Know the fields in the Review Form

Whenever records are associated with the Create New Records task, you may be required to manually add data to fields belonging to several categories.

Table 7-3 General

Field name	Validation criteria
Initial Receipt Date	Valid date format: DD-MON-YYYY
Country	N/A
Report Type	N/A

Table 7-4 Study

Field name	Validation criteria
Study ID	N/A

Table 7-5 Reporter

Field name	Validation criteria
Title	N/A
First Name	N/A
Middle Name	N/A
Last Name	N/A
Email Address	N/A
Country	N/A
Address	N/A
Healthcare Professional	Non-E2b Valid Yes or No Conversion: (0, No, N, False, F) to No (Yes, Y, True, T, 1) to Yes
Reporter Type	N/A

Table 7-6 Literature

Field name	Validation criteria
Literature Reference	N/A

Table 7-7 Patient

Field name	Validation criteria
Patient Initial	N/A
Patient ID	Non E2B field
DOB	Valid date format: DD-MON-YYYY
Age	Valid numeric value. For example, “one” will be converted to “1”.
Unit	N/A
Age Group	N/A
Gender	N/A
Height	N/A
Unit	Non E2B field
Death Date	Valid date format: DD-MON-YYYY HH:MM

Table 7-8 Patient - Other Relevant History

Field name	Validation criteria
Category	Non E2B field
Description Condition Reported	N/A
Start Date	Valid date format: DD-MON-YYYY
End Date	Valid date format: DD-MON-YYYY
Ongoing	Valid Yes or No Conversion: (0, No, N, False, F) is converted to No (Yes, Y, True, T, 1) is converted to Yes
Notes	N/A

Table 7-9 Patient - Other Relevant Past Drug History

Field name	Validation criteria
Category	Non E2B field
Drug Name	N/A
Start Date	Valid date format: DD-MON-YYYY HH:MM
End Date	Valid date format: DD-MON-YYYY HH:MM
Notes	Non E2B field

Table 7-10 Lab Data

Field name	Validation criteria
Test Name	N/A
Date	Validation date format: DD-MON-YYYY HH:MM
Result	N/A
Unit	N/A
Low	N/A
High	N/A
Comments	N/A

Table 7-11 Events

Field name	Validation criteria
Event as Reported	N/A
Event as Coded	N/A
Death	Valid Yes or No Conversion: (0, No, N, False, F) is converted to No (Yes, Y, True, T, 1) is converted to Yes
Life Threatening	Valid Yes or No Conversion: (0, No, N, False, F) is converted to No (Yes, Y, True, T, 1) is converted to Yes
Hospitalization	Valid Yes or No Conversion: (0, No, N, False, F) is converted to No (Yes, Y, True, T, 1) is converted to Yes
Disability	Valid Yes or No Conversion: (0, No, N, False, F) is converted to No (Yes, Y, True, T, 1) is converted to Yes
Congenital Anomaly	Valid Yes or No Conversion: (0, No, N, False, F) is converted to No (Yes, Y, True, T, 1) is converted to Yes
Other	Valid Yes or No Conversion: (0, No, N, False, F) is converted to No (Yes, Y, True, T, 1) is converted to Yes
Onset Date	Valid date format: DD-MON-YYYY HH:MM
Stop Date	Valid date format: DD-MON-YYYY HH:MM
Duration	N/A
Duration Unit	N/A
Outcome	N/A
Occur Country	N/A
Intensity	Non E2B field

Table 7-12 Product

Field name	Validation criteria
Product Name	N/A
Product Type	This field only has two values: Suspect Concomitant Default - Suspect
Obtain Drug Country	N/A
Manufacturer	N/A
Authorization Number	N/A
Action Taken	N/A
Indication	N/A

Table 7-13 Product - Dosage

Field name	Validation criteria
Dose	N/A
Unit	N/A
Start Date	Valid date format: DD-MON-YYYY HH:MM
End Date	Valid date format: DD-MON-YYYY HH:MM
Duration	N/A
Duration Unit	N/A
Frequency	Non E2B field
Batch/Lot #	N/A
Formulation	N/A
Dose Description	N/A
Route of Administration	N/A

Table 7-14 Narrative

Field name	Validation criteria
Narrative	N/A
Reporter Comment	N/A

Table 7-15 References

Field name	Validation criteria
References Type	Non E2B field
ID	N/A