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PHARMACOVIGILANCE ICSR CASE NARRATIVES

The clock starts at day zero. The source documents arrive in pieces.

Pharmacovigilance case processing services turn the source documents behind an individual case safety report into a chronological, source-faithful narrative, page-cited throughout. The safety physician assesses seriousness, expectedness and causality; the narrative they read is built and traceable to its sources.

Click any row → the source page it cites
Case narrative · Case #IME-4812 documented
Adams, Timothy · ICSR source documents
342 pp / 2 packets received logged
11 duplicate pages removed free
p.140 — wrong patient quarantined
Pages 342 Documents 27 Cited 100%

The reporting standard is published. So is the clock.

We do not build for a case type until we can name the standard that defines a correct output and the person who grades the file against it. In pharmacovigilance, both are already published.

The standard and the referee
The rulebook
  • ICH E2B(R3), which defines the individual case safety report data elements and the narrative's place among them
  • ICH E2A and E2D, which define seriousness, expectedness and the reporting clocks that follow from them
  • 21 CFR §314.80 and §600.80, and the EU Good Pharmacovigilance Practices modules, which set the submission obligations
  • The sponsor's own safety data exchange agreements, which govern who reports what and when
The referee
  • The regulator receiving the report — FDA, EMA, or the national competent authority — whose inspectors read the narrative against the source
  • The sponsor's qualified person for pharmacovigilance, accountable for the safety system
  • The GVP or BIMO inspection, where narrative quality and source traceability are examined directly
Case processing headcount against 15-day and 7-day clocks that never pause Flat 10¢/page here, duplicates free
Case narrative · Case #IME-4812 cited 100%
Packet342 pp / 2 packets · 11 deduplicatedlogged
Event chronologyOrdered from the source documentscited
Drug & dose historyWith dates, route and indicationcited
Source conflictsDocuments disagree on a factflagged
Narrative delivered · cited 100% · no causality assessment
How it works

3 steps between the source and the submission.

01

Send the source documents

Reporter forms, hospital records, laboratory reports, discharge summaries and follow-up correspondence, in any format.

02

We return the narrative, page-cited

A chronological, source-faithful narrative with the drug and dose history, the event course, and the outcome, each statement citing the document it came from.

03

Your safety physician assesses

Seriousness, expectedness, causality and the reporting decision are the safety physician's. We never assess causality or submit a report.

The boundary, in writing

A narrative from the sources, never a causality assessment.

We build the chronological narrative from the source documents and cite each statement to its source. We do not assess causality or relatedness, determine seriousness or expectedness, decide reportability, or submit to any regulator. Those are the safety physician's assessments and the sponsor's obligations.

Where source documents disagree on a fact, the narrative records the conflict and cites both rather than silently picking one. An inspector comparing narrative to source finds the discrepancy either way; better that the narrative found it first.

Audit trail · Case #IME-4812 exportable
08:12Packet received · 342 pp / 2 packetssystem
08:3111 pages deduplicatedsystem
08:44p.140 flagged — wrong patientsystem
08:54Case narrative complete · narrative complete · sources cited · cited 100%system
09:20Case narrative reviewed · citations verifiedreviewer
09:26Case narrative exported · safety database entry made off-platformreviewer
Every access logged · file deleted 30 days after delivery
Why Medrecords AI

The rules the platform never breaks.

Medrecords AI EVERY LINE CITED
CASE #IME-4812 · ADAMS, T.342 pp
2/14 — ER visit, right knee p.4
4/18 — arthroscopic surgery p.61
p.140 — wrong patient quarantined
Medrecords AI
Read every page · cite every line

HIPAA, under a signed BAA

Every file is handled under our Business Associate Agreement, from the first byte.

Never trains a model

Your records are never used to train any AI model — ours or anyone else's.

Every line cited

If we can't cite it, we don't say it. Every sentence links to its source page.

Deleted after delivery

Files are deleted 30 days after delivery, with a full audit log of every access.

Powered by the platform

4 capabilities behind every case narrative.

The case narrative is 1 deliverable of the same platform that reads, sorts, and cites the whole record.

Medical Records OCR

Every source document read in full — reporter forms, hospital records, laboratory reports, handwritten follow-up notes — nothing skipped, nothing guessed.

IN ACTION · 342 pp / 2 packets → 27 documents, read in full

Medical Chronology

The case builds itself into a chronology, so drug exposure and event onset sit on one axis rather than in separate documents.

IN ACTION · first dose → event → outcome, 1 continuous timeline

Verifiable AI Citations

If we can't cite it, we don't say it. Every statement in the narrative links to the source document behind it.

IN ACTION · narrative → cited 100%

Medical Summary Reports

The narrative formats straight into the safety database — your template, your conventions.

IN ACTION · case narrative → physician-review ready
FAQ

ICSR case narratives, answered.

No. Causality, seriousness, expectedness and reportability are the safety physician's assessments, and submission is the sponsor's obligation. We build the chronological narrative from the source documents and cite every statement in it.

The narrative records the conflict and cites both documents rather than choosing one silently. An inspector comparing the narrative to the source will find the discrepancy regardless; a narrative that surfaced it first is the defensible one.

The reading and drafting start in minutes from upload, which is the part of the clock that usually goes to assembly. Follow-up source documents can be added and the narrative rebuilt, with the new material cited the same way.

No. Medrecords AI does not retrieve records from providers or facilities. You bring the records you already have — review starts in minutes from upload. Retrieval vendors take days; you can keep yours and still cut the review to minutes.

Send 1 file. We'll tell you what we can read.

No obligation. If the case type is buildable we'll scope it; if it isn't, we'll say so.