Generic Derivations • admiral

Introduction

This vignette provides an overview of the most important admiral functions, the generic derivations. They do not derive a specific variable or parameter in a specific dataset but can be used for many different derivations in many different datasets. The most important concepts and some examples are presented here. For full details and more examples see the documentation of the functions.

Required Packages

The examples in this vignette require the following packages.

library(admiral)
library(tibble)

Characterization of Derivations

The generic functions can be characterized by the following three properties:

What should be added? There are two options:
- Variables
- Records/Parameters
What is the source data? There are two options:
- A single source dataset
- Multiple source datasets
Which method should be used? There are three options:
- Selection: The new values are derived by selecting records, e.g., the baseline records, the last exposure record, …
- Summary: The new values are derived by summarizing values, e.g., sum, average, concatenation, …
- Computation: The new values are derived by a computation with more than one value as input, e.g., deriving BMI or BSA from height and weight

Overview of Derivations

Using the three properties makes it easy to find the appropriate function for a particular derivation. The following interactive table lists all generic functions and their properties.

Source Data

Most derivation functions expect a single source dataset. For some multiple source datasets can be specified. In both cases the way how to specify the source datasets is the same across all generic functions.

Single Source Dataset

For functions expecting a single source dataset the data is provided by the dataset_add argument. This is a mandatory argument. The data provided by the dataset argument is not used¹.

If the dataset_add argument is not provided, the data from dataset is used (derive_var_extreme_flag()).

Multiple Source Datasets

For functions expecting multiple source datasets the data is provided by the source_datasets argument. The datasets are referred to by the dataset_name element of the source objects.

For example, consider the derivation of a response parameter. The three possible responses are defined by event() objects. These objects define the events but do not include any data. Instead the dataset_name field is set to a (character) id. This id is used in the source_datasets argument of the derivation function to link the data to the events. I.e., for the first two events (complete_response and partial_response) the dataset adrs_ovr is used while for the last event the dataset myadsl is used.

complete_response <- event(
  description = "Define complete response",
  dataset_name = "ovr",
  condition = AVALC == "CR",
  set_values_to = exprs(AVALC = "COMPLETE RESPONSE")
)

partial_response <- event(
  description = "Define partial response",
  dataset_name = "ovr",
  condition = AVALC == "PR",
  set_values_to = exprs(AVALC = "PARTIAL RESPONSE")
)

no_response <- event(
  description = "Define no response for all patients in adsl",
  dataset_name = "adsl",
  condition = TRUE,
  set_values_to = exprs(AVALC = "NO RESPONSE")
)

derive_extreme_event(
  ...
  events = list(complete_response, partial_response, no_response),
  source_datasets = list(ovr = adrs_ovr, adsl = myadsl),
  ...
)

This allows to define the source objects independent of the data. I.e., the same source object can be used for different source datasets. For example, the parameter above could be derived for data from a second reporter by just changing source_dataset:

derive_extreme_event(
  ...
  events = list(complete_response, partial_response, no_response),
  source_datasets = list(ovr = adrs_ovr_reporter2, adsl = myadsl),
  ...
)

For some source objects the dataset_name element is optional, e.g., event(). If it is not specified, the input dataset (dataset) is used.

Methods

The generic derivations use three different methods for deriving the values of the new variables or records. Usually the derivation applies the method several times, once for each group in the input or source data. The groups are defined by the by_vars argument, e.g., by_vars = exprs(USUBJID) for “each subject” or by_vars = exprs(USUBJID, PARAMCD) for “each subject and parameter”.

Selection

The most common method is the selection method. It selects a record from the source dataset(s) and adds information from the selected record to the input dataset. This information could be just a flag indicating that a record exists, one or more variables from the selected records, or new variables created from the selected record.

