{
  "_comment": "Educational USDM v4.0 study excerpt (USDM Play). Not an official CDISC file, but structurally checked against the USDM UML naming conventions and published CORE conformance rules.",
  "_conformance_notes": "Checked: root = Study instance with usdmVersion/systemName/systemVersion as siblings; exactly one sponsor StudyRole (code C70793) pointing to exactly one Organization; exactly one sponsor StudyIdentifier scoped to that Organization; exactly one 'Official Study Title' (C207616); StudyDesign.model/intentTypes (not interventionModel/trialIntentTypes); every StudyArm x StudyEpoch combination has exactly one StudyCell (2x3=6, no duplicates, no gaps); every StudyElement referenced by at least one StudyCell; every StudyIntervention referenced by a StudyElement is actually defined; BiomedicalConcepts collected on StudyDesign (no natural parent) and referenced by Activity.biomedicalConceptIds; every ScheduleTimeline has exactly one Fixed Reference anchor with no window; every non-terminal ScheduledActivityInstance has a defaultConditionId XOR the terminal one has a timelineExitId, never both; at least one ScheduleTimelineExit defined; all three epochs are referenced by at least one ScheduledActivityInstance; exactly one Primary Objective referencing exactly one Primary Endpoint. Best-effort, unverified against the authoritative USDM_CT.xlsx: the exact API cross-reference attribute name for StudyRole.appliesTo, and the specific C-code values used for StudyIntervention.role/type and StudyDesign.studyType/studyPhase (the codelist references themselves are correct; always confirm exact code values before production use).",
  "id": "Study_1",
  "instanceType": "Study",
  "name": "PLAY-101",
  "versions": [
    {
      "id": "StudyVersion_1",
      "instanceType": "StudyVersion",
      "versionIdentifier": "1.0",
      "rationale": "First-in-human dose escalation study of Compound X in healthy volunteers.",
      "titles": [
        {
          "id": "Title_1",
          "instanceType": "StudyTitle",
          "text": "A Phase 1 Study of Compound X in Healthy Adult Volunteers",
          "type": { "code": "C207616", "decode": "Official Study Title", "codeSystem": "cdisc.org" }
        }
      ],
      "studyIdentifiers": [
        { "id": "Identifier_1", "instanceType": "StudyIdentifier", "text": "PLAY-101", "scopeId": "Organization_1" }
      ],
      "organizations": [
        {
          "id": "Organization_1",
          "instanceType": "Organization",
          "name": "USDM Play Sponsor Inc.",
          "type": { "code": "C54149", "decode": "Pharmaceutical Company", "codeSystem": "cdisc.org" }
        }
      ],
      "studyRoles": [
        {
          "id": "StudyRole_1",
          "instanceType": "StudyRole",
          "code": { "code": "C70793", "decode": "Clinical Study Sponsor", "codeSystem": "cdisc.org" },
          "organizationIds": ["Organization_1"],
          "appliesToStudyVersionId": "StudyVersion_1"
        }
      ],
      "studyDesigns": [
        {
          "id": "StudyDesign_1",
          "instanceType": "InterventionalStudyDesign",
          "name": "Main Design",
          "label": "Dose Escalation Design",
          "studyType": { "code": "C98388", "decode": "Interventional Study", "codeSystem": "cdisc.org" },
          "studyPhase": { "code": "C15600", "decode": "Phase I Trial", "codeSystem": "cdisc.org" },
          "model": { "code": "C82639", "decode": "Parallel Study", "codeSystem": "cdisc.org" },
          "intentTypes": [
            { "code": "C49654", "decode": "Pharmacokinetics", "codeSystem": "cdisc.org" }
          ],
          "arms": [
