Mapping-ICH_ICSR

Data Element Number SGML Tag (DTD Descriptor) Attribute Prnt Rel'n Req'd Description Data Model Source/Derivation   Buscomp Buscomp Field UI (if diff) Comments
  <ichicsr>     Y The ICH Message header definition. Constant: lang="en"
Required, non-repeatable.
         
M.1 <ichicsrmessageheader>       The ICH ICSR message header.            
M.1.1   <messagetype>     The Message Type: Type of
information being transmitted.
16AN
Constant: ICSR
ISSUE: Spec actually lists the string “ichicsr”
but “ICSR” was accepted by the EMEA
during testing.
         
M.1.2   <messageformatversion>     The version number of
message format (2.0 or 2.1).
3AN
On export, this is derived from the E2B_
EXPORT_RULES.E2B_VERSION for the
RECEIVER_ID that matches the run-time
parameter AGENCY.
         
M.1.3   <messageformatrelease>     The release number of the
Message Format.
3AN
Constant: 1.0          
M.1.4   <messagenumb>     The Message Number.
100AN
The Queue ID of the job that created the E2B
file.
         
M.1.5   <messagesenderidentifier>     The Message sender identifier.
60AN
Derived from the run-time parameter
SENDERID unless USE_DRUG_
APPROVALS flag is true for recipient, then
SENDERID is taken from DRUG_
APPROVALS.SENDER_ID.
        Siebel Life Sciences 7.8.2
M.1.6   <messagereceiveridentifier>     The message receiver
identifier.
60AN
On export, this is from the E2B_EXPORT_
RULES.RECEIVER_ID for the RECEIVER_ID
that matches the run-time parameter
AGENCY unless USE_DRUG_APPROVALS
flag is true for recipient, then RECEIVER_ID
is taken from DRUG_
APPROVALS.RECEIVER_ID.
         
M.1.7a   <messagedateformat>     The format of the Message
date. Required to be in 204
format.
3N
Constant: 204          
M.1.7b   <messagedate>     The message date. Required to
be in 204 format
(CCYYMMDDHHMMSS)
14N
On export the SYSDATE when the E2B file
was generated.
On import this value is echoed in the
acknowledgment. Because, contrary to the
spec, the FDA FOI data contains colons
separating the hours, minutes, and seconds,
the import strips colons from this field.
         
A.1 <safetyreport>   1:M                
No tag ID   <safetyreportversion>     The report version for the
safety report (case). There is no
clear guidance on how this
field is specifically used. For
export, AERS uses the Case
Version view to populate this
element. Customers can
customize this view as needed.
Note: This element is
formatted 2AN but this view
could return values larger than
two characters.
On export TH_CASE_VERSION.VERSION
On Import see note OTHER CASE REFS
         
A.1.0.1   <safetyreportid>     This is the sender’s case ID. On
import it is used to determine
if this report is a new case or
an update.
100AN
On export, if the USE_LONG_CASE_ID
option is True for the receiver, AERS first
checks that the case does not have a global
case ID already, if it does not, then it looks for
a case ID in the AE_OTH_CASE_REFS table
with a Source Type =’E2B’. If none exists,
AERS generates a global case ID by
concatenating the Country Code of the
Primary Reporter, the Sender ID, and the
AERS Case ID. If the USE_LONG_CASE_ID
is false, AE_CASE.CASE_ID.
On Import the mapping depends upon the
setting of E2B_IMPORT_RULES.USE_
SENDER_CASEID.
See notes on OTHER CASE REFS and Import
rules
  LS Medical Product Issue Primary SR Id SR#  
A.1.1   <primarysourcecountry>     An identification of the
country where reaction/event
was reported
Codes defined in ISO 3166.
2A
On import, the field goes in the case
comments. If the occurcounty is missing, this
value is set AE_CASES.EV_OCC_
COUNTRY_CD
On export this is the country from the first
report sources record that qualifies as the
primary source. (AE_REPORT_
SOURCE.RPT_COUNTRY_CD)
         
A.1.2   <occurcountry>     An identification of the
country where reaction/event
occurred.
Codes defined in ISO 3166.
2A
AE_CASES.EV_OCC_COUNTRY_CD          
A.1.3a   <transmissiondateformat>     The format for the date of the
transmission.
3N
Constant: 102          
A.1.3b   <transmissiondate>     The date of this transmission.
Required to be 102
(CCYYMMDD)
8N
On export the sysdate that the report was
run.
On Import depending on Import rule, if the
USE_SENDER_RECEIVE_DATE is TRUE,
then populate the EC_CONTACT_
LOG.RECEIVE_DATE with the data in this
element, otherwise use SYSDATE to populate
EC_CONTACT_LOG.RECEIVE_DATE.
         
A.1.4   <reporttype>     ICH Code List:
1=Spontaneous
2=Report from study
3=Other
4=Not Available
1N
AE_CASES.CASE_TYPE   LS Medical Product Issue Area Area Spontaneous = 1, Study = 2, otherwise leave blank
A.1.5.1   <serious>     Serious
Yes = 1/No = 2
1N
AE_CASES.SERIOUS_FLAG   LS Medical Product Issue Sub-Area Subarea Serious = 1, Non Serious = 2, otherwise leave blank
A1.5.2a   <seriousnessdeath>     Seriousness Death
Yes = 1/No = 2
1N
AE_CASES.DIED_FLAG   LS Medical Product Issue OE Death Flag    
A1.5.2b   <seriousnesslifethreatening>     Seriousness Life Threatening
Yes = 1/No = 2
1N
AE_CASES.LF_THREAT_FLAG   LS Medical Product Issue OE Life Threatening Flag    
A1.5.2c   <seriousnesshospitalization>     Seriousness Hospitalization
Yes = 1/No = 2
1N
AE_CASES.HOSPITALIZATION_FLAG   LS Medical Product Issue OE Hospitalization Flag    
A1.5.2d   <seriousnessdisabling>     Seriousness Disabling
Yes = 1/No = 2
1N
AE_CASES.DISAB_FLAG   LS Medical Product Issue OE Disability Flag    
A1.5.2e   <seriousnesscongenitalanomali>     Seriousness Congenital
Anomaly Yes = 1/No = 2
1N
AE_CASES.CONGEN_FLAG   LS Medical Product Issue OE Congenital Anomaly Flag    
A1.5.2f   <seriousnessother>     Seriousness Other
Yes = 1/No = 2
1N
AE_CASES.OUTCOME_OTH_FLAG   LS Medical Product Issue OE Other    
A.1.6a   <receivedateformat>     Specified as 102, i.e.,
CCYYMMDD
3N
Constant: 102   LS Medical Product Issue PI Received Date Received  
A.1.6b   <receivedate>     The date the report was first
received from the primary
source. Must be full precision
date, i.e., Day Month Year.
8N
On export, AE_CASES.FIRST_RCVD_DT.
If this is not a full date and the Suppress
Partial Date option is TRUE for receiver, then
this element is not included.
On import EC_CONTACT_LOG.RECEIVE_
DATE and AE_CASES.FIRST_RCVD_DT.
See note on Contact Log Import.
  LS Medical Product Issue PI Received Date Received  
A.1.7a   <receiptdateformat>     The format for the Receipt
Date.
Specified as 102, i.e.,
CCYYMMDD
3N
Constant: 102          
A.1.7b   <receiptdate>     The date of receipt of most
recent information for this
report.
Must be full precision date, i.e.,
Day Month Year
8N
On export Max value of EC_CONTACT_
LOG. RECEIVE_DATE where the AE_INFO_
RECEIVED = ‘Y’
On import EC_CONTACT_LOG.RECEIVE_
DATE and AE_CASES.FIRST_RCVD_DT. If
the USER_SENDER_RECEIVE_DATE = ’Y’
and the receiptdate is later than the
receivedate, the import creates a second EC_
CONTACT_LOG row using this receiptdate.
See note on Contact Log Import.
         
A.1.8.1   <additionaldocument>     Are additional documents
available?
1=Yes, 2=No
1N
On export, if any EC_
DOCUMENTS.INCLUDE_IN_E2B_EXPORT
= ‘Y’ then 1 otherwise blank.
On import case comments.
         
