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Field Mapping for the MDV Report (Reference)


Table 48 shows how the fields in the Regulatory Reports screen map to the fields in the MDV report.

Table 48. Mapping of Fields from Siebel AECM UI to the MDV Report
UI Field Name
View (Applet) on the Regulatory Reports and the Product Issues screen
Text on MDV Report

Report Header

Report #1

MDV Report # 2

More Info

MDV

MDV Report #

Affiliate Ref #

MDV

Affiliate Ref #

Type

More Info

Report Type

MDV Determination

Determination

MDV

MDV Determination

Destination

Authorities

MDV

Competent Authority Name

Address

Address 2

City

State

Postal Code

Country

MDV

Address

General

Report Date

More Info, Regulatory Reports screen only

Report Date

Received

More Info

Manufacturer Awareness Date

Affiliate Acct

MDV

Reporting Firm Name

Auth Rep

First Name

MDV

Authorized Representative

Address

City

State

Postal Code

Country

MDV

Address

Phone #

MDV

Telephone

Fax #

MDV

Facsimile

Event Information

Patient Identifier

Patient

Patient Identifier

Gender

Patient

Gender

Age

Patient

Age

Weight

Patient

Weight

Date of Birth

Patient

Date of Birth

Account

More Info

Health Care Facility Name

Site

More Info

Site

Contacts, First Name

More Info

Contact Name

Address

More Info

Address

Phone #

More Info

Contact Phone Number

Event Date

More Info (Event Detail)

Event Date

Description

More Info (Event Detail)

Event Description

# Occurrences

More Info (Event Detail)

Number of Occurrences

Labeled Single Use

More Info (Products)

Investigation

Device Labeled for Single Use

Patient Codes

MDV

Importer

Patient Outcomes

Device Codes

MDV

Importer

Device Outcomes

Usage of Device

MDV

Investigation

Usage of Device

Authorities

MDV

Competent Authorities Already Notified

Device Information

Mfg Name

MDV

Manufacturer Name

Contact

First Name

MDV

Manufacturer Contact Name

Address

City

State

Postal Code

Country

MDV

Address

Phone #

MDV

Telephone

Fax #

MDV

Facsimile

Product 3

More Info (Products)

Device Name

Device Type

More Info (Products)

Type of Device

Lot #

More Info (Products)

Device Lot #

Part #

More Info (Products)

Device Part #

Asset #

More Info (Products)

Device Asset #

Serial #

More Info (Products)

Device Serial #

Model #

More Info (Products)

Model #

Catalog #

More Info (Products)

Catalog #

Approval Org

MDV

Device Approval Body

Approval #

MDV

Approval #

Qty Involved

More Info (Products)

Quantity of Devices Involved

Device Available

More Info (Products)

Device Disposition

External Products

More Info (Event Detail)

Associated Products

Results of Investigation

Evaluation

MDV

Investigation

Device Evaluation Result

Remedials

MDV

Remedial Action

MFG Narrative

MDV

Investigation

Manufacturer's Narrative

1On the More Info view.

2On the MDV view.

3The primary product only.

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