatools can be used to build datasets or enhance columns in existing datasets as well as checking datasets against the metadata.

- xportr: functionality to associate all metadata information to a local R data frame, perform data set level validation checks and convert into a transport v5 file(xpt).

NOTE: Together with `{admiral}` these packages comprise an End to End pipeline under the umbrella of the pharmaverse. An example of applying metadata and perform associated checks can be found at the pharmaverse E2E example.

# Example Script

ADaM | Sourcing Command
--- | ---
ADSL | `use_ad_template("ADSL")`