Options for Selection

In the simplest case the record is selected by a condition. The condition is specified by the filter_add or filter argument. In the following example baseline weight is added to ADSL.

adsl <- tribble(
  ~USUBJID,
  "1",
  "2",
  "3"
)

advs <- tribble(
  ~USUBJID, ~PARAMCD, ~AVISIT,    ~ABLFL, ~AVAL, ~AVALU,
  "1",      "WEIGHT", "BASELINE", "Y",     58.7, "kg",
  "1",      "HEIGHT", "BASELINE", "Y",    169.2, "cm",
  "1",      "WEIGHT", "WEEK 3",   NA,      59.3, "kg",
  "2",      "WEIGHT", "BASELINE", "Y",     72.5, "kg",
  "2",      "WEIGHT", "WEKK 3",   NA,      71.9, "kg",
)

derive_vars_merged(
  adsl,
  dataset_add = advs,
  by_vars = exprs(USUBJID),
  filter_add = PARAMCD == "WEIGHT" & ABLFL == "Y",
  new_vars = exprs(WGTBL = AVAL)
)
#> # A tibble: 3 × 2
#>   USUBJID WGTBL
#>   <chr>   <dbl>
#> 1 1        58.7
#> 2 2        72.5
#> 3 3        NA

Sometimes it is not possible to select the record of interest by a condition, e.g., if the first, last, best, worst, lowest, highest, … value should be derived. In this case the mode and order argument can be specified to select the first or last record with respect to the variables specified for order. Below the day of the last valid dose is added to ADSL.

adsl <- tribble(
  ~USUBJID,
  "1",
  "2",
  "3"
)

ex <- tribble(
  ~USUBJID, ~EXSTDY, ~EXDOSE,
  "1",            1,      50,
  "1",            7,      70,
  "1",           14,       0,
  "2",            1,      75,
  "2",            9,      70
)

derive_vars_merged(
  adsl,
  dataset_add = ex,
  by_vars = exprs(USUBJID),
  filter_add = EXDOSE > 0,
  order = exprs(EXSTDY),
  mode = "last",
  new_vars = exprs(TRTEDY = EXSTDY)
)
#> # A tibble: 3 × 2
#>   USUBJID TRTEDY
#>   <chr>    <dbl>
#> 1 1            7
#> 2 2            9
#> 3 3           NA

It is also possible to select the record based on records of the input and the source dataset. For this type of selection admiral provides the functions derive_vars_joined(), derive_var_joined_exist_flag(), and derive_extreme_event(). They provide the filter_join argument which accepts conditions with variables from both the input dataset (dataset) and the additional dataset (dataset_add). As an example consider deriving the day and dose of the last study treatment before an adverse event:

adae <- tribble(
  ~USUBJID, ~ASTDY, ~AESEQ,
  "1",           3,      1,
  "1",           3,      2,
  "1",          15,      3
)

ex <- tribble(
  ~USUBJID, ~EXSTDY, ~EXDOSE,
  "1",            1,      50,
  "1",            7,      70,
  "1",           14,       0,
  "2",            1,      75,
  "2",            9,      70
)

derive_vars_joined(
  adae,
  dataset_add = ex,
  by_vars = exprs(USUBJID),
  filter_add = EXDOSE > 0,
  filter_join = EXSTDY <= ASTDY,
  join_type = "all",
  order = exprs(EXSTDY),
  mode = "last",
  new_vars = exprs(LSTDOSDY = EXSTDY, LASTDOS = EXDOSE)
)
#> # A tibble: 3 × 5
#>   USUBJID ASTDY AESEQ LSTDOSDY LASTDOS
#>   <chr>   <dbl> <dbl>    <dbl>   <dbl>
#> 1 1           3     1        1      50
#> 2 1           3     2        1      50
#> 3 1          15     3        7      70

The filter_join condition is applied on a temporary dataset created by left joining the input dataset and the additional dataset (restricted by filter_add):

#> # A tibble: 6 × 5
#>   USUBJID ASTDY AESEQ EXSTDY EXDOSE
#>   <chr>   <dbl> <dbl>  <dbl>  <dbl>
#> 1 1           3     1      1     50
#> 2 1           3     1      7     70
#> 3 1           3     2      1     50
#> 4 1           3     2      7     70
#> 5 1          15     3      1     50
#> 6 1          15     3      7     70

The “joined” function can also be used when the condition for selecting depends on previous or subsequent records in the dataset. In this case the same dataset is specified for dataset and dataest_add. Consider the following example where "HIGH" results should be flagged which are confirmed by a second "HIGH" result at least ten days later.

