# PMDA Form 10 Mapping

Veeva Safety supports <a href="/en/gr/1005170/">PMDA postmarket medical device and regenerative medicine forms</a>. When you export a postmarket _Case_ to PMDA Form 10, Vault maps all data and documents to the standard PMDA form for medical device research reports and investigation reports on measures taken in foreign countries. Vault formats the document as a PDF (_PMDA Form 10 (PDF)_) or an XML file (_PMDA Form 10 (XML)_) based on the _Transmission Document Type_ you select during _Transmission_ generation.  

## Form 10 Field Mapping

The form fields include:

<table>
    <thead>
        <tr>
            <th>Form 10 Field</th>
            <th>Data Source</th>
        </tr> 
    </thead>
    <tbody>
        <tr>
            <td>M.1.1 管理番号_報告分類</td>
            <td>Vault populates a code based on the <a href="/en/gr/872016/#pmda-cat"><em>PMDA Reporting Category</em></a> on the <em>Local Reporting Details</em> record:
            <ul>
                <li>For <em>Device DF: Investigation Report of Medical Device Research Report</em>: <code>DF</code></li>
                <li>For <em>Device DG: Investigation Report on Measures such as Discontinuation of Manufacturing, Recall, or Disposal in Foreign Countries for Medical Devices</em>: <code>DG</code></li>
            </ul></td>
        </tr>
        <tr>
            <td>M.1.2 管理番号_管理年度 (Management Year)</td>
            <td>The <em>Reference Number Year</em> on the <em>Local Reporting Details</em> record.</td>
        </tr>
        <tr>
            <td>M.1.3 管理番号_管理番号 (Management Number)</td>
            <td>The <em>Reference Number</em> on the <em>Local Reporting Details</em> record.</td>
        </tr>
        <tr>
            <td>M.2.1 報告区分 (Report distinction)</td>
            <td>Vault populates a value based on the <a href="/en/gr/872016/#pmda-cat"><em>PMDA Reporting Category</em></a> on the <em>Local Reporting Details</em> record:
            <ul>
                <li>For <em>Device DF: Investigation Report of Medical Device Research Report</em>: <code>研究報</code></li>
                <li>For <em>Device DG: Investigation Report on Measures such as Discontinuation of Manufacturing, Recall, or Disposal in Foreign Countries for Medical Devices</em>: <code>措置報告</code></li>
            </ul></td>
        </tr>
        <tr>
            <td>M.2.3 報告期限 (Reporting period)</td>
            <td>If the <em>Due in Days</em> value on the <em>Primary Case Product Registration</em> on the <em>Local Reporting Details</em> record is <em>15</em>, Vault populates <code>15日</code>. Otherwise, Vault populates <code>30日</code>.</td>
        </tr>
        <tr>
            <td>M.2.5.1 報告回数 (Number of reports)</td>
            <td>The <em>Follow-up Number</em> on the <em>Transmission</em>.</td>
        </tr>
        <tr>
            <td>M.2.5.2 前回報告時受理番号_年度 (Receipt number of the previous report_Year)</td>
            <td>The <em>Previous Reference Number Year</em> on the <em>Local Reporting Details</em> record.</td>
        </tr>
        <tr>
            <td>M.2.5.3 前回報告時受理番号_登録番号 (Receipt number from previous report_Registration number)</td>
            <td>The <em>Previous Reference Number</em> on the <em>Local Reporting Details</em> record.</td>
        </tr>
        <tr>
            <td>M.2.5.4 取下げ報告の理由 (Reason for nullification report)</td>
            <td>Vault does not populate this field.</td>
        </tr>
        <tr>
            <td>M.2.6 状態 (Situation)</td>
            <td>Vault populates a value based on the <em>Completeness</em> on the <em>Local Reporting Details</em> record.</td>
        </tr>
        <tr>
            <td>M.2.6.1 状態の理由 (Reason)</td>
            <td>If the <em>Comments Label</em> on the <em>Localized Case Comment</em> is <em>J2.7.2 Comments on Completeness</em>, Vault populates the <em>Comments Text</em> on the <em>Localized Case Comment</em>. If multiple records meet this criteria, Vault exports the <em>Comments Text</em> from all <em>Localized Case Comment</em> records, up to 10,000 characters.</td>
        </tr>
        <tr>
            <td>M.4a 情報入手日 (Date of information acquisition)</td>