A.1.8.1   <documentlist>     A list of documents held by
sender (e.g., clinical records,
hospital records, autopsy
reports).
100AN
WWSBR_ALL_ITEMS.DISPLAY_NAME for
each EC_DOCUMENTS where INCLUDE_
IN_E2B_EXPORT = ‘Y’
On import Case comments.
         
A.1.9   <fulfillexpeditecriteria>     Does this case fulfill local
criteria for an expedited
report? This item is used to
provide the sender’s local
requirements since the
definition of expedited
depends on local regulatory
requirements.
Yes=1, No=2.
1N
AE_CASES.EXPEDITED_IN_ORIGINAL_
COUNTRY
         
A.1.10.1   <authoritynumb>     The National Regulatory
Authority case report number.
The world wide unique case
ID for the report when the case
is originally reported to a
regulator.
100AN
AE_OTH_CASE_REFS.OTHER_CASE_ID if
the OTHER_SOURCE_TYPE=’AUT’
See note on Other Case Refs.
         
A.1.10.2   <companynumb>     The company case report
number.
The world wide unique case
ID for the report when the case
is originally reported to a
pharmaceutical company.
100AN
AE_OTH_CASE_REFS.OTHER_CASE_ID if
the OTHER_SOURCE_TYPE=’CO’
See note on Other Case Refs.
  LS Medical Product Issue Product Issue Number PI#  
A.1.10.3   <othernumb>     The other sender’s case report
number.
Used by senders who are
neither a national regulatory
authority nor a company.
100AN
Not in DTD version 2.1
AE_OTH_CASE_REFS.OTHER_CASE_ID if
the OTHER_SOURCE_TYPE=’OTH’
See note on Other Case Refs.
         
A.1.11   <duplicate>     Suspected Duplicate
1=Yes
Only affirmative answer
needed. Otherwise, field
should be left empty. AERS
duplicate checking assumes
that duplicates are detected in
the data entry process and not
reported.
1N
Data corresponds to AE_OTH_CASE_REFS
with a Source Type =’DUP’ or as configured
in the E2B_RECEIVERS table.
         
  <reportduplicate>       The block is used to store case
IDs in other databases that
may hold this same case
Prints element tag if there are any duplicate
sources to report.
         
A.1.11.1   <duplicatesource>     The name of the company or
agency that created the
following case ID.
50AN
AE_OTH_CASE_REFS.OTHER_SOURCE
where the OTHER_SOURCE_TYPE is “DUP”
or as configured in the E2B_RECEIVERS
Table (See note on Other case refs).
         
A.1.11.2   <duplicatenumb>     A case ID from another
company or agency for this
case.
100AN
AE_OTH_CASE_REFS.OTHER_CASE_ID
See note on Other case refs.
         
  <linkedreport>       A header element for linked
reports.
Prints if there are any records in the AE_
RELATED_CASES table for the case. Because
there can be related cases managed in this
table that are not considered "related"
according to the E2B specification, an E2B
decode on the RELATION_REASON_CD is
used to determine which records should be
included. Any record with a RELATION_
REASON_CD that decodes to E2B language
=’Y’ is included in the export file.
         
A.1.12   <linkedreportnumb>     Identification number of the
report which is linked to this
report.
Used in a case of mother/child
pair where both had
reactions/events, siblings with
common exposure, several
reports for the same patient, or
several similar reports from
same reporter (cluster).
100AN
AE_RELATED_CASES.RELATED_CASE_ID          
A.1.13   <casenullification>     Case nullification.
1=Yes
Used to indicate that a
previously transmitted report
should be considered
completely void, e.g., when the
case was found to be
erroneous.
1N
On export this flag is set to 1 if the
NULLIFYREPORT runtime parameter is set
to Y.
On import if the sender rules allow updates
and nullification, this flag sets the case delete
flag. No other updates are made to the case.
See notes on import exceptions.
         
A.1.13.1   <nullificationreason>     Reason for nullification.
200AN
Set to the value of the runtime parameter
NULLIFICATIONREASON
         
A.1.14   <medicallyconfirm>     Medically Confirmed?
1 = Yes, 2 = No
1N
AE_CASES.EV_MED_CONF_FLAG          
A.2.1 <primarysource>   1:M Y This section maps directly to
the AERS REPORT_SOURCES
table.
The reporter identifier section
is mandatory. However, in
some countries, explicit
identification of a reporter may
be subject to confidentiality
restrictions. In this case the
initials of the reporter can be
used.
Required, repeatable.
If the HIDE_REPORTER_NAME option is
True for the receiver, the only data included
in this block is the first letter of the first,
middle, and last names. All other fields are
NULL.
         
    Special import derivation       AE_REPORT_SOURCES.REPORT_SOURCE_
TYPE
On import the report source type is derived.
For maximum configuration flexibility, the
following values are encoded using the
“RPT” language codelist for the REPORT_
SOURCE_TYPE. As with E2B encoding the
USER_ENTERABLE_FLAG is used to find
the correct code.
If there is a sponsor study number the type is
‘C’.
If there is a literature reference the type is ‘L’.
Otherwise the type is ‘S’.
         
A.2.1.1a   <reportertitle>     Reporter Title
50AN
AE_REPORT_SOURCES.RPT_TITLE   Contact M/M Mr/Ms  
A.2.1.1b   <reportergivename>     Reporter first name
30AN
AE_REPORT_SOURCES.RPT_FRST_NAME
If the HIDE_REPORTER_NAME option is
True for the receiver, then only the first
character is written to the file.
  Contact First Name First Name  
A.2.1.1c   <reportermiddlename>     Reporter middle name.
15AN
AE_REPORT_SOURCES.RPT_MID_INITIAL
If the HIDE_REPORTER_NAME option is
True for the receiver, then only the first
character is written to the file.
  Contact Middle Name Middle  
A.2.1.1d   <reporterfamilyname>     Reporter last name
50AN
AE_REPORT_SOURCES.RPT_LST_NAME
If the HIDE_REPORTER_NAME option is
True for the receiver, then only the first
character is written to the file.
  Contact Last Name Last Name  
A.2.1.2a   <reporterorganization>     Reporter organization
60AN
AE_REPORT_SOURCES.RPT_ORG_NAME          
A.2.1.2b   <reporterdepartment>     Reporter Department
60AN
AE_REPORT_SOURCES.RPT_
DEPARTMENT
         
A.2.1.2c   <reporterstreet>     Reporter Street
100AN
AE_REPORT_SOURCES.RPT_ADDR1   Contact Address    
A.2.1.2d   <reportercity>     Reporter city
35AN
AE_REPORT_SOURCES.RPT_CITY_NAME   Contact City    
A.2.1.2e   <reporterstate>     Reporter state or province
40AN
Code list with lang=’ENG’
For AE_REPORT_SOURCES.RPT_STATE_
CD
  Contact State    
A.2.1.2f   <reporterpostcode>     Reporter postcode
15AN
AE_REPORT_SOURCES.RPT_ZIP_CD   Contact Postal Code    
A.2.1.3   <reportercountry>     Reporter country code
ISO 3166
2A
AE_REPORT_SOURCES.RPT_COUNTRY_
CD
  Contact Country    
A.2.1.4   <qualification>     Reporter Qualification
E2B code list:
1=Physician
2=Pharmacist
3=Other Health Professional
4=Lawyer
5=Consumer or other nonhealth
professional
qualification
1N
If the consumer_flag is Y then ‘5’.
Otherwise:
AE_REPORT_SOURCES.RPT_
OCCUPATION
         
A.2.2   <literaturereference>     All literature references.
Refs should be given in the
“Vancouver Style” as specified
in the N Engl J Med
1991;324:424-8
500AN
AE_REPORT_SOURCES. LITERATURE_
DESC
         
A.2.3.1   <studyname>     Study Name
100AN
AE_REPORT_SOURCES.STUDY_DESC   LS Medical Product Issue Protocol Number Protocol #  
A.2.3.2   <sponsorstudynumb>     Sponsor Study Number
35AN
AE_CASES.STUDY_ID
On import take the last study number goes
into AE_CASES.STUDY_ID.
         
