Hi!
I think that the SEND IG text is not clear enough and may be confusing.
SEND IG section 4.1.2 (p. 22):
"Values of --TESTCD and QNAM values must be limited to 8 characters, and cannot start with a number, nor can they contain characters other than letters, numbers, or underscores. This is to avoid possible incompatibility with SAS v5 Transport files. This limitation will be in effect until the use of other formats (such as XML) becomes acceptable to regulatory authorities. QNAM serves the same purpose as --TESTCD within supplemental qualifier datasets, and so values of QNAM are subject to the same restrictions as values of --TESTCD. "
SEND IG uses the SDTM IG as a start point or template. The text you refer to is similar to SDTM IG, but slightly modified. Unfortunately they missed one important paragraph.
SDTM IG section 4.1.5.3.2 (p. 51)
“In cases where the standard domain variable name is already 8 characters in length, sponsors should replace the last character with a digit when creating values for QNAM. As an example, for Other Action Taken in Adverse Events (AEACNOTH), values for QNAM for the SUPPAE records would have the values AEACNOT1, AEACNOT2, and so on.”
Thank you,
Sergiy