            { "id": "StudyArm_1", "instanceType": "StudyArm", "name": "Arm A", "label": "Compound X", "type": { "code": "C174266", "decode": "Experimental Arm", "codeSystem": "cdisc.org" } },
            { "id": "StudyArm_2", "instanceType": "StudyArm", "name": "Arm B", "label": "Placebo", "type": { "code": "C174265", "decode": "Placebo Comparator Arm", "codeSystem": "cdisc.org" } }
          ],
          "epochs": [
            { "id": "StudyEpoch_1", "instanceType": "StudyEpoch", "name": "Screening", "type": { "code": "C48262", "decode": "Screening", "codeSystem": "cdisc.org" }, "nextId": "StudyEpoch_2" },
            { "id": "StudyEpoch_2", "instanceType": "StudyEpoch", "name": "Treatment", "type": { "code": "C101526", "decode": "Treatment", "codeSystem": "cdisc.org" }, "previousId": "StudyEpoch_1", "nextId": "StudyEpoch_3" },
            { "id": "StudyEpoch_3", "instanceType": "StudyEpoch", "name": "Follow-up", "type": { "code": "C99158", "decode": "Follow-up", "codeSystem": "cdisc.org" }, "previousId": "StudyEpoch_2" }
          ],
          "elements": [
            { "id": "StudyElement_1", "instanceType": "StudyElement", "name": "EL_SCREEN", "label": "Screening",
              "transitionStartRule": { "id": "TR_1", "instanceType": "TransitionRule", "text": "Signing of informed consent" },
              "transitionEndRule": { "id": "TR_2", "instanceType": "TransitionRule", "text": "Randomization" } },
            { "id": "StudyElement_2", "instanceType": "StudyElement", "name": "EL_DRUG", "label": "Compound X dosing",
              "transitionStartRule": { "id": "TR_3", "instanceType": "TransitionRule", "text": "Randomization to Arm A" },
              "transitionEndRule": { "id": "TR_4", "instanceType": "TransitionRule", "text": "Last dose of Compound X" },
              "studyInterventionIds": ["StudyIntervention_1"] },
            { "id": "StudyElement_3", "instanceType": "StudyElement", "name": "EL_PBO", "label": "Placebo dosing",
              "transitionStartRule": { "id": "TR_5", "instanceType": "TransitionRule", "text": "Randomization to Arm B" },
              "transitionEndRule": { "id": "TR_6", "instanceType": "TransitionRule", "text": "Last dose of placebo" },
              "studyInterventionIds": ["StudyIntervention_2"] },
            { "id": "StudyElement_4", "instanceType": "StudyElement", "name": "EL_FU", "label": "Follow-up",
              "transitionStartRule": { "id": "TR_7", "instanceType": "TransitionRule", "text": "Last dose administered" },
              "transitionEndRule": { "id": "TR_8", "instanceType": "TransitionRule", "text": "End of study" } }
          ],
          "studyCells": [
            { "id": "StudyCell_1", "instanceType": "StudyCell", "armId": "StudyArm_1", "epochId": "StudyEpoch_1", "elementIds": ["StudyElement_1"] },
            { "id": "StudyCell_2", "instanceType": "StudyCell", "armId": "StudyArm_1", "epochId": "StudyEpoch_2", "elementIds": ["StudyElement_2"] },
            { "id": "StudyCell_3", "instanceType": "StudyCell", "armId": "StudyArm_1", "epochId": "StudyEpoch_3", "elementIds": ["StudyElement_4"] },
            { "id": "StudyCell_4", "instanceType": "StudyCell", "armId": "StudyArm_2", "epochId": "StudyEpoch_1", "elementIds": ["StudyElement_1"] },
            { "id": "StudyCell_5", "instanceType": "StudyCell", "armId": "StudyArm_2", "epochId": "StudyEpoch_2", "elementIds": ["StudyElement_3"] },
            { "id": "StudyCell_6", "instanceType": "StudyCell", "armId": "StudyArm_2", "epochId": "StudyEpoch_3", "elementIds": ["StudyElement_4"] }
          ],
          "encounters": [
            { "id": "Encounter_1", "instanceType": "Encounter", "name": "Screening Visit", "type": { "code": "C25716", "decode": "Visit", "codeSystem": "cdisc.org" }, "scheduledAtId": "Timing_1" },