A.2.3.3   <observestudytype>     Study type in which RE was
seen.
1=Clinical trials
2=Individual patient use
3=Other studies
1N
RPT_SOURCE_TYPE.ICH_STUDY_TYPE          
A.3.1 <sender>       The sender of the report.
ON import the sender data is
used to for the External
contacts portion of the EC_
CONTACT_LOG record. On
export a select subset sender
fields are set by report
parameter.
On export the sender information comes
from the sender details in Drug Approvals if
the USE_DRUG_APPROVALS flag is True for
the receiver. If the flag is true but no data
exists at the approval level or the Flag is
False, then use the sender run-time
parameters.
On import the sender data is written to the
EC_CONTACT_LOG.
         
A.3.1.1   <sendertype>     Sender Type
ICH Codelist:
1=Pharmaceutical Company
2=Regulatory Authority
4=Regional PV Center
5=WHO Collaborating Center
6=Other
1N
Export: Parameter SENDERTYPE/DRUG_
APROVALS.SENDER_TYPE
Import: EC_CONTACT_LOG. EXT_
CONTACT_E2B_TYPE
         
A.3.1.2   <senderorganization>     Sender Organization
60AN
Export: Parameter
SENDERORGANIZATION/DRUG_
APROVALS.SENDER_ORGANIZATION
Import: EC_CONTACT_LOG. EXT_
CONTACT_ORGANIZATION
         
A.3.1.3a   <senderdepartment>     Sender Department
60AN
Export: Parameter
SENDERDEPARTMENT/DRUG_
APROVALS.SENDER_DEPARTMENT
Import: EC_CONTACT_LOG. EXT_
CONTACT_DEPARTMENT
         
A.3.1.3b   <sendertitle>     Title
10AN
Export: SENDERTITLE/DRUG_
APROVALS.SENDER_TITLE
Import: EC_CONTACT_LOG. EXT_
CONTACT_TITLE
         
A.3.1.3c   <sendergivename>     First name
35AN
Export: Parameter
SENDERGIVENNAME/DRUG_
APROVALS.SENDER_GIVEN_NAME
Import: EC_CONTACT_LOG. EXT_FRST_
NAME
         
A. 3.1.3d   <sendermiddlename>     Middle name
15AN
Export: Parameter
SENDERMIDDLENAME/DRUG_
APROVALS.SENDER_MIDDLE_NAME
Import: EC_CONTACT_LOG. EXT_
CONTACT_MIDDLE_NAME
         
A. 3.1.3e   <senderfamilyname>     Sender Last name
35AN
Export: Parameter
SENDERFAMILYNAME/DRUG_
APROVALS.SENDER_FAMILY_NAME
Import: EC_CONTACT_LOG. EXT_
CONTACT_LST_NAME
         
A. 3.1.4a   <senderstreetaddress>     Sender Street
100AN
Export: Parameter
SENDERSTREETADDRESS/DRUG_
APROVALS.SENDER_ADDRESS
Import: EC_CONTACT_LOG. EXT_
CONTACT_ADDR1
         
A. 3.1.4b   <sendercity>     Sender city
35AN
Export: Parameter SENDERCITY/DRUG_
APROVALS.SENDER_CITY
Import: EC_CONTACT_LOG. EXT_
CONTACT_CITY
         
A. 3.1.4c   <senderstate>     Sender state or province
40AN
Export: Parameter SENDERSTATE/DRUG_
APROVALS.SENDER_STATE
Import: EC_CONTACT_LOG. EXT_
CONTACT_STATE
         
A. 3.1.4d   <senderpostcode>     Sender postcode
15AN
Export: Parameter
SENDERPOSTCODE/DRUG_
APROVALS.SENDER_POST_CODE
Import: EC_CONTACT_LOG. EXT_
CONTACT_ZIP
         
A. 3.1.4e   <sendercountrycode>     Sender country code (ISO
3166)
2A
Export: Parameter
SENDERCOUNTRY/DRUG_
APROVALS.SENDER_COUNTRY
Import: EC_CONTACT_LOG. EXT_
CONTACT_COUNTRY
         
A. 3.1.4f   <sendertel>     Sender Telephone Number
10AN
Export: Parameter SENDERTEL/DRUG_
APROVALS.SENDER_PHONE
Import: EC_CONTACT_LOG. EXT_
CONTACT_PHONE
         
A. 3.1.4g   <sendertelextension>     Sender Telephone extension
5AN
Export: Parameter
SENDERTELEXTENSION/DRUG_
APROVALS.SENDER_PHONE_EXT
Import: EC_CONTACT_LOG.EXT_
CONTACT_PHONE_EXT
         
A. 3.1.4h   <sendertelcountrycode>     Telephone country code
3AN
Export: Parameter
SENDERTELCOUNTRYCODE/DRUG_
APROVALS.SENDER_PHONE_COUNTRY_
CODE
Import: EC_CONTACT_LOG.EXT_
CONTACT_PHONE_COUNTRY_CODE
         
A. 3.1.4I   <senderfax>     Sender Fax number
10AN
Export: Parameter SENDERFAX/DRUG_
APROVALS.SENDER_FAX
Import: EC_CONTACT_LOG.EXT_
CONTACT_FAX
         
A. 3.1.4j   <senderfaxextension>     Sender Fax Extension
5AN
Export: Parameter
SENDERFAXEXTENSION/DRUG_
APROVALS.SENDER_FAX_EXT
Import: EC_CONTACT_LOG.EXT_
CONTACT_FAX_EXT
         
A. 3.1.4k   <senderfaxcountrycode>     Sender Fax country code
3AN
Export: Parameter
SENDERFAXCOUNTRYCODE/DRUG_
APROVALS.SENDER_FAX_COUNTRY_
CODE
Import: EC_CONTACT_LOG.EXT_
CONTACT_FAX_COUNTRY_CODE
         
A. 3.1.4l   <senderemailaddress>     Sender e-mail address
100AN
Export: Parameter SENDEREMAIL/DRUG_
APROVALS.SENDER_EMAIL
Import: EC_CONTACT_LOG.EXT_
CONTACT_EMAIL
         
  </sender>                    
A.3.2 <receiver>       Receiver
Identified the party the report
is being sent to.
Import: the receiver data goes into the case
comments.
Export: the receiver data come from the E2B_
RECEIVERS table unless the USE_DRUG_
APPROVALS is true for the Receiver. In this
case, the receiver details are written from the
DRUG_APPROVALS table.
The primary key of the receivers table is
AGENCY (supplied at run-time).
         
A.3.2.1   <receivertype>     Receiver Type
ICH Codelist:
1=Pharmaceutical Company
2=Regulatory Authority
4=Regional PV Center
5=WHO Collaborating Center
6=Other
1N
E2B_RECEIVERS. RECEIVER_
TYPE/DRUG_APROVALS.RECEIVER_TYPE
         
A.3.2.2a   <receiverorganization>     Receiver Organization
60AN
E2B_RECEIVERS. RECEIVER_ID/DRUG_
APROVALS.RECEIVER_ORGANIZATION
         
A.3.2.2b   <receiverdepartment>     Receiver Dept.
60AN
E2B_RECEIVERS. RECEIVER_
DEPARTMENT/DRUG_
APROVALS.RECEIVER_DEPARTMENT
         
A.3.2.2c   <receivertitle>     Receiver Title
10AN
E2B_RECEIVERS. RECEIVER_
TITLE/DRUG_APROVALS.RECEIVER_
TITLE
         
A. 3.2.2d   <receivergivename>     Receiver First name
35AN
E2B_RECEIVERS. RECEIVER_GIVEN_
NAME/DRUG_APROVALS.RECEIVER_
GIVEN_NAME
         
A. 3.2.2e   <receivermiddlename>     Receiver Middle name
15AN
E2B_RECEIVERS. RECEIVER_MIDDLE_
NAME/DRUG_APROVALS.RECEIVER_
MIDDLE_NAME
         
A. 3.2.2f   <receiverfamilyname>     Receiver Last name
35AN
E2B_RECEIVERS. RECEIVER_FAMILY_
NAME/DRUG_APROVALS.RECEIVER_
LAST_NAME
         
A. 3.2.3a   <receiverstreetaddress>     Receiver Street
100AN
E2B_RECEIVERS. RECEIVER_
ADDRESS/DRUG_APROVALS.RECEIVER_
ADDRESS
         