adlb <- tribble(
  ~USUBJID, ~PARAMCD, ~ADY, ~ANRIND,
  "1",      "AST",       1, "HIGH",
  "1",      "AST",       7, "HIGH",
  "1",      "AST",      14, "NORMAL",
  "1",      "ALT",       1, "HIGH",
  "1",      "ALT",       7, "NORMAL",
  "1",      "ALT",      14, "HIGH",
  "2",      "AST",       1, "HIGH",
  "2",      "AST",      15, "HIGH",
  "2",      "AST",      22, "NORMAL",
  "2",      "ALT",       1, "HIGH"
)

derive_var_joined_exist_flag(
  adlb,
  dataset_add = adlb,
  by_vars = exprs(USUBJID, PARAMCD),
  order = exprs(ADY),
  join_vars = exprs(ADY, ANRIND),
  join_type = "after",
  filter_join = ANRIND == "HIGH" & ANRIND.join == "HIGH" & ADY.join > ADY + 10,
  new_var = HICONFFL
)
#> # A tibble: 10 × 5
#>    USUBJID PARAMCD   ADY ANRIND HICONFFL
#>    <chr>   <chr>   <dbl> <chr>  <chr>   
#>  1 1       AST         1 HIGH   NA      
#>  2 1       AST         7 HIGH   NA      
#>  3 1       AST        14 NORMAL NA      
#>  4 1       ALT         1 HIGH   Y       
#>  5 1       ALT         7 NORMAL NA      
#>  6 1       ALT        14 HIGH   NA      
#>  7 2       AST         1 HIGH   Y       
#>  8 2       AST        15 HIGH   NA      
#>  9 2       AST        22 NORMAL NA      
#> 10 2       ALT         1 HIGH   NA

The join_type argument is set to "after" to restrict the joined records to subsequent results.

As the same variables are included in dataset and dataset_add, those from dataset_add are renamed by adding the suffix “.join”. The variables from dataset_add which are used in filter_join must be specified for join_vars. So the temporary dataset for applying filter_join is:

#> # A tibble: 9 × 6
#>   USUBJID PARAMCD   ADY ANRIND ADY.join ANRIND.join
#>   <chr>   <chr>   <dbl> <chr>     <dbl> <chr>      
#> 1 1       ALT         1 HIGH          7 NORMAL     
#> 2 1       ALT         1 HIGH         14 HIGH       
#> 3 1       ALT         7 NORMAL       14 HIGH       
#> 4 1       AST         1 HIGH          7 HIGH       
#> 5 1       AST         1 HIGH         14 NORMAL     
#> 6 1       AST         7 HIGH         14 NORMAL     
#> 7 2       AST         1 HIGH         15 HIGH       
#> 8 2       AST         1 HIGH         22 NORMAL     
#> 9 2       AST        15 HIGH         22 NORMAL

It is possible to use summary functions like all() or any() in filter_join. Assume that in the previous example records should be flagged only if all results between the flagged record and the confirmation record were "HIGH". This can be achieved by specifying the first_cond_upper argument and set it to the condition for confirmation.

derive_var_joined_exist_flag(
  adlb,
  dataset_add = adlb,
  by_vars = exprs(USUBJID, PARAMCD),
  order = exprs(ADY),
  join_vars = exprs(ADY, ANRIND),
  join_type = "after",
  first_cond_upper = ANRIND.join == "HIGH" & ADY.join > ADY + 10,
  filter_join = ANRIND == "HIGH" & all(ANRIND.join == "HIGH"),
  new_var = HICONFFL
)
#> # A tibble: 10 × 5
#>    USUBJID PARAMCD   ADY ANRIND HICONFFL
#>    <chr>   <chr>   <dbl> <chr>  <chr>   
#>  1 1       AST         1 HIGH   NA      
#>  2 1       AST         7 HIGH   NA      
#>  3 1       AST        14 NORMAL NA      
#>  4 1       ALT         1 HIGH   NA      
#>  5 1       ALT         7 NORMAL NA      
#>  6 1       ALT        14 HIGH   NA      
#>  7 2       AST         1 HIGH   Y       
#>  8 2       AST        15 HIGH   NA      
#>  9 2       AST        22 NORMAL NA      
#> 10 2       ALT         1 HIGH   NA

