# PMDA Form 14 Mapping

Veeva Safety supports <a href="/en/lr/1005170/">PMDA postmarket medical device and regenerative medicine forms</a>. When you export a postmarket _Case_ to PMDA Form 14, Vault maps all data and documents to the standard PMDA form for clinical trials of medical devices. Vault formats the document as a PDF (_PMDA Form 14 (PDF)_) or an XML file (_PMDA Form 14 (XML)_) based on the _Transmission Document Type_ you select during _Transmission_ generation.  

## Form 14 Field Mapping

The form fields include:

<table>
    <thead>
        <tr>
            <th>Form 14 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/lr/872016/#pmda-cat"><em>PMDA Reporting Category</em></a> on the <em>Local Reporting Details</em> record:
            <ul>
                <li>For <em>Regenerative RF: Investigation Report of Regenerative Medicine Research Report</em>: <code>RF</code></li>
                <li>For <em>Regenerative RG: Investigation Report on Measures for Regenerative Medicines</em>: <code>RG</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/lr/872016/#pmda-cat"><em>PMDA Reporting Category</em></a> on the <em>Local Reporting Details</em> record:
            <ul>
                <li>For <em>Device RF: Investigation Report of Regenerative Medicine Research Report</em>: <code>研究報告</code></li>
                <li>For <em>Device RG: Investigation Report on Measures for Regenerative Medicine</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.2.4 種別 (Type)</td>
            <td>If the <em>Reason</em> on the <em>Transmission</em> is <em>Initial</em>, Vault populates <code>初回報告</code>. Otherwise, Vault populates <code>追加報告</code>.</td>
        </tr>
        <tr>
            <td>M.2.4.1 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.2.6 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.3 第一報入手日 (First day of receipt)</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>Pa.8.1 医療機器の不具合状況 (Product malfunction status)</td>
            <td>Vault populates a value based on the <em>Device Problem Status</em> on the <em>Local Reporting Details</em> record.</td>
        </tr>
        <tr>
            <td>Pa.8.3r 製品の不具合名 (Product defect name)</td>
            <td>The <em>Defect Term</em> on the <em>Localized Case Product Device Code</em> record.</td>
        </tr>
        <tr>
            <td>Pa.9.1 患者等の健康被害状況 (Status of health damage to patients)</td>
            <td>Vault populates a value based on the <em>Patient Health Effect Status</em> on the <em>Local Reporting Details</em> record.</td>
        </tr>
        <tr>
            <td>Pa.9.9r 患者等の健康被害名 (Name of health damage suffered by patients)</td>
            <td>Based on the <em>Case Adverse Event</em> related to the <em>Case Assessment</em>, Vault populates the <em>Event (Reported) (Event (PT))</em>.</td>
        </tr>
        <tr>
            <td>M.6.1 担当者氏名 (Name of person in charge)</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 住所 (Address)</td>
            <td>The address information from the <em>Person</em> associated with the <em>Contact Person</em> on the <em>Local Reporting Details</em> record.</td>
        </tr>
        <tr>
            <td>M.6.5.1 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.6.5.2 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.6.5.3 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.6.6 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>Pr.1 販売名 (Brand 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 一般的名称 (General 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> 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, and 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 条件・期限付き承認 (Conditional and time-limited approval)</td>
            <td>Vault populates a value based on the <em>Regenerative Conditional Approval</em> on the <em>Case Product Registration</em>.</td>
        </tr>
        <tr>
            <td>Pr.6 分類 (Classification)</td>
            <td>Vault populates a value based on the <em>Regenerative Classification</em> on the <em>Case Product Registration</em>.</td>
        </tr>
        <tr>
            <td>Pr.10 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.11 備考 (Notes)</td>
            <td>The <em>Company Comments</em> on the <em>Localized Case</em>.</td>
        </tr>
        <tr>
            <td>Cb.1 研究報告の出典 (Research report source)</td>
            <td>If the <a href="/en/lr/872016/#pmda-cat"><em>PMDA Reporting Category</em></a> on the <em>Local Reporting Details</em> record is <em>Regenerative RF: Investigation Report of Regenerative Medicine Research Report</em>, Vault populates the <em>Reference Text</em> on the earliest-created <em>Localized Case Document</em>.</td>
        </tr>
        <tr>
            <td>Cb.2 措置実施国 (Countries implementing measures)</td>
            <td>If the <a href="/en/lr/872016/#pmda-cat"><em>PMDA Reporting Category</em></a> on the <em>Local Reporting Details</em> record is <em>Regenerative RG: Investigation Report on Measures for Regenerative Medicines</em>, Vault populates the <em>Name</em> of the <em>Country</em> associated with the <em>Publication Country</em> on the earliest-created <em>Localized Case Document</em>.</td>
        </tr>
        <tr>
            <td>Cb.3 措置区分 (Measures classification)</td>
            <td>If the <a href="/en/lr/872016/#pmda-cat"><em>PMDA Reporting Category</em></a> on the <em>Local Reporting Details</em> record is <em>Regenerative RF: Investigation Report of Regenerative Medicine Research Report</em>, Vault populates a value based on the <em>Measure Classification</em> on the earliest-created <em>Localized Case Document</em>.</td>
        </tr>
        <tr>
            <td>Cb.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/lr/872016/#pmda-cat"><em>PMDA Reporting Category</em></a> on the <em>Local Reporting Details</em> record is <em>Regenerative RG: Investigation Report on Measures for Regenerative Medicines</em>, Vault populates a value based on the <em>Measures Classification Details</em> on the earliest-created <em>Localized Case Document</em>.</td>
        </tr>
        <tr>
            <td>Cb.5 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>Cb.6.1 今後の対応区分 (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>Cb.6.2 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>S.1 報告日 (Report date)</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>