            <td>Vault populates the <em>New Info Date</em> on the <em>Localized Case</em> or, if blank, the <em>New Info Date</em> on the <em>Case</em>.</td>
        </tr>
        <tr>
            <td>M.5a 報告日 (Reporting date)</td>
            <td>The <em>Transmission Date</em> on the <em>Transmission</em>.</td>
        </tr>
        <tr>
            <td>M.6.1 担当者氏名 (Name of Contact Person)</td>
            <td>The <em>Name</em> of the <em>Person</em> associated with the <em>Contact Person</em> on the <em>Local Reporting Details</em> record.</td>
        </tr>
        <tr>
            <td>M.6.2 企業名 (Company name)</td>
            <td>The <em>Organization</em> of the <em>Person</em> associated with the <em>Contact Person</em> on the <em>Local Reporting Details</em> record.</td>
        </tr>
        <tr>
            <td>M.6.3 部署 (Department)</td>
            <td>The <em>Department</em> of the <em>Person</em> associated with the <em>Contact Person</em> on the <em>Local Reporting Details</em> record.</td>
        </tr>
        <tr>
            <td>M.6.4.1 Tel_市外局番 (Tel_area code)</td>
            <td>The <em>Telephone Country Code</em> of the <em>Person</em> associated with the <em>Contact Person</em> on the <em>Local Reporting Details</em> record.</td>
        </tr>
        <tr>
            <td>M.6.4.2 Tel_市内局番 (Tel_Local Area Code)</td>
            <td>The first four digits of the <em>Telephone</em> value of the <em>Person</em> associated with the <em>Contact Person</em> on the <em>Local Reporting Details</em> record.</td>
        </tr>
        <tr>
            <td>M.6.4.3 Tel_加入者番号 (Tel_Subscriber Number)</td>
            <td>The last four digits of the <em>Telephone</em> value of the <em>Person</em> associated with the <em>Contact Person</em> on the <em>Local Reporting Details</em> record.</td>
        </tr>
        <tr>
            <td>M.6.5 E-mail</td>
            <td>The <em>Email</em> of the <em>Person</em> associated with the <em>Contact Person</em> on the <em>Local Reporting Details</em> record.</td>
        </tr>
        <tr>
            <td>M.7 症例識別子 (Case identifier)</td>
            <td>The <em>UID</em> on the <em>Case Number</em> record.</td>
        </tr>
        <tr>
            <td>Pr.1 販売名 (Trade name)</td>
            <td>The <em>Name</em> of the <em>Product</em> on the primary <em>Case Product Registration</em>.</td>
        </tr>
        <tr>
            <td>Pr.2.2 一般的名称コード (Generic name code)</td>
            <td>The <em>JMDN Code</em> on the primary <em>Case Product Registration</em>.</td>
        </tr>
        <tr>
            <td>Pr.2.1 一般的名称 (Generic name)</td>
            <td>The <em>Device/Product Generic Name</em> on the primary <em>Case Product Registration</em>.</td>
        </tr>
        <tr>
            <td>Pr.3 詳細情報 (Detailed information)</td>
            <td>The <em>Device/Product Details</em> value on the primary <em>Case Product Registration</em>.</td>
        </tr>
        <tr>
            <td>Pr.4 承認・認証・届出番号 (4) (Approval/certification/notification number)</td>
            <td>The <em>Registration Number</em> on the <em>Product Registration</em> related to the primary <em>Case Product Registration</em>.</td>
        </tr>
        <tr>
            <td>Pr.5.1 分類① (Classification 1)</td>
            <td>Vault populates a value based on the <em>Device Classification 1</em> on the <em>Case Product Registration</em>.</td>
        </tr>
        <tr>
            <td>Pr.5.2 分類② (Classification 2)</td>
            <td>Vault populates a value based on the <em>Device Classification 2</em> on the <em>Case Product Registration</em>.</td>
        </tr>
        <tr>
            <td>Pr.5.3 分類③ (Classification 3)</td>
            <td>Vault populates a value based on the <em>Device Classification 3</em> on the <em>Case Product Registration</em>.</td>
        </tr>
        <tr>
            <td>Cc.1 研究報告の出典 (Research report source)</td>
            <td>If the <a href="/en/gr/872016/#pmda-cat"><em>PMDA Reporting Category</em></a> on the <em>Local Reporting Details</em> record is <em>Device DF: Investigation Report of Medical Device Research Report</em>, Vault populates the <em>Reference Text</em> on the earliest-created <em>Localized Case Document</em>.</td>
        </tr>