A. 3.2.3b   <receivercity>     Receiver City
35AN
E2B_RECEIVERS. RECEIVER_CITY/DRUG_
APROVALS.RECEIVER_CITY
         
A. 3.2.3c   <receiverstate>     Receiver State or province
40AN
E2B_RECEIVERS. RECEIVER_
STATE/DRUG_APROVALS.RECEIVER_
STATE
         
A. 3.2.3d   <receiverpostcode>     Receiver Postcode
15AN
E2B_RECEIVERS. RECEIVER_ZIP/DRUG_
APROVALS.RECEIVER_POST_CODE
         
A. 3.2.3e   <receivercountrycode>     Receiver Country code (ISO
3166)
2A
E2B_RECEIVERS. RECEIVER_
COUNTRY/DRUG_APROVALS.RECEIVER_
COUNTRY_CD
         
A. 3.2.3f   <receivertel>     Receiver Telephone Number
10AN
E2B_RECEIVERS. RECEIVER_
PHONE/DRUG_APROVALS.RECEIVER_
PHONE
         
A. 3.2.3g   <receivertelextension>     Receiver Telephone extension
5AN
E2B_RECEIVERS. RECEIVER_PHONE_
EXT/DRUG_APROVALS.RECEIVER_
PHONE_EXT
         
A. 3.2.3h   <receivertelcountrycode>     Receiver Telephone country
code
3AN
E2B_RECEIVERS. RECEIVER_PHONE_
COUNTRY_CODE/DRUG_
APROVALS.RECEIVER_PHONE_
COUNTRY_CODE
         
A. 3.2.3I   <receiverfax>     Receiver Fax
10AN
E2B_RECEIVERS. RECEIVER_FAX/DRUG_
APROVALS.RECEIVER_FAX
         
A. 3.2.3j   <receiverfaxextension>     Receiver Fax Extension
5AN
E2B_RECEIVERS. RECEIVER_FAX_
EXT/DRUG_APROVALS.RECEIVER_FAX_
EXT
         
A. 3.2.3k   <receiverfaxcountrycode>     Receiver Fax country code
3AN
E2B_RECEIVERS. RECEIVER_FAX_
COUNRY_CODE/DRUG_
APROVALS.RECEIVER_FAX_COUNTRY_
CODE
         
A. 3.2.3l   <receiveremailaddress>     Receiver E-mail address
100AN
E2B_RECEIVERS. RECEIVER_
EMAIL/DRUG_APROVALS.RECEIVER_
EMAIL
         
  </receiver>       Closing tag for the receiver
block
           
B.1 <patient>   1:1 Y Patient Characteristics Required, non-repeatable.          
B.1.1   <patientinitial>     Patient Initials
10AN
AE_CASES.PT_INITLS          
B.1.1.1a   <patientgpmedicalrecordnumb>     MRN from patients primary
care physician Repeat this field
as many times as necessary.
20AN
AE_OTH_CASE_REFS.CASE_ID where
OTHER_SOURCE_TYPE=’GPN’
See Note on Other Case Refs.
         
B.1.1.1b   <patientspecialistrecordnumb>     MRN from patients specialist
physician.
20AN
AE_OTH_CASE_REFS.CASE_ID where
OTHER_SOURCE_TYPE=’SPN’
See Note on Other Case Refs.
         
B.1.1.1c   <patienthospitalrecordnumb>     MRN from patients hospital.
20AN
AE_OTH_CASE_REFS.CASE_ID where
OTHER_SOURCE_TYPE=’HPN’
See Note on Other Case Refs.
         
B.1.1.1d   <patientinvestigationnumb>     Investigation Number.
20AN
AE_CASES.PATIENT_ID   LS Medical Product Issue Patient Identifier Patient Identifier  
B.1.2.1a   <patientbirthdateformat>     Format of Birth date Date
format
3N
Constant: 102   LS Medical Product Issue Patient Date of Birth    
B.1.2.1.b   <patientbirthdate>     Date of Birth CCYYMMDD
8N
AE_CASES. PT_DOB
If the SUPPsuppressRESS_PARTIAL_DATES
option is TRUE for the receiver, then only
complete dates are output.
  LS Medical Product Issue Patient Date of Birth    
B.1.2.1a   <patientonsetage>     Age At onset of RE
5N
AE_CASES.PT_AGE_CHR          
B.1.2.2b   <patientonsetageunit>     Age at onset of RE
800=Decade
801=Year
802=Month
803=Week
804=Day
805=Hour
3N
AE_CASES.PT_AGE_UNIT          
B.1.2.2.1a   <gestationperiod>     Gestation Period when
reaction/event was observed
in the fetus
3N
AE_CASES. GESTATION_PERIOD          
B.1.2.2.1b   <gestationperiodunit>     Gestation period units.
802=Month
803=Week
804=Day
810=Trimester
3N
AE_CASES. GESTATION_PERIOD_UNIT          
B.1.2.3   <patientagegroup>     Patient age group
E2B code list:
1=Neonate
2=Infant
3=Child
4=Adolescent
5=Adult
6=Elderly
1N
AE_CASES.PT_AGE_GROUP          
B.1.3   <patientweight>     Weight
6N
AE_CASES.PT_WEIGHT_KG (999.99)          
B.1.4   <patientheight>     Height
3N
AE_CASES.PT_HEIGHT_CM (999)          
B.1.5   <patientsex>     Patient Sex
ISO5218 code list:
1=Male
2=Female
9 =Not specified 0=Unknown
1N
AE_CASES.PT_SEX_CD   LS Medical Product Issue Patient Sex    
B.1.6a   <lastmenstrualdateformat>     Format for date of Patient Last
Menstrual Date -- Always 102
for DTD 2.1 (per EMEA
validation rules, DTD spec
states partial dates are
accepted).
3N
Date_Form(AE_CASES.PT_LST_MP_DT) or
constant = 102 for DTD 2.1
         
B.1.6b   <patientlastmenstrualdate>     Last menstrual period date.
8N
AE_CASES.PT_LST_MP_DT
Is suppressed if Partial and suppress_
PARTIAL_DATES is TRUE for Receiver.
         
B.1.7 <medicalhistoryepisode>       Relevant medical history and
concurrent conditions.
The following, i.e., B.1.7a
through B.1.7g, should be
repeated as often as needed.
All explanatory material can
be included in B.1.7g..
The block maps directly to AE_OTHER_DX.          
B.1.7.1a.1   <patientepisodenamemeddraversion>     Version of MedDRA used to
encode the Medical History.
8AN
AE_OTHER_DX.DX_DID          
B.1.7.1a.2   <patientepisodename>     Disease/Surgical procedure
etc.
250AN
AE_OTHER_DX.OTH_DX_VERBTM
If SUPPRESS_NON_MEDDRA_TERMS is
True for the receiver, only MedDRA coded
LLTs is included.
If Convert to Free Text option EPISODE_TO_
MEDHIST is true and there is no MedDRA
term for the procedure, the data is written to
<patientmedicalcomment> (B.1.7.1g).
         
B.1.7.1b   <patientmedicalstartdateformat>     Date Format for Start Date
102-CCYYMMDD
610-CCYYMM
602-CCYY
3N
Date_Form(AE_OTHER_DX.FROM_DT)          
B.1.7.1c   <patientmedicalstartdate>     Medical History Start Date
8N
AE_OTHER_DX.FROM_DT          
B.1.7.1d   <patientmedicalcontinue>     Continuing?
1=Yes
2=No
3=Unknown
1N
AE_OTHER_DX.PAST_PRESENT_STS          
B.1.7.1e   <patientmedicalenddateformat>     Date Format for End Date
102-CCYYMMDD
610-CCYYMM
602-CCYY
3N
Date_Form(AE_OTHER_DX.TO_DT)          
B.1.7.1f   <patientmedicalenddate>     End Date
8N
AE_OTHER_DX.TO_DT          
B.1.7.1g   <patientmedicalcomment>     Comments
100AN
AE_OTHER_DX.OTHER_DX_DTLS
This field contains the text from Patient
Medical History if the Convert to Free Text
conditions for <patientepisodename> are
met.
         
