Pharmacovigilance Data De-Identification Template
Case Information
Original Data Element
De-Identification Strategy
De-Identified Data
Patient Name
Remove/Mask
Date of Birth
Year Only
Exact Age
Age Group
Gender
Retain
Case Number/ID
Pseudonymize
Address/Location
City/Region Only
Physician/Reporter Name
Remove/Mask
Case Narrative
De-Identified Narrative
Additional Notes
Notes on De-Identification Process