Response to Regulatory Questions (RTQ)
0.1.0 - ci-build

Response to Regulatory Questions (RTQ), published by HL7 International. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/rtq-ig/ and changes regularly. See the Directory of published versions

: RegulatoryQA-ID001-Response - JSON Representation

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{
  "resourceType" : "QuestionnaireResponse",
  "id" : "RegulatoryQA-ID001-Response",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2025-11-15T14:59:00-05:00",
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/brr/StructureDefinition/RegulatoryQuestionnaireResponse"
    ]
  },
  "text" : //  Narrative 
  {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      <h2>Response to Regulatory Questionnaire ID001</h2>\n      <p><b>Procedure:</b> EMEA/H/C/005432/II/0023</p>\n      <p><b>Product:</b> ExampleDrug 10 mg Tablets</p>\n      <p><b>Submitted by:</b> SynthPharma AG</p>\n      <p><b>Submitted to:</b> European Medicines Agency (EMA)</p>\n      <p><b>Date:</b> November 15, 2025</p>\n      <hr/>\n      <p>This response addresses all administrative, labeling, and CMC stability questions for the Type II Variation.</p>\n    </div>"
  },
  "identifier" : [
    //  Identifiers 
    {
      "system" : "http://hl7.org/fhir/uv/brr/identifier/qa-request",
      "value" : "ID001"
    },
    {
      "system" : "https://ema.europa.eu/procedure-number",
      "value" : "EMEA/H/C/005432/II/0023"
    }
  ],
  "questionnaire" : "http://hl7.org/fhir/uv/brr/Questionnaire/brr-regulatory-qa-questionnaire",
  "status" : "completed",
  "subject" : //  Reference to original Questionnaire 
  {
    "reference" : "MedicinalProductDefinition/example-drug-10mg",
    "display" : "ExampleDrug 10 mg Tablets"
  },
  "authored" : "2025-11-15T14:59:00-05:00",
  "item" : [
    //  ====================== ANSWERS (exact match with Questionnaire) ====================== 
    //  admin-1 
    {
      "linkId" : "admin-1",
      "text" : "Is the fee for the Type II variation fully paid and documented?",
      "answer" : [
        {
          "valueString" : "Yes, the fee was paid on June 25, 2025. Payment confirmation and receipt are included in the application form (see Section 1.1)."
        }
      ]
    },
    {
      "linkId" : "admin-2",
      "text" : "Are all required metadata fields in the application form complete?",
      "answer" : [
        {
          "valueString" : "Yes, all required metadata fields are complete: • MAH: SynthPharma AG • Product: ExampleDrug 10 mg Tablets • Procedure: EMEA/H/C/005432/II/0023 • Submission Date: 2025-06-25"
        }
      ]
    },
    {
      "linkId" : "labeling-1",
      "text" : "Do the updated storage conditions (2–8°C for 36 months) require additional patient guidance?",
      "answer" : [
        {
          "valueString" : "No additional patient guidance is required. The ePI clearly states: 'Store in a refrigerator (2°C – 8°C). Do not freeze.' The 36-month shelf life is supported by stability data and does not alter patient handling instructions."
        }
      ]
    },
    {
      "linkId" : "labeling-2",
      "text" : "Is the patient leaflet revised to clarify the extended shelf life?",
      "answer" : [
        {
          "valueString" : "Yes, the patient leaflet has been updated to state: 'Shelf life after first opening: 36 months when stored at 2–8°C'. The revised leaflet is included in the submission."
        }
      ]
    },
    {
      "linkId" : "labeling-3",
      "text" : "Is the updated ePI text sufficiently clear for all EU languages?",
      "answer" : [
        {
          "valueString" : "Yes, the ePI text has been translated into all EU languages and reviewed for clarity. All versions are linguistically validated. Status: English (Approved), French (Approved), German (Approved), others (Final review completed)."
        }
      ]
    },
    {
      "linkId" : "cmc-1-DP-Stability",
      "text" : "Are there any new stability studies conducted, or does the submission include only data from additional timepoints from previously submitted studies?",
      "answer" : [
        {
          "valueString" : "The submission includes both: • Additional timepoints: Long-term data extended to 36 months for primary batches A-001, A-002, A-003. • New stability studies: Two pilot-scale batches (B-001, B-002) in new Alu/Alu packaging, with 6-month accelerated (40°C/75% RH) and long-term (25°C/60% RH) data. No protocol deviations occurred. All studies follow ICH Q1A(R2)."
        }
      ]
    },
    {
      "linkId" : "cmc-2-DP-Stability",
      "text" : "Does the data support all intended climatic zones?",
      "answer" : [
        {
          "valueString" : "Yes, the data supports all ICH climatic zones, including Zone IVb: • Zone I/II: 25°C/60% RH (long-term), 40°C/75% RH (accelerated) • Zone IVb: 30°C/75% RH (long-term) — data confirms compliance per WHO TRS 1010. All batches remain within specification."
        }
      ]
    },
    {
      "linkId" : "cmc-3-DP-Analytical Methods",
      "text" : "Are the test methods used the same as in the previously submitted stability information?",
      "answer" : [
        {
          "valueString" : "Yes, all test methods are identical to those validated in the original MAA. No changes were made. Methods remain stability-indicating for assay, impurities, and dissolution."
        }
      ]
    },
    {
      "linkId" : "cmc-4-DP-Impurities",
      "text" : "Are there any new degradation products identified within the newly submitted data?",
      "answer" : [
        {
          "valueString" : "No new degradation products were identified. All observed impurities correspond to previously qualified degradants. Levels remain below 0.10% (ICH Q3B(R2) threshold). No peaks above reporting threshold detected."
        }
      ]
    },
    {
      "linkId" : "cmc-5-DP-Container Closure System",
      "text" : "Any changes in the packaging configuration and/or storage of the samples during stability?",
      "answer" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/uv/brr/StructureDefinition/questionnaire-itemRichText"
            }
          ],
          "valueString" : "Yes, packaging changed from PVC/PVDC to Alu/Alu. New stability studies initiated. See rich text for diagram and details."
        }
      ]
    }
  ]
}