  </medicalhistoryepisode>                    
B.1.7.2   <patientmedicalhistorytext>     Relevant medical history text
Specifications say to use only if
structured information is not
available. AERS always
includes this field if it is not
null.
10,000 AN
AE_CASES.OTH_RELVNT_HIST_CMNT   LS Medical Product Issue AE Relevant History Relevant History  
B.1.8 <patientpastdrugtherpay>   1:M   Relevant past drug history
This section deals with
previously taken drugs, not
concomitant ones. Use the
words provided by the
primary source in completing
the drug name. The word
“None” can be used as
appropriate. Dates can be
imprecise.
Entire section B.1.8a through
B.1.8.g should be repeated as
necessary.
This block maps directly to the subset of AE_
MEDICATIONS where AE_MEDICATIONS.
MEDICATION TYPE = ‘P’
P is the code for past.
         
B1.8a   <patientdrugname>     Reported name of drug
100AN
AE_MEDICATIONS.DRUG_NAME          
B1.8b   <patientdrugstartdateformat>     Date Format for Start Date
102-CCYYMMDD
610-CCYYMM
602-CCYY
3N
Date_Form(AE_MEDICATIONS.START_DT)          
B.1.8c   <patientdrugstartdate>     Medication start date
8N
AE_MEDICATIONS.START_DT          
B1.8d   <patientdrugenddateformat>     Date Format for End Date
102-CCYYMMDD
610-CCYYMM
602-CCYY
3N
AE_MEDICATIONS.END_DT          
B.1.8e   <patientdrugenddate>     Medication End Date
8N
AE_MEDICATIONS.END_DT          
B1.8f.1   <patientindicationmeddraversion>     MedDRA version used to
encode Medication Indication.
8AN
AE_MEDICATIONS.DX_DID          
B1.8f.2   <patientdrugindication>     Indication for use.
250AN
AE_MEDICATIONS.INDICATION
If SUPPRESS_NON_MEDDRA_TERMS is
True for the receiver, only MedDRA coded
LLTs are included.
         
B.1.8g.1   <patientdrgreactionmeddraversion>     MedDRA version for adverse
reaction to previous
medication.
8AN
AE_MEDICATION.ADVERSE_EVENT_DID          
B.1.8g.2   <patientdrugreaction>     Adverse reaction to previous
medication.
250AN
AE_MEDICATIONS. ADVERSE_EVENT_
VERBATIM
If SUPPRESS_NON_MEDDRA_TERMS is
True for the receiver, only MedDRA coded
LLTs are included.
         
  </patientpastdrugtherpay>                    
B.1.9 <patientdeath>       In Case of Death To avoid an empty block the export checks
that at least one of the data values used in
this block is non-null.
         
B1.9.1a   <patientdeathdateformat>     Date Format for Death Date
102-CCYYMMDD
610-CCYYMM
602-CCYY
3N
Date_Form(AE_CASES.DEATH_DT)          
B.1.9.1b   <patientdeathdate>     Patient Death Date.
8N
AE_CASES.DEATH_DT          
B.1.9.2 <patientdeathcause>         All rows from AE_CAUSE_DEATH          
B1.9.2.a   <patientdeathreportmeddraversion>     Version of MedDRA used to
encode the Patient Cause of
Death.
8AN
AE_CAUSE_DEATH.DX_DID
On import one row is created in AE_CAUSE_
DEATH for each distinct value of
patientdeathreport and
patientdetermineautopsy.
         
B1.9.2.b   <patientdeathreport>     Cause of Death.
250AN
AE_CAUSE_DEATH.CAUSE_OF_DEATH
On import one row is created in AE_CAUSE_
DEATH for each distinct value of
patientdeathreport and
patientdetermineautopsy.
If SUPPRESS_NON_MEDDRA_TERMS is
True for the receiver, only MedDRA coded
LLTs are included.
         
  </patientdeathcause>                    
B1.9.3   <patientautopsyyesno>     1=Yes
2=No
3=Unknown
1N
AE_CASES.AUTOPSY_DONE_FLAG          
B.1.9.4 <patientautopsy>       Causes of death found by
autopsy.
AE_CAUSE_DEATH rows
Where VERIFY_BY_AUTOPSY_FLAG = ‘Y’
         
B.1.9.4a   <patientdetermautopsmeddraversion>     MedDRA version used to
encode the Cause of Death.
8AN
AE_CAUSE_DEATH.DX_DID          
B.1.9.4b   <patientdetermineautopsy>     Autopsy-determined cause of
death.
250AN
AE_CAUSE_DEATH CAUSE_OF_DEATH
If SUPPRESS_NON_MEDDRA_TERMS is
True for the receiver, only MedDRA coded
LLTs are included.
         
  </patientautopsy>                    
  </patientdeath>                    
B.1.10 <parent>   1:1   Use this section only in the
case of a parent-child/fetus
report to report relevant
information on the parent.
It is assumed that the company
has appropriately completed
the Relations tables in AERS
for the conditions outlined in
the regulatory guidance
(specifically, a case where a
child/fetus experienced an
adverse event but the parent
did not).
Use the AE_RELATION_INF table. Send
Parent Info for first relation whose relation
type translates to P using in the RPT
language. This subsetting is critical because
AERS uses the Relations tables to store other
details often required for parent/child and
sibling reporting (e.g. vaccine reporting to
the US FDA).
Optional, non-repeatable.
         
B.1.10.1   <parentidentification>     Parent Initials
10AN
AE_RELATION_INF.REL_INITLS          
B.1.10.2.1a   <parentbirthdateformat>     Date format
3N
Constant: 102          
B.1.10.2.1b   <parentbirthdate>     Date of Birth CCYYMMDD
8N
AE_RELATION_INF.REL_DOB
If the suppress_PARTIAL_DATES option is
True for the receiver, this data only prints if a
complete date is entered.
         
B.1.10.2.2a   <parentage>     Age (in years)
2N
AE_RELATION_INF.REL_AGE_YRS          
B.1.10.2.2b   <parentageunit>     Age Unit (always years)
3N
801          
B.1.10.3a   <parentlastmenstrualdateformat>     Last Menstrual Period Date
Format
3N
102          
B.1.10.3b   <parentlastmenstrualdate>     Last Menstrual Period Date for
Parent.
8N
AE_RELATION_INF.REL_LAST_
MENSTRUAL_PERIOD_DT
If the suppress_PARTIAL_DATES option is
True for the receiver, this data only prints if a
complete date is entered.
         
B.1.10.4   <parentweight>     Weight of parent in KG.
6N
AE_RELATION_INF.REL_WEIGHT_KG
(999.99)
         
B.1.10.5   <parentheight>     Height of parent in CM.
3N
AE_RELATION_INF REL_HEIGHT_CM
(999)
         
B.1.10.6   <parentsex>     Sex of parent.
ISO5218 codes:
1=Male
2=Female
9=Not Specified 0=Unknown
1N
AE_RELATION_INF.REL_SEX_CD          
B.1.10.7 <parentmedicalhistoryepisode>         All records for AE_RELATION_DX_HIST for
the "parent" relation.
         
B.1.10.7.1a   <parentmedicalstructure>     Disease/surgical procedure.
ISSUE: not in DTD 2.1. Is this
specific to 2.0???
AE_ RELATION_DX_HIST.DX_VERBTM          
B.1.10.7.1a.1   <parentmdepisodemeddraversion>     MedDRA Term ID for the
Disease/surgical procedure.
3N
AE_ RELATION_DX_HIST.DX_DID          
B.1.10.7.1a.2   <parentmedicalepisodename>     Disease/surgical procedure.
250AN
AE_ RELATION_DX_HIST.DX_VERBTM
If SUPPRESS_NON_MEDDRA_TERMS is
True for the receiver, only MedDRA coded
LLTs are included.
If Convert to Free Text option PARENT_
EPISODE_TO_MEDHIST is true and there is
no MedDRA term for the procedure, the data
is written to <patientmedicalcomment>
(B.1.10.7.1g).
         
B.1.10.7.1b   <parentmedicalstartdateformat>     Start Date Format.
102-CCYYMMDD
610-CCYYMM
602-CCYY
3N
Date_form(AE_ RELATION_DX_
HIST.FROM_DT)
         
B.1.10.7.1c   <parentmedicalstartdate>     Start Date.
8N
AE_ RELATION_DX_HIST.FROM_DT          
B.1.10.7.1d   <parentmedicalcontinue>     History Item Continuing?
E2B Code list
1=Yes, 2=No, 3=Unknown
1N
AE_ RELATION_DX_HIST.ONGOING_
FLAG
If ‘Y’ then 1.
If ‘N’ then 2.
Otherwise 3 (Unknown).
         
