patientDescription
1

Step 1

2

Step 2

3

Step 3

4

Step 4

5

Step 5

6

Step 6

7

Step 7

reporterHeading

*
*
*
*
*
*
*
patientHeading

*
*
*
*
*
*
*
*
# otherInformation
suspectHeading

*
*
medicineHeading

*
*
*
*
*
*
*
# name type source dose frequency route startDate reason
noContent
herbalHeading

no yes
extraHeading


documentSample

outcomeHeading

isReduce
no yes notUnknown
isReaper
no yes notApplicable
isSerious
no yes
isTreated
no yes
outcome:
*