64
ICH ICSR Implementation Guide 12 April 2013
-65-
C.3.4 Sender’s Address, Fax, Telephone and E-mail Address
Sender’s
Street
Address
Sender’s
City
Sender’s
State or
Province
Sender’s
Postcode
Sender’s
Country
Code
Sender’s
Telephone
Sender’s
Fax
Sender’s
E-mail
Address
Data
Element C.3.4.1 C.3.4.2 C.3.4.3 C.3.4.4 C.3.4.5 C.3.4.6 C.3.4.7 C.3.4.8
User
Guidance
The sender's contact information should be provided in conformance with local or
international confidentiality requirements.
Business
Rule(s)
See the business rules for C.3.3.
C.3.4.1 Sender’s Street Address
User Guidance This data element captures the sender's street address.
Conformance Optional
Data Type 100AN
OID None
Value Allowed Free text
Business Rule(s)
See the business rules for C.3.3.
C.3.4.2 Sender’s City
User Guidance This data element captures the sender's city.
Conformance Optional
Data Type 35AN
OID None
Value Allowed Free text
Business Rule(s)
See the business rules for C.3.3.
C.3.4.3 Sender’s State or Province
User Guidance This data element captures the sender's state or province.
Conformance Optional
Data Type 40AN
OID None
Value Allowed Free text
Business Rule(s)
See the business rules for C.3.3.