Electronic Detailed Survey Form (eSS) Generation Service
Electronic Detailed Survey Form (eSS) PDF Input Form Creation Service
Free yourself from the cumbersome paper-based detailed survey forms! The eSS input fields can be configured with the convenience of healthcare professionals in mind!
The "Electronic Detailed Investigation Form (eSS)" is an electronic version (PDF) of the detailed investigation form used to request a thorough investigation of safety information. By digitizing it, we provide a solution for improving the efficiency of detailed investigations, including the convenience of creating forms and implementing logical checks during input. When used as an option for our product "Adverse Event Collection and Management System (AE-Connect)," it allows for linking with electronic contact forms, enabling centralized management of the status of detailed investigation form requests, thereby contributing to smooth safety management operations. Additionally, it adopts a standard electronic file format (PDF), eliminating the need for specific applications. 【Features】 For busy healthcare professionals: - No new infrastructure is needed as it utilizes widely adopted mobile devices (iPhone, iPad, Note-PC, etc.) - Reporting can be done from anywhere (while walking, during breaks, from home, while eating, etc.) - The use of a standard electronic file format (PDF) means no specific systems are required - Input is facilitated through various selection methods (calendar input for dates, dropdown selections, checkboxes, radio buttons, etc.), making responses easy *For more details, please download the PDF or feel free to contact us.
Inquire About This Product
basic information
【Other Features】 ■ Logical checks on input information function to prevent inconsistencies and omissions between items. ■ Capable of accommodating various formats maintained by different companies. ■ Progress management is possible through integration with individual case reports (AE-Connect). *For more details, please download the PDF or feel free to contact us.
Price range
Delivery Time
Applications/Examples of results
For more details, please download the PDF or feel free to contact us.
Detailed information
-
About the Electronic Detailed Survey Form (eSS) The traditional paper-based detailed survey form has been converted into an electronic version (PDF), with input fields (text, checkboxes, radio buttons, calendars, etc.) set within the PDF. This implementation enhances the convenience of creating survey forms and includes logical checks during data entry. Creation of the form only requires the free Acrobat Reader; no other applications are necessary. During data entry, the check function can be used to detect omissions, inconsistencies, and violations in the input. After entry, the lock function prevents unauthorized modifications or tampering of the data. The standard version of the detailed survey form uses the format provided by the Pharmaceutical Manufacturers Association. Custom formats for each product can also be accommodated.
-
Sample Screen (1) Selection Input (List Box Selection): This is convenient for inputting a single choice from options (standard terms). You can select from the list box and input the desired term. Benefits: It ensures consistency in terminology.
-
Sample Screen (2) Date Input: The date input field allows for calendar input. Manual entry is also possible as needed. Benefits: Improves input efficiency and standardizes the date format.
-
Sample Screen (3) Logical Check: After inputting, when the "Input Check" button is pressed, the pre-embedded logical check function detects inconsistencies and unfilled fields, displaying them with a red border. The error details are shown next to the inconsistent fields. Benefits: Used as an initial check during input. This reduces the need for subsequent data verification.
-
Sample screen of the format (4) File attachment: You can directly attach files to the PDF file. Benefit: For clinical test values with a large amount of input, attaching output files from devices can reduce the burden on healthcare professionals (inputters).
-
The detailed survey form for the standard version uses the format provided by the Pharmaceutical Manufacturers Association, but we can accommodate product-specific formats (unique to pharmaceuticals) and custom formats from clients. Additionally, we can handle not only detailed surveys but also adverse event reporting forms, drug usage surveys, and other standard formats. It is also possible to export data from collected PDFs and convert it into a data format (a separate tool is provided for a fee). - I want to use other formats (standard forms). - I want to use a survey format. - I want to utilize only the data from the collected PDFs. - I want to create a database. And so on. If you are interested, please contact us.
catalog（1）
Download All Catalogs
Company information
Our company is committed to promoting appropriate IT investments and utilization in businesses by investigating the current situation, including operations, environment, and strategy, and proposing and providing systems that align with the original business, scale, and regulations while suppressing excessive investment in IT. In particular, we focus on the development, sales, and support of software related to the entire process of research and development of pharmaceuticals for the pharmaceutical industry, as well as supporting pharmaceutical development operations and providing consulting for IT implementation, all while offering comprehensive support for systems that comply with the regulations (ministerial ordinances and guidelines) of the Ministry of Health, Labour and Welfare. Please feel free to contact us if you have any inquiries.