If the first_cond_upper argument is specified the records in the joined dataset are restricted up to the first records where the condition is fulfilled:

#> # A tibble: 3 × 6
#>   USUBJID PARAMCD   ADY ANRIND ADY.join ANRIND.join
#>   <chr>   <chr>   <dbl> <chr>     <dbl> <chr>      
#> 1 1       ALT         1 HIGH          7 NORMAL     
#> 2 1       ALT         1 HIGH         14 HIGH       
#> 3 2       AST         1 HIGH         15 HIGH

Thereafter filter_join is applied to the restricted joined dataset. I.e., the all() function considers only the results up to the confirmation records and ignores subsequent results.

Note: In principle, we actually could achieve every result from derive_vars_merged() and derive_var_merged_exist_flag() by using derive_vars_joined() or derive_var_joined_exist_flag() respectively. However, the “joined” functions require much more resources (time and memory), hence it is recommended to use them only if it is really required, i.e., the condition for selecting records depends on variables from both datasets.

Sort Order

The admiral functions use dplyr::arrange() for sorting, i.e., NAs are always sorted to the end (regardless whether desc() is used or not).

Consider for example the following derivation of a last visit flag. The record with AVISITN == NA is flagged because NA is sorted to the end.

advs <- tribble(
  ~USUBJID, ~PARAMCD, ~AVISITN, ~AVAL,
  "1",      "WEIGHT",       NA,  62.1,
  "1",      "WEIGHT",        1,  62.3,
  "1",      "WEIGHT",        2,  62.5,
  "1",      "WEIGHT",        3,  62.4
)

derive_var_extreme_flag(
  advs,
  by_vars = exprs(USUBJID, PARAMCD),
  order = exprs(AVISITN),
  mode = "last",
  new_var = LSTVISFL
)
#> # A tibble: 4 × 5
#>   USUBJID PARAMCD AVISITN  AVAL LSTVISFL
#>   <chr>   <chr>     <dbl> <dbl> <chr>   
#> 1 1       WEIGHT        1  62.3 NA      
#> 2 1       WEIGHT        2  62.5 NA      
#> 3 1       WEIGHT        3  62.4 NA      
#> 4 1       WEIGHT       NA  62.1 Y

The order argument accepts expressions. This allows to specify how NAs should be handled. For example, the following sorts the NA to the start. Thus the AVISITN == 3 record is flagged.

derive_var_extreme_flag(
  advs,
  by_vars = exprs(USUBJID, PARAMCD),
  order = exprs(if_else(is.na(AVISITN), -Inf, AVISITN)),
  mode = "last",
  new_var = LSTVISFL
)
#> # A tibble: 4 × 5
#>   USUBJID PARAMCD AVISITN  AVAL LSTVISFL
#>   <chr>   <chr>     <dbl> <dbl> <chr>   
#> 1 1       WEIGHT       NA  62.1 NA      
#> 2 1       WEIGHT        1  62.3 NA      
#> 3 1       WEIGHT        2  62.5 NA      
#> 4 1       WEIGHT        3  62.4 Y

The same can achieved with the following, which also works for character variables.

derive_var_extreme_flag(
  advs,
  by_vars = exprs(USUBJID, PARAMCD),
  order = exprs(!is.na(AVISITN), AVISITN),
  mode = "last",
  new_var = LSTVISFL
)
#> # A tibble: 4 × 5
#>   USUBJID PARAMCD AVISITN  AVAL LSTVISFL
#>   <chr>   <chr>     <dbl> <dbl> <chr>   
#> 1 1       WEIGHT       NA  62.1 NA      
#> 2 1       WEIGHT        1  62.3 NA      
#> 3 1       WEIGHT        2  62.5 NA      
#> 4 1       WEIGHT        3  62.4 Y

New Values

How the (new) variables are set depends on whether variables, a flag, or records are added by the derivation.

