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Case processing

End-to-end safety case management

Manage the whole Individual Case Safety Report lifecycle in one secure, traceable workflow: book-in, data entry, coding, causality, medical review, QA, submission and follow-up. AI helps at every step, and people make every decision.

15-daySerious-case clock, tracked automatically
2Causality methods: Naranjo & WHO-UMC
4Output formats: E2B(R3), CIOMS I, MedWatch, PDF
85%Similarity threshold for duplicate checks
Capabilities

Everything a case needs, in one workbench

Multi-channel intake

Email, call transcripts, chatbot, social media, literature, partner and distributor reports, and E2B R2/R3 XML import.

Reads any document

Audio transcription, OCR for scanned PDFs and images, and parsing of Word and CSV source documents.

AI field extraction

Reporter, patient, product, event and narrative pulled into structured case fields for you to confirm.

Triage & classification

Serious AE, AE or non-case, decided by an AI model with a machine-learning fallback.

Duplicate detection

Similar cases are flagged before data entry, using a configurable similarity threshold.

MedDRA & WHO-Drug coding

AI-suggested codes for events and medicines, which coders review and confirm.

Automated causality

Naranjo and WHO-UMC assessments, one or both, from Certain to Unassessable.

Narrative drafting

Case narratives generated from the structured data, ready for your medical writers to refine.

Medical review cockpit

Event-level seriousness, expectedness and reportability. Approve, request follow-up, escalate to signal or return.

In action

AI review, side by side with the case

Narrative summaries, suggested labels and a causality hint sit next to the source, clearly marked as suggestions for your reviewers to confirm.

Case review
Case review screen with AI narrative summary and AI review assistant
Case lifecycle

A guided path from Day 0 to submission

Each stage records who completed it and when. Moving a case back needs approval and a reason, and follow-up versions stay linked to the original case.

Route back with reasonReopen locked caseLinked follow-upsPer-case version history
Walk through a case
Triage & book-in (Day 0)

Preprocessing, extraction, validity check, duplicate search and classification.

Data entry

Case forms, pre-filled by AI, completed and checked by the case processor.

Coding & causality

MedDRA and WHO-Drug coding, plus Naranjo or WHO-UMC assessment.

Medical review

A physician assesses each event and approves, requests follow-up or escalates to signal.

Quality review

QA approves with an e-signature, or raises a query back to medical review.

Lock & submit

Required-field check, E2B(R3), CIOMS I or MedWatch output, and a record of the submission and acknowledgement.

Follow-up & close

Follow-up versions reset the 15-day clock. Cases close, archive or are nullified with a reason.

Stay ahead of every deadline

Regulatory output and real-time oversight

E2B(R3) export

ICH E2B(R3) XML generated from the case, with a pre-submission check for required fields.

CIOMS I & MedWatch

Generate CIOMS I, FDA MedWatch and PDF case reports directly from the case record.

Regulatory clock

Automatic due dates for 15-day serious, 90-day non-serious and follow-up reports, with breach alerts.

Per-region deadlines

Timelines set for each authority (FDA and EMA), and configurable for your partners.

E2B import

Bring in E2B R2 and R3 files from partners and licensees, mapped straight into the case form.

Submission tracking

Submission date, receipt and acknowledgement number recorded on every report.

Intake operations

My ICSRs, drafts, returned cases, pending follow-ups, ready to submit and overdue, at a glance.

Safety command center

A PV lead view of high-risk cases, AI-detected serious cases and serious 15-day ICSRs.

Case aging

Open cases by age band (0–7, 8–15, 16–30 and 31+ days), so bottlenecks show up early.

Submission timelines

On-time and breached reports, split by 15-day and 90-day obligations.

QA metrics

Quality review queues, returned-by-QA rates and reviewer throughput.

My productivity

Personal workload and completion reports for every case processor.

Case processor

Book-in, data entry, coding and follow-ups.

Medical reviewer

Seriousness, expectedness, causality and sign-off.

QA reviewer

Quality checks, queries and e-signed approval.

PV lead

Command center, workload and compliance oversight.

Submission specialist

Regulatory output and acknowledgement tracking.

Signal specialist

Receives cases escalated to signal.

Compliance officer

Audit trail, GDPR and CAPA oversight.

Auditor

Read-only inspection mode across all records.

Compliance

Designed for inspection day

Built around 21 CFR Part 11, ICH E2B(R3), EMA GVP and ALCOA+ principles.

Append-only audit trail

UTC timestamps, user, role, IP and browser for every create, update, approve and submit. Exports to CSV.

e-Signatures

Password plus reason for QA approval. The meaning, method (password or MFA) and time are all recorded.

ALCOA+ checks

Data-integrity checks run before an ICSR is created or updated.

AI decision log

Model, inputs, outputs, confidence and human overrides are kept for every AI suggestion.

AI extracting structured case fields from a source document for case processing
Nirnāśā AI · human-governed
AI inside

AI assistance at every step of the case

From book-in to narrative, AI does the first pass and your processors, physicians and QA reviewers make the decisions.

Extraction & triage

Structured fields from any document, with serious, non-serious or non-case triage.

Coding suggestions

AI-suggested MedDRA and WHO-Drug codes for coders to confirm.

Narrative drafting

Case narratives drafted from the structured data, ready to refine.

AI decision log

Model, inputs, outputs, confidence and any human override are recorded.

How Nirnāśā AI works

Process cases faster, without losing control

See book-in, coding, medical review and E2B(R3) output on your own sample cases.

Support available now

24/7 on-call technical support for every service

Our support team is available around the clock for all Nirnāśā services, so your safety operations never stop.

  • PV Intake
  • ICSR Suite
  • Aggregate Manager
  • Signal Management
  • PSMF
  • QMS
  • Voice Connector