New Expedited Report Dialog Fields

The Schedule New Expedited Report window has a Report Information drop-down list on the top section.

The following table lists and describes the fields in the New Expedited Report Dialog box.

Item	Function
Product	Select the Company Suspect Product from this drop-down list.
License Number	Select the particular license for which the report is to be scheduled.
Destination	Select the Regulatory Agency to which the report is to be sent.
Report Form	Select the Report Form from this drop down list.
Message Type	Select the message type from the drop-down list. Note: This field is displayed when an E2B or eVAERS report is selected as the Report Form. If the Report Form is selected as eVAERS then the Message type is set to ichicsr and is disabled.
Aware Date	Select the Aware date for which the report is required to be scheduled. Amendment reports can be scheduled by selecting the Aware date which is appended with text (A).
Group	If you want to assign the report to a specific group, the group can be selected from this drop down list.
Notes	This field is directly mapped to the License but you can modify this field to put in extra notes, as desired.
Protect confidentiality of Reporter and Patient	Select this checkbox if you do not wish to disclose the identity of the reporter and the patient in the report.
Due Date	You can decide to schedule a report to be due in either 5, 15, or 30 days or any number of days or even on any specific date.

Note:

Product, License Number, Destination, Report Form (E2B), and Due Date must be entered in the New Expedited Report Dialog to schedule an E2B report.