If only a flag needs to be added, the flag functions (derive_var_merged_exist_flag(), derive_var_joined_exist_flag()) can be used. The name of the new variable is specified by the new_var argument and the values of the flag by true_value and false_value.
If new variables from the selected record needs to be added, the name of the new variables and their values are specified by the new_vars argument. If in addition a flag should be added, the exist_flag argument and the true_value and false_value argument can be used.
If new records are added, the variables and their values are defined by the set_values_to argument.

Summary

If the new values should be derived by summarizing values, e.g., sum, average, concatenation, …, the functions derive_summary_records(), derive_var_merged_summary(), or derive_vars_joined_summary() can be used. For example, adding an average dose parameter to ADEX can be done by the following:

adex <- tribble(
  ~USUBJID, ~ASTDY, ~AVAL, ~PARAMCD,
  "1",           1,    50, "DOSE",
  "1",           7,    70, "DOSE",
  "1",          14,     0, "DOSE",
  "2",           1,    75, "DOSE",
  "2",           9,    70, "DOSE"
)

derive_summary_records(
  adex,
  dataset_add = adex,
  filter_add = AVAL > 0,
  by_vars = exprs(USUBJID),
  set_values_to = exprs(
    AVAL = mean(AVAL),
    PARAMCD = "AVERAGE DOSE"
  )
)
#> # A tibble: 7 × 4
#>   USUBJID ASTDY  AVAL PARAMCD     
#>   <chr>   <dbl> <dbl> <chr>       
#> 1 1           1  50   DOSE        
#> 2 1           7  70   DOSE        
#> 3 1          14   0   DOSE        
#> 4 2           1  75   DOSE        
#> 5 2           9  70   DOSE        
#> 6 1          NA  60   AVERAGE DOSE
#> 7 2          NA  72.5 AVERAGE DOSE

The summary function, the source variable, and the new variable can be specified by the set_values_to argument. Variables which are not specified by set_values_to or by_vars are set to NA for the new records.

If the average dose should be added as a variable to ADSL, consider the following:

adsl <- tribble(
  ~USUBJID,
  "1",
  "2",
  "3"
)

derive_var_merged_summary(
  adsl,
  dataset_add = adex,
  filter_add = AVAL > 0,
  by_vars = exprs(USUBJID),
  new_vars = exprs(
    AVERDOSE = mean(AVAL)
  ),
  missing_values = exprs(AVERDOSE = 0)
)
#> # A tibble: 3 × 2
#>   USUBJID AVERDOSE
#>   <chr>      <dbl>
#> 1 1           60  
#> 2 2           72.5
#> 3 3            0

Here the summary function, the source variable, and the new variable are specified by the new_vars argument. For subjects without exposure observations the value of the new variable can be defined by the missing_values argument.

If the selection of records to summarize depends on the records of both the input dataset and the additional dataset, the derive_vars_joined_summary() function can be used. For example, the following adds the cumulative dose up to the event as a variable (CUMDOSA) to the input dataset:

adex <- tribble(
  ~USUBJID, ~ADY, ~AVAL,
  "1",         1,    10,
  "1",         8,    20,
  "1",        15,    10,
  "2",         8,     5
)

adae <- tribble(
  ~USUBJID, ~ADY, ~AEDECOD,
  "1",         2, "Fatigue",
  "1",         9, "Influenza",
  "1",        15, "Theft",
  "1",        15, "Fatigue",
  "2",         4, "Parasomnia",
  "3",         2, "Truancy"
)

derive_vars_joined_summary(
  dataset = adae,
  dataset_add = adex,
  by_vars = exprs(USUBJID),
  filter_join = ADY.join <= ADY,
  join_type = "all",
  join_vars = exprs(ADY),
  new_vars = exprs(CUMDOSA = sum(AVAL, na.rm = TRUE)),
  missing_value = exprs(CUMDOSA = 0)
)
#> # A tibble: 6 × 4
#>   USUBJID   ADY AEDECOD    CUMDOSA
#>   <chr>   <dbl> <chr>        <dbl>
#> 1 1           2 Fatigue         10
#> 2 1           9 Influenza       30
#> 3 1          15 Theft           40
#> 4 1          15 Fatigue         40
#> 5 2           4 Parasomnia       0
#> 6 3           2 Truancy          0