            { "id": "Encounter_2", "instanceType": "Encounter", "name": "Day 1", "type": { "code": "C25716", "decode": "Visit", "codeSystem": "cdisc.org" }, "scheduledAtId": "Timing_2" },
            { "id": "Encounter_3", "instanceType": "Encounter", "name": "Day 8", "type": { "code": "C25716", "decode": "Visit", "codeSystem": "cdisc.org" }, "scheduledAtId": "Timing_3" },
            { "id": "Encounter_4", "instanceType": "Encounter", "name": "Follow-up Visit", "type": { "code": "C25716", "decode": "Visit", "codeSystem": "cdisc.org" }, "scheduledAtId": "Timing_4" }
          ],
          "studyInterventions": [
            { "id": "StudyIntervention_1", "instanceType": "StudyIntervention", "name": "Compound X",
              "role": { "code": "C41161", "decode": "Experimental Intervention", "codeSystem": "cdisc.org" },
              "type": { "code": "C1909", "decode": "Pharmacologic Substance", "codeSystem": "cdisc.org" } },
            { "id": "StudyIntervention_2", "instanceType": "StudyIntervention", "name": "Placebo",
              "role": { "code": "C41161", "decode": "Experimental Intervention", "codeSystem": "cdisc.org" },
              "type": { "code": "C29848", "decode": "Placebo", "codeSystem": "cdisc.org" } }
          ],
          "activities": [
            { "id": "Activity_1", "instanceType": "Activity", "name": "Informed Consent", "nextId": "Activity_2" },
            { "id": "Activity_2", "instanceType": "Activity", "name": "Vital Signs", "biomedicalConceptIds": ["BC_HeartRate", "BC_SystolicBP"], "previousId": "Activity_1", "nextId": "Activity_3" },
            { "id": "Activity_3", "instanceType": "Activity", "name": "PK Blood Sample", "previousId": "Activity_2",
              "definedProcedures": [
                { "id": "Procedure_1", "instanceType": "Procedure", "name": "Venous blood draw", "procedureType": "Blood sampling", "studyInterventionId": "StudyIntervention_1" }
              ] }
          ],
          "biomedicalConcepts": [
            { "id": "BC_HeartRate", "instanceType": "BiomedicalConcept", "name": "Heart Rate", "code": { "standardCode": { "code": "C49677", "decode": "Heart Rate", "codeSystem": "cdisc.org" } } },
            { "id": "BC_SystolicBP", "instanceType": "BiomedicalConcept", "name": "Systolic Blood Pressure", "code": { "standardCode": { "code": "C25298", "decode": "Systolic Blood Pressure", "codeSystem": "cdisc.org" } } }
          ],
          "population": {
            "id": "Population_1",
            "instanceType": "StudyDesignPopulation",
            "name": "Main Population",
            "description": "Healthy adult volunteers eligible for Phase 1 dosing.",
            "plannedSex": [
              { "code": "C20197", "decode": "Male", "codeSystem": "cdisc.org" },
              { "code": "C16576", "decode": "Female", "codeSystem": "cdisc.org" }
            ],
            "includesHealthySubjects": true,
            "plannedAge": {
              "instanceType": "Range",
              "minValue": { "instanceType": "Quantity", "value": 18, "unit": { "code": "C29848", "decode": "Year", "codeSystem": "cdisc.org" } },
              "maxValue": { "instanceType": "Quantity", "value": 55, "unit": { "code": "C29848", "decode": "Year", "codeSystem": "cdisc.org" } }
            },
            "plannedEnrollmentNumber": { "instanceType": "Quantity", "value": 24 },
            "criteria": ["EligibilityCriterion_1"]
          },
          "eligibilityCriterionItems": [
            { "id": "EligibilityCriterionItem_1", "instanceType": "EligibilityCriterionItem", "text": "Male or female, aged 18 to 55 years, in good general health as determined by medical history and physical examination." }
          ],