        <tr>
            <td>Cc.2 措置実施国 (Countries implementing measures)</td>
            <td>If the <a href="/en/gr/872016/#pmda-cat"><em>PMDA Reporting Category</em></a> on the <em>Local Reporting Details</em> record is <em>Device DG: Investigation Report on Measures such as Discontinuation of Manufacturing, Recall, or Disposal in Foreign Countries for Medical Devices</em>, Vault populates the <em>Name</em> of the <em>Country</em> associated with the <em>Publication Country</em> on the <em>Localized Case Document</em>.</td>
        </tr>
        <tr>
            <td>Cc.3 措置区分 (Measure classification)</td>
            <td>If the <a href="/en/gr/872016/#pmda-cat"><em>PMDA Reporting Category</em></a> on the <em>Local Reporting Details</em> record is <em>Device DG: Investigation Report on Measures such as Discontinuation of Manufacturing, Recall, or Disposal in Foreign Countries for Medical Devices</em>, Vault populates a value based on the <em>Measure Classification</em> on the <em>Localized Case Document</em>.</td>
        </tr>
        <tr>
            <td>Cc.4 研究報告又は措置内容_詳細  2)これまでの対応 (Research report or details of measures taken 2) Past responses)</td>
            <td>If the <a href="/en/gr/872016/#pmda-cat"><em>PMDA Reporting Category</em></a> on the <em>Local Reporting Details</em> record is <em>Device DG: Investigation Report on Measures such as Discontinuation of Manufacturing, Recall, or Disposal in Foreign Countries for Medical Devices</em>, Vault populates a value based on the <em>Measures Classification Details</em> on the <em>Localized Case Document</em>.</td>
        </tr>
        <tr>
            <td>C.6.2 これまでの対応 (Past responses)</td>
            <td>If the <em>Comments Label</em> on the <em>Localized Case Comment</em> is <em>Device/Regenerative Action Taken</em>, Vault populates the <em>Comments Text</em> on the <em>Localized Case Comment</em>. If multiple records meet this criteria, Vault exports the <em>Comments Text</em> from all <em>Localized Case Comment</em> records, up to 10,000 characters.</td>
        </tr>
        <tr>
            <td>C.7.1 今後の対応区分 (Classification of future actions)</td>
            <td>Vault populates a value based on the <em>Device Future Action Classification</em> on the <em>Local Reporting Details </em> record.</td>
        </tr>
        <tr>
            <td>C.7.2 今後の対応 (Future action to be taken)</td>
            <td>If the <em>Comments Label</em> on the <em>Localized Case Comment</em> is <em>Device/Regenerative Future Action</em>, Vault populates the <em>Comments Text</em> on the <em>Localized Case Comment</em>. If multiple records meet this criteria, Vault exports the <em>Comments Text</em> from all <em>Localized Case Comment</em> records, up to 10,000 characters.</td>
        </tr>
        <tr>
            <td>R.1 備考欄 (Remarks)</td>
            <td>The <em>Company Comments</em> on the <em>Localized Case</em>.</td>
        </tr>
        <tr>
            <td>S.1 報告日 (Date of report)</td>
            <td>The <em>Transmission Date</em> on the <em>Transmission</em>.</td>
        </tr>
        <tr>
            <td>S.2 送信者住所 (Sender's address)</td>
            <td>The address information from the <em>User</em> associated with the <em>Sender (User)</em> on the <em>Transmission</em>.</td>
        </tr>
        <tr>
            <td>S.3 送信者役職 (Sender Title)</td>
            <td>The <em>Title</em> on the <em>User</em> associated with the <em>Sender (User)</em> on the <em>Transmission</em>.</td>
        </tr>
        <tr>
            <td>S.4 送信者氏名 (Sender's Name)</td>
            <td>The <em>Name</em> on the <em>User</em> associated with the <em>Sender (User)</em> on the <em>Transmission</em>.</td>
        </tr>
        <tr>
            <td>S.6 受信者役職 (Recipient Title)</td>
            <td>The <em>Title</em> on the <em>Person</em> associated with the <em>Receiver Person</em> on the <em>Transmission Profile</em>.</td>
        </tr>
        <tr>
            <td>S.7 受信者氏名 (Recipient Name)</td>
            <td>The <em>First Name</em> and <em>Last Name</em> on the <em>Person</em> associated with the <em>Receiver Person</em> on the <em>Transmission Profile</em>.</td>
        </tr>
    </tbody>
</table>
