Siebel 2018: Field Mapping for the MDV Report

Table 38 shows how the fields in the Regulatory Reports screen map to the fields in the MDV report.

Table 38. Mapping of Fields from Siebel AECM UI to the MDV Report
Regulatory Reports Screen	UI Field Name	View (Applet) on the Regulatory Reports and the Product Issues screen	Text on MDV Report
Report Header	Report # MDV Report #	More Info MDV	MDV Report #
Report Header	Affiliate Ref #	MDV	Affiliate Ref #
Report Header	Type	More Info	Report Type
MDV Determination	Determination	MDV	MDV Determination
Destination	Authorities	MDV	Competent Authority Name
Destination	Address Address 2 City State Postal Code Country	MDV	Address
General	Report Date	More Info, Regulatory Reports screen only	Report Date
General	Received	More Info	Manufacturer Awareness Date
General	Affiliate Acct	MDV	Reporting Firm Name
General	Auth Rep First Name	MDV	Authorized Representative
General	Address City State Postal Code Country	MDV	Address
General	Phone #	MDV	Telephone
General	Fax #	MDV	Facsimile
Event Information	Patient Identifier	Patient	Patient Identifier
Event Information	Gender	Patient	Gender
Event Information	Age	Patient	Age
Event Information	Weight	Patient	Weight
Event Information	Date of Birth	Patient	Date of Birth
Event Information	Account	More Info	Health Care Facility Name
Event Information	Site	More Info	Site
Event Information	Contacts, First Name	More Info	Contact Name
Event Information	Address	More Info	Address
Event Information	Phone #	More Info	Contact Phone Number
Event Information	Event Date	More Info (Event Detail)	Event Date
Event Information	Description	More Info (Event Detail)	Event Description
Event Information	# Occurrences	More Info (Event Detail)	Number of Occurrences
Event Information	Labeled Single Use	More Info (Products) Investigation	Device Labeled for Single Use
Event Information	Patient Codes	MDV Importer	Patient Outcomes
Event Information	Device Codes	MDV Importer	Device Outcomes
Event Information	Usage of Device	MDV Investigation	Usage of Device
Event Information	Authorities	MDV	Competent Authorities Already Notified
Device Information	Mfg Name	MDV	Manufacturer Name
Device Information	Contact First Name	MDV	Manufacturer Contact Name
Device Information	Address City State Postal Code Country	MDV	Address
Device Information	Phone #	MDV	Telephone
Device Information	Fax #	MDV	Facsimile
Device Information	Product	More Info (Products)	Device Name
Device Information	Device Type	More Info (Products)	Type of Device
Device Information	Lot #	More Info (Products)	Device Lot #
Device Information	Part #	More Info (Products)	Device Part #
Device Information	Asset #	More Info (Products)	Device Asset #
Device Information	Serial #	More Info (Products)	Device Serial #
Device Information	Model #	More Info (Products)	Model #
Device Information	Catalog #	More Info (Products)	Catalog #
Device Information	Approval Org	MDV	Device Approval Body
Device Information	Approval #	MDV	Approval #
Device Information	Qty Involved	More Info (Products)	Quantity of Devices Involved
Device Information	Device Available	More Info (Products)	Device Disposition
Device Information	External Products	More Info (Event Detail)	Associated Products
Results of Investigation	Evaluation	MDV Investigation	Device Evaluation Result
Results of Investigation	Remedials	MDV	Remedial Action
Results of Investigation	MFG Narrative	MDV Investigation	Manufacturer's Narrative

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