B.1.10.7.1e   <parentmedicalenddateformat>     End Date Format
Date Format for Death Date.
102-CCYYMMDD
610-CCYYMM
602-CCYY
3N
Date_form(AE_ RELATION_DX_HIST.TO_
DT)
         
B.1.10.7.1f   <parentmedicalenddate>     End Date. AE_ RELATION_DX_HIST.TO_DT          
B.1.10.7.1g   <parentmedicalcomment>     Text for medical history
comments.
100AN
AE_RELATION_DX.MEDICAL_HISTORY_
COMMENT
This field contains the text from Parent
Medical History if the Convert to Free Text
conditions for <parentmedicalepisodename>
are met.
         
  </parentmedicalepisode>                    
B.1.10.7.2   <parentmedicalrelevanttext>     Relevant medical history and
concurrent conditions of
parent.
10,000AN
AE_RELATION_INF. MEDICAL_HISTORY_
COMMENT
         
B.1.10.8 <parentpastdrugtherapy>       Relevant past drug history of
parent.
This block maps to AE_REL_MEDICATIONS
for child records of the Parent relation record.
         
B.1.10.8a   <parentdrugname>     Parent drug name.
100AN
AE_REL_MEDICATIONS.DRUG_NAME          
B.1.10.8b   <parentdrugstartdateformat>     Parent Drug Start Date Format.
102-CCYYMMDD
610-CCYYMM
602-CCYY
3N
Date_Form(AE_REL_
MEDICATIONS.START_DATE)
         
B.1.10.8c   <parentdrugstartdate>     Parent Drug Start Date.
8N
AE_REL_MEDICATIONS.START_DATE          
B.1.10.8d   <parentdrugenddateformat>     Parent Drug End Date.
102-CCYYMMDD
610-CCYYMM
602-CCYY
3N
Date_form(AE_REL_MEDICATIONS.END_
DATE)
         
B.1.10.8e   <parentdrugenddate>     Parent Drug End Date.
8N
AE_REL_MEDICATIONS.END_DATE          
B.1.10.8   <parentdrugindicationmeddraversion>     MedDRA version used to
encode Parent Drug Indication
For Use.
8AN
AE_REL_MEDICATIONS.DX_DID          
B.1.10.8   <parentdrugindication>     Parent Drug Indication for
Use.
250AN
AE_REL_MEDICATIONS.INDICATION
If SUPPRESS_NON_MEDDRA_TERMS is
True for the receiver, only MedDRA coded
LLTs are included.
         
B.1.10.8   <parentdrugreactionmedddraversion>     See notes on MedDRA version.
8AN
AE_REL_MEDICATIONS. ADVERSE_
EVENT_DID
         
B.1.10.8   <parentdrugreaction>     Adverse Event in response to
parent drug use.
250AN
AE_REL_MEDICATIONS. ADVERSE_
EVENT_VERBATIM
If SUPPRESS_NON_MEDDRA_TERMS is
True for the receiver, only MedDRA coded
LLTs are included.
         
  </parentpastdrugtherapy>                    
  </parent>                    
B.2 <reaction>   1:M Y Repeat as necessary. Required, repeatable for each record in the
AE_EVENTS table. Data are derived from
this table through the dictionary views.
         
B.2.i.1.0   <primarysourcereaction>     RE as reported by primary
source.
200AN
DH_EVENTS.RPT_VERBTM          
B.2.i.1.a   <reactionmeddraversionllt>     Version of MedDRA used to
encode the LLT.
8AN
DH_EVENTS.EVENT_DID          
B.2.i.1.b   <reactionmeddrallt>     MedDRA LLT Code for
reaction/event.
250AN
DH_EVENTS.EVENT_LLT          
B.2.i.2.a   <reactionmeddraversionpt>     Version of MedDRA used to
encode the PT.
8AN
DH_EVENTS.EVENT_DID          
B.2.i.2.b   <reactionmeddrapt>     MedDRA PT Code for
reaction/event.
250AN
DH_EVENTS.PREFERRED_EVENT_TERM          
B.2.i.2   <reactionterm> *     DTD 2.0 only. DH_EVENTS.PREFERRED_EVENT_TERM          
B.2.i.3   <termhighlighted>     In 2.1 this field is overloaded
to include both the term
highlighted by report and
event level serious flag. Thus,
four different values are
allowed. In 2.0 This means the
term highlighted by report.
1N
In 2.1 this tag maps to both AE_
EVENTS.TERM_HIGHLIGHTED and AE_
EVENTS.SERIOUS_FLAG. The E2B import
and export does not support code lists for
this field. Only Y and N are supported.
1=Term highlighted, case NOT serious.
2=Term NOT highlighted, case NOT serious.
3=Term highlighted, case serious.
4=Term NOT highlighted, case serious.
         
B.2.i.4a   <reactionstartdateformat>     Date format for start date.
102-CCYYMMDD
203-CCYYMMDDHHMM
610-CCYYMM
602-CCYY
3N
Date_Form(NVL(DH_EVENTS.START_DT,
AE_CASES.EV_ONSET_DT))
         
B.2.i.4b   <reactionstartdate>     RE start date.
12N
NVL(DH_EVENTS.START_DT, AE_
CASES.EV_ONSET_DT).
         
B.2.i.5a   <reactionenddateformat>     Date format for end date.
102-CCYYMMDD
203-CCYYMMDDHHMM
610-CCYYMM
602-CCYY
3N
Date_Form(DH_EVENTS.TO_DT)          
B.2.i.5b   <reactionenddate>     RE End Date.
12N
DH_EVENTS.TO_DT          
B.2.i.6a   <reactionduration>     Duration of RE.
5N
IF DH_EVENTS.DURATION AND
DhEvents.duration_unit are not null, then
print DH_EVENTS.DURATION.
         
B.2.i.6b   <reactiondurationunit>     Duration Units.
801=Year
802=Month
803=Week
804=Day
805=Hour
806=Minute
807=Second
3N
If <REACTIONDURATION> is not null then
print
Code list for DH_EVENTS.DURATION_
UNIT
         
B.2.i.7a   <reactionfirsttime>     Time interval between start of
suspect drug administration
and start of reaction
Typically used for very short
duration (minutes) and when
precise dates are unknown.
The E2B report relies on the
user’s judgement. If the field
in the data is included in the
report.
5N
AE_EVENTS.DUR_OF_TRTMT_TO_EV          
B.2.i.7.1b   <reactionfirsttimeunit>     Duration of Treatment to Event
Units.
801=Year
802=Month
803=Week
804=Day
805=Hour
806=Minute
807=Second
3N
AE_EVENTS.DUR_OF_TRTMT_TO_EV_
UNIT
         
B.2.i.7.2a   <reactionlasttime>     Time interval between last
dose of suspect drug admin
and start of RE.
5N
AE_EVENTS. DUR_LAST_DOSE_TO_EV          
B.2.i.7.2b   <reactionlasttimeunit>     Duration of Last Dose to Event
Units.
801=Year
802=Month
803=Week
804=Day
805=Hour
806=Minute
807=Second
3N
AE_EVENTS.DUR_LAST_DOSE_TO_EV_
UNIT
         
B.2.i.8   <reactionoutcome>     Latest outcome of RE using the
ICH codelist.
1=recovered/resolved
2=recovering/resolving
3=not recovered/not resolved
4=recovered/resolved with
sequelae
5=fatal
6=unknown
1N
AE_EVENTS.OUTCOME_CD          
  </reaction>                    
B.3 <test>                    
B.3.1a   <testdateformat>     Date format for test date.
102-CCYYMMDD
610-CCYYMM
602-CCYY
3N
Date_Form(AE_LAB_TESTS.COLLECTED_
DT)
         
B.3.1b   <testdate>     Date test collected.
8N
AE_LAB_TESTS.COLLECTED_DT          
B.3.1c   <testname>     Test Name. The EMEA wants
this field to be MedDRA
encoded. In AERS the test
name is not a dictionary field
but customers can associate an
LOV against MedDRA to
support this requirement. It is
recommended that this list be
subset to include only the LLTs
in the Investigations SOC.
100AN
AE_LAB_TESTS.TEST_NAME          
B.3.1d   <testresult>     Test result.
35AN
AE_LAB_TESTS.RESULT_DESC          
B.3.1e   <testunit>     Test Result Unit.
35AN
AE_LAB_TESTS.RESULT_UNIT          
B.3.1.1   <lowtestrange>     Low range for test.
50AN
AE_LAB_TESTS.LOW_BOUND          
B.3.1.2   <hightestrange>     High range for test.
50AN
AE_LAB_TESTS.UP_BOUND          
B.3.1.3   <moreinformation>     Additional information.
100AN
AE_LAB_TESTS.MORE_DATA_AVAILABLE
If the Convert to Free Text option
LABRESULTS_TO_NARRATIVE is True for
the receiver and the data for this tag exceeds
the length, the balance of the information is
placed in the narrative field
<narrativeincludeclinical>.
         