          "eligibilityCriteria": [
            { "id": "EligibilityCriterion_1", "instanceType": "EligibilityCriterion", "identifier": "IN01", "category": { "code": "C25532", "decode": "Inclusion", "codeSystem": "cdisc.org" }, "criterionItemId": "EligibilityCriterionItem_1" }
          ],
          "objectives": [
            {
              "id": "Objective_1",
              "instanceType": "Objective",
              "level": { "code": "C85826", "decode": "Primary Objective", "codeSystem": "cdisc.org" },
              "text": "To assess the safety and tolerability of ascending doses of Compound X compared with placebo in healthy adult volunteers.",
              "endpoints": [
                { "id": "Endpoint_1", "instanceType": "Endpoint", "level": { "code": "C94496", "decode": "Primary Endpoint", "codeSystem": "cdisc.org" }, "text": "Incidence of treatment-emergent adverse events through Day 8." }
              ]
            }
          ],
          "scheduleTimelines": [
            {
              "id": "ScheduleTimeline_1",
              "instanceType": "ScheduleTimeline",
              "name": "Main Timeline",
              "mainTimeline": true,
              "entryCondition": "Subject identified and consented",
              "plannedDuration": { "id": "Duration_1", "instanceType": "Duration", "quantity": { "instanceType": "Quantity", "value": 36, "unit": { "code": "C25301", "decode": "Day", "codeSystem": "cdisc.org" } } },
              "exits": [
                { "id": "Exit_1", "instanceType": "ScheduleTimelineExit", "label": "End of Main Timeline" }
              ],
              "instances": [
                { "id": "SAI_1", "instanceType": "ScheduledActivityInstance", "encounterId": "Encounter_1", "epochId": "StudyEpoch_1", "activityIds": ["Activity_1"], "defaultConditionId": "SAI_2" },
                { "id": "SAI_2", "instanceType": "ScheduledActivityInstance", "encounterId": "Encounter_2", "epochId": "StudyEpoch_2", "activityIds": ["Activity_2", "Activity_3"], "defaultConditionId": "SAI_3" },
                { "id": "SAI_3", "instanceType": "ScheduledActivityInstance", "encounterId": "Encounter_3", "epochId": "StudyEpoch_2", "activityIds": ["Activity_2", "Activity_3"], "defaultConditionId": "SAI_4" },
                { "id": "SAI_4", "instanceType": "ScheduledActivityInstance", "encounterId": "Encounter_4", "epochId": "StudyEpoch_3", "activityIds": ["Activity_2"], "timelineExitId": "Exit_1" }
              ],
              "timings": [
                { "id": "Timing_1", "instanceType": "Timing", "type": { "code": "C201356", "decode": "Before", "codeSystem": "cdisc.org" }, "value": "P28D", "relativeToScheduledInstanceId": "SAI_2", "relativeFromScheduledInstanceId": "SAI_1" },
                { "id": "Timing_2", "instanceType": "Timing", "type": { "code": "C201357", "decode": "Fixed Reference", "codeSystem": "cdisc.org" }, "value": "P0D", "relativeToScheduledInstanceId": "SAI_2", "relativeFromScheduledInstanceId": "SAI_2" },
                { "id": "Timing_3", "instanceType": "Timing", "type": { "code": "C201355", "decode": "After", "codeSystem": "cdisc.org" }, "value": "P7D", "windowLower": "P1D", "windowUpper": "P1D", "relativeToScheduledInstanceId": "SAI_3", "relativeFromScheduledInstanceId": "SAI_2" },
                { "id": "Timing_4", "instanceType": "Timing", "type": { "code": "C201355", "decode": "After", "codeSystem": "cdisc.org" }, "value": "P29D", "windowLower": "P2D", "windowUpper": "P2D", "relativeToScheduledInstanceId": "SAI_4", "relativeFromScheduledInstanceId": "SAI_2" }
              ]
            }
          ]
        }
      ]
    }
  ],
  "usdmVersion": "4.0",
  "systemName": "USDM Play (educational export)",
  "systemVersion": "1.1"
}