Computed

If the new values should be computed from different parameters of the source dataset, derive_param_computed() can be used. The computed value can be specified by the set_values_to argument. The values of the source variable for a parameter can be referred to by temporary variables of the form <variable name>.<parameter name>.

advs <- tribble(
  ~USUBJID, ~AVISIT,    ~PARAMCD, ~AVAL, ~AVALU,
  "1",      "BASELINE", "WEIGHT",  32.6, "kg",
  "1",      "BASELINE", "HEIGHT", 155.4, "cm",
  "1",      "MONTH 6",  "WEIGHT",  33.2, "kg",
  "1",      "MONTH 6",  "HEIGHT", 155.8, "cm",
  "2",      "BASELINE", "WEIGHT",  44.2, "kg",
  "2",      "BASELINE", "HEIGHT", 145.3, "cm",
  "2",      "MONTH 6",  "WEIGHT",  42.0, "kg",
  "2",      "MONTH 6",  "HEIGHT", 146.4, "cm"
)

derive_param_computed(
  advs,
  by_vars = exprs(USUBJID, AVISIT),
  parameters = c("WEIGHT", "HEIGHT"),
  set_values_to = exprs(
    AVAL = AVAL.WEIGHT / (AVAL.HEIGHT / 100)^2,
    PARAMCD = "BMI",
    AVALU = "kg/m^2"
  )
)
#> # A tibble: 12 × 5
#>    USUBJID AVISIT   PARAMCD  AVAL AVALU 
#>    <chr>   <chr>    <chr>   <dbl> <chr> 
#>  1 1       BASELINE WEIGHT   32.6 kg    
#>  2 1       BASELINE HEIGHT  155.  cm    
#>  3 1       MONTH 6  WEIGHT   33.2 kg    
#>  4 1       MONTH 6  HEIGHT  156.  cm    
#>  5 2       BASELINE WEIGHT   44.2 kg    
#>  6 2       BASELINE HEIGHT  145.  cm    
#>  7 2       MONTH 6  WEIGHT   42   kg    
#>  8 2       MONTH 6  HEIGHT  146.  cm    
#>  9 1       BASELINE BMI      13.5 kg/m^2
#> 10 1       MONTH 6  BMI      13.7 kg/m^2
#> 11 2       BASELINE BMI      20.9 kg/m^2
#> 12 2       MONTH 6  BMI      19.6 kg/m^2

For common computations like BMI admiral offers computation functions. In the previous example compute_bmi() could be used instead of the formula for BMI:

derive_param_computed(
  advs,
  by_vars = exprs(USUBJID, AVISIT),
  parameters = c("WEIGHT", "HEIGHT"),
  set_values_to = exprs(
    AVAL = compute_bmi(weight = AVAL.WEIGHT, height = AVAL.HEIGHT),
    PARAMCD = "BMI",
    AVALU = "kg/m^2"
  )
)
#> # A tibble: 12 × 5
#>    USUBJID AVISIT   PARAMCD  AVAL AVALU 
#>    <chr>   <chr>    <chr>   <dbl> <chr> 
#>  1 1       BASELINE WEIGHT   32.6 kg    
#>  2 1       BASELINE HEIGHT  155.  cm    
#>  3 1       MONTH 6  WEIGHT   33.2 kg    
#>  4 1       MONTH 6  HEIGHT  156.  cm    
#>  5 2       BASELINE WEIGHT   44.2 kg    
#>  6 2       BASELINE HEIGHT  145.  cm    
#>  7 2       MONTH 6  WEIGHT   42   kg    
#>  8 2       MONTH 6  HEIGHT  146.  cm    
#>  9 1       BASELINE BMI      13.5 kg/m^2
#> 10 1       MONTH 6  BMI      13.7 kg/m^2
#> 11 2       BASELINE BMI      20.9 kg/m^2
#> 12 2       MONTH 6  BMI      19.6 kg/m^2

derive_param_computed() is an exception. It uses the data from both arguments.↩︎