  </test>                    
B.3.2   <resultstestsprocedures>   Y The results of the tests and
procedures relevant to the
investigation of the patient.
2000 AN
Required, non-repeatable.
TH_CONFIRMATORY_TST_
CMNT.CONFIRMATORY_TST_CMNT
If Convert to Free Text option LABRESULTS_
TO_NARRATIVE is true and the data for this
field exceeds the length of the tag, the data is
written to <narrativeincludeclinical> (b.5.1).
  LS Medical Product Issue Summary    
B.4  <drug>       For suspect Drugs.
Repeatable blocks
DE_SUSPECT DRUGS or AE_
MEDICATIONS depending on the drug
characterization
On export of suspect drugs this section is the
outer join Cartesian product of suspect
drugs, indications, doses, and dose lots.
The number of created in Suspect drugs and
dosages depends upon the “NORMALIZE
DRUGS” import rules flag.
On import, the drug name is derived using
the Derive Drug Names algorithm.
         
B.4.k.1   <drugcharacterization>     Drug characterization.
1 = Suspect
2 = Concomitant
3 = Interacting
1N
if RPT decode of DH_SUSPECT_
DRUGS.DRUG_INTERACTION_FLAG = ‘Y’,
then
‘3’. Otherwise, ‘1’ or DH_
MEDICATIONS.DRUG_TYPE =’C’ then 2.
         
B.4.k.2.1   <medicinalproduct>     Usually the brand name.
70AN
DH_SUSPECT_DRUGS.DRUG_NAME/DH_
MEDICATIONS.DRUG_NAME
  LS Medical PI Product Product Name Product Repeatable for all related products
B.4.k.2.3   <obtaindrugcountry>     Country where drug was
obtained (ISO3166).
2A
Code list for lang ‘ISO’DH_SUSPECT_
DRUGS.PURCH_COUNTRY_CD. Not
available for Con Meds.
         
B.4.k.3   <drugbatchnumb>     Batch/lot number.
35AN
DH_SUSPECT_DRUGS.LOT_NBR/DH_
MEDICATIONS.LOT_NBR
  LS Medical PI Product Lot Number Lot # Repeatable for all related products
B.4.k.4 ????? Heading     Premarketing authorization or
marketing identification
holder and number.
On import this section maps to comments.          
B.4.k.4.1   <drugauthorizationnumb>     License Number.
35AN
Not supported on export.          
B.4.k.4.2   <drugauthorizationcountry>     Country ISO 3166 code. AERS
data model does not currently
have a column to support this
field.
2A
Not supported on export.          
B.4.k.4.3   <drugauthorizationholder>     Name of authorization holder.
60AN
Not supported on export.          
B.4.k.5 ????? Heading     Structured Dosage
Information.
There is no such repeatable entity in the DTD
to store multiple AE_DOSAGES records.
Entire medication record is repeated for
suspect drugs with multiple dose records.
         
B.4.k.5.1   <drugstructuredosagenumb>     Dose(number)
8N
DH_SUSPECT_DRUGS.Dose_Chr          
B.4.k.5.2   <drugstructuredosageunit>     Dose Unit.
E2B Code list included with
product.
3N
DH_SUSPECT_DRUGS.DOSE_UNIT
If Convert to Free Text option DOSEUNIT_
TO_DRUGINFO is true and there is no E2B
decode for the Form, the data is written to
<drugadditional> (b.4.k.19); if DOSEUNIT_
TO_DOSETEXT is True and there is no E2B
decode for the Form, the data is written to
<drugdosagetext> (B.4.k.6).
         
B.4.k.5.3   <drugseparatedosagenumb>     Num. of separate dosages.
3N
The Separated Dosage details are converted
from the information stored in the
FREQUENCY_CODES table. This table has
conversion metrics for each E2B Frequency
Code that allows the dosage details to be
provided in the atomic detail required in the
specification.
frequency_codes.DOSES_PER_INTERVAL
(where frequency_code = dh_suspect_
Drugs.frequency).
         
B.4.k.5.4   <drugintervaldosageunitnumb>     Num. of units in the interval.
3N
frequency_codes.INTERVAL_DURATION
(where frequency_code = dh_suspect_
Drugs.frequency)
         
B.4.k.5.5   <drugintervaldosagedefinition>     Definition of interval.
801=Year
802=Month
803=Week
804=Day
805=Hour
806=Minute
3N
frequency_codes.INTERVAL_UNITS
(where frequency_code = dh_suspect_
Drugs.frequency)
         
B.4.k.5.6   <drugcumulativedosagenumb>     Cumulative total dose number
10N
AE_SUSPECT_DRUGS.CUM_DOSE_CHR          
B.4.k.5.7   <drugcumulativedosageunit>     Cumulative total dose unit.
E2B Code list included with
product.
3N
AE_SUSPECT_DRUGS.CUM_DOSE_CHR          
B.4.k.6   <drugdosagetext>     Dosage text.
Use if structured information
like above is not available.
100AN
AE_DOSAGES.DOSAGE_TEXT
This field contains Drug Form and/or Dose
Unit text if the Convert to Free Text
conditions for <drugdosageform> and/or
<drugstructuredosageunit> are met.
  LS Medical PI Product Dose Per Unit + Unit of Measure + Frequency   Repeatable for all related products
B.4.k.7   <drugdosageform>     Pharmaceutical form (e.g.,
tablets, vials, syrup).
The EMEA has released a 266
item code list for this field.
50AN
AE_DOSAGES.DRUG_FORM
If Convert to Free Text option DRUGFORM_
TO_DRUGINFO is true and there is no E2B
decode for the Form, the data is written to
<drugadditional> (b.4.k.19); if DRUGFORM_
TO_DOSETEXT is True and there is no E2B
decode for the Form, the data is written to
<drugdosagetext> (B.4.k.6).
         
B.4.k.8   <drugadministrationroute>     Route.
E2B Codelist included in
AERS.
3N
AE_DOSAGES.ROUTE   LS Medical PI Product Route Used   Repeatable for all related products
B.4.k.9   <drugparadministration>     Route for parent, when the
report is for the child.
The Full E2B Codelist f or
Route is used.
3N
AE_SUSPECT_DRUGS. ROUTE_CHILD_CD          
B.4.k.10a   <reactiongestationperiod>     Gestation Period.
3N
AE_DOSAGES.GESTATION_PERIOD_AT_
EXPOSURE
         
B.4.k.10b   <reactiongestationperiodunit>     Gestation Period Unit.
802=Month
803=Week
804=Day
810=Trimester
3N
AE_DOSAGES.GEST_PERIOD_AT_
EXPOSURE_UNIT
         
B.4.k.11a   <drugindicationmeddraversion>     MedDRA version used to
encode the Indication for use.
8AN
AE_INDICATIONS.DX_DID          
B.4.k.11b   <drugindication>     Indication for use.
250AN
AE_INDICATIONS.INDICATION
Meddra field handling rules apply.
If Convert to Free Text option
DRUGINDICATION_TO_DRUGINFO is true
the indication is not mapped in MedDRA,
the data is written to <drugadditional>
(b.4.k.19).
  LS Medical PI Product Indication   Repeatable for all related products
B.4.k.12a   <drugstartdateformat>     Format for start date of drug.
102-CCYYMMDD
610-CCYYMM
602-CCYY
3N
Date_Form(AE_DOSAGES.FROM_DT)   LS Medical PI Product Therapy From Date   Repeatable for all related products
B.4.k.12b   <drugstartdate>     Start date of drug.
8N
AE_DOSAGES.FROM_DT   LS Medical PI Product Therapy From Date   Repeatable for all related products
B.4.k.13.1a   <drugstartperiod>     Time interval between start of
drug administration and start
of earliest RE.
3N
AE_SUSPECT_DRUGS.DUR_OF_TRTMT_
TO_EV
         
B.4.k.13.1b   <drugstartperiodunits>     Units for Duration of
Treatment to Event Onset.
801=Year
802=Month
803=Week
804=Day
805=Hour
806=Minute
807=Second
3N
AE_SUSPECT_DRUGS.DUR_OF_TRTMT_
TO_EV_UNIT
         
B.4.k.13.2a   <druglastperiod>     Time interval between last
dose of drug and start of RE.
5N
AE_SUSPECT_DRUGS.DUR_LAST_DOSE_
TO_EV
         
B.4.k.13.2b   <druglastperiodunit>     Units for Duration of Last
Dose to Event Onset.
801=Year
802=Month
803=Week
804=Day
805=Hour
806=Minute
807=Second
3N
AE_SUSPECT_DRUGS.DUR_LAST_DOSE_
TO_EV_UNIT
         
B.4.k.14a   <drugenddateformat>     Format for drug end date.
102-CCYYMMDD
610-CCYYMM
602-CCYY
3N
Date_form(AE_DOSAGES.TO_DT)   LS Medical PI Product Therapy To Date    
B.4.k.14b   <drugenddate>     Date of end of drug.
8N
AE_DOSAGES.TO_DT   LS Medical PI Product Therapy To Date    
B.4.k.15a   <drugtreatmentduration>     Duration of treatment.
5N
AE_SUSPECT_DRUG.TOTAL_DUR_OF_
TRTMT
         
B.4.k.15b   <drugtreatmentdurationunit>     Units for Duration of
treatment.
801=Year
802=Month
803=Week
804=Day
805=Hour
806=Minute
3N
AE_SUSPECT_DRUG.TOTAL_DUR_OF_
TRTMT
         
B.4.k.16   <actiondrug>     Action taken in response to the
AE.
1=Drug withdrawn
2=Dose reduced
3=Dose increased
4=Dose not changed
5=Unknown
6=Not applicable
1N
AE_SUSPECT_DRUGS.ACTION_TAKEN          
B.4.k.17.1   <drugrecurreadministration>     Did reaction reappear on readministration.
There is additional detail on
the reappearing reactions in
the <drugrecurrence> section.
1N
AE_SUSPECT_DRUGS.REAPPEARED_
FLAG
         
B.4.k.19   <drugadditional>     Additional info on drug.
100AN
AE_SUSPECT_DRUGS.ADDITIONAL_
INFORMATION
This field contains Drug From and/or Dose
Unit text if the Convert to Free Text
conditions for <drugdosageform>,
<drugstructuredosageunit> and/or
<drugindication> are met.
         
  <activesubstance>   1:M   Repeatable for each active
substance listed in the drug
dictionary.
This section appears out of order compared
to the ICH Guideline. It is placed at the end
because it repeats within the <drug> block.
         
B.4.k.2.2   <activesubstancename>     The active substance from the
drug dictionary.
100AN
On export, this is derived from V_DRUG_
INGREDIENTS.INGREDIENT for the drug.
         
  </activesubstance>                    
  <drugrecurrence>       This section captures the
Recurrence at the event-drug
level. It drives from the
Reappeared Flag at the
event-to-drug level.
This section appears out of order compared
to the ICH Guideline. It is placed at the end
because it repeats within the <drug> block.
Repeats for each record in the AE_EVENTS_
TO_DRGS where the REAPPEARED_FLAG
=’Y’.
Not applicable for con meds.
         
B.4.k.17.2a   <drugrecuractionmeddraversion>     The MedDRA version used to
encode the reaction term for
the recurring adverse event.
8AN
AE_EVENTS.DID for the event listed in the
AE_EVENTS_TO_DRGS.
         
B.4.k.17.2b   <drugrecuraction>     The reaction term for the
recurring adverse event.
250AN
AE_EVENTS.CO_VERBTM for the event
listed in the AE_EVENTS_TO_DRGS
Meddra field handling rules apply.
         
  </drugrecurrence>                    
B.4.k.18 <drugreactionrelatedness>       Captures additional causality
assessments for the
drug/event combination.
This section appears out of order compared
to the ICH Guideline. It is placed at the end
because it repeats within the <drug> block.
This section repeats for each drug that has
additional causality assessments available.
This information is stored in AE_EVENTS_
TO_DRUGS_DETAILS table, which is a child
table of AE_EVENTS_TO_DRGS. Because
this is a child table, the reaction terms are
repeated for each assessment method.
Not applicable for con meds.
         
B.4.k.18.1a   <drugreactionassesmeddraversion>     The MedDRA version used to
encode the reaction term for
the assessed adverse event.
8AN
AE_EVENTS.DID for the event listed in the
AE_EVENTS_TO_DRGS table for the parent
record of the assessment.
         
B.4.k.18.1b   <drugreactionasses>     The reaction term for the
assessed adverse event.
250AN
AE_EVENTS.CO_VERBTM for the event
listed in the AE_EVENTS_TO_DRGS table
for the parent record of the assessment.
Meddra field handling rules apply
         
B.4.k.18.2   <drugassessmentsource>     The source of the additional
causality assessment.
60AN
AE_EVENTS_TO_DRUGS_
DETAILS.ASSESSMENT_SOURCE for the
event in the AE_EVENTS_TO_DRGS.
         
B.4.k.18.3   <drugassessmentmethod>     The method of the additional
causality assessment.
35AN
AE_EVENTS_TO_DRUGS_
DETAILS.ASSESSMENT_METHOD for the
event in the AE_EVENTS_TO_DRGS.
         
B.4.k.18.4   <drugresult>     The additional causality
assessment.
35AN
AE_EVENTS_TO_DRUGS_
DETAILS.ASSESSMENT for the event in the
AE_EVENTS_TO_DRGS.
         
  </drugreactionrelatedness>                    
  </drug>                    
  </patient>                    
B.5 <summary>       Narrative case summary and
further information.
           
B.5.1   <narrativeincludeclinical>     Case narrative, includes
clinical course, therapies etc.
20,000AN
If company narrative exists the use it,
otherwise use reporter narrative.
nvl(TH_COMPANY_
NARRATIVE.COMPANY_NARRATIVE,
TH_REPORTER_NARRATIVE.REPORTER_
NARRATIVE)
This field contains the text from Lab Test
Results if the Convert to Free Text conditions
for <resultstestsprocedures> are met.
  LS Medical Product Issue AE Relevant Test Tests/Data  
B.5.2   <reportercomment>     Reporters comments.
500AN
On import, AE_CASE_LG.FIELD_VALUE
where FIELD_NAME = ‘REPORTER_
COMMENT’
  LS Medical Product Issue Description Description  
B.5.3.a   <senderdiagnosismeddraversion>     The MedDRA version of the
diagnosis.
AE_CASES.COMPANY_DIAGNOSIS_DID          
B.5.3.b   <senderdiagnosis>     Senders diagnosis/syndrome
and/or reclassification of RE.
250AN
AE_CASES.COMPANY_DIAGNOSIS
Meddra field handling rules apply
         
B.5.4   <sendercomment>     Senders comments
Some regulators require that
this field contain an evaluation
of the significance of this case.
ItUsers can recommend
specific label changes.
*The pv comment in the
reportability record overrides
the case level PV comment.
This feature is added because
both the connent and language
of the PV comment may vary
from regualtor to regulator.
2000AN.
AE_CASE_LG.FIELD_VALUE where FIELD_
NAME = ‘PHARMACOVIGILANCE_
COMMENT’
*If it exists AE_
REPORTABLITY.PHARMACOVIGILANCE_
COMMENT is used instead of the case level
PV comment.
  LS Medical Product Issue Evaluation Summary Evaluation  
  </summary>                    
  </safetyreport>                    
  </ichicsr>