> For the complete documentation index, see [llms.txt](https://support.who-umc.org/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://support.who-umc.org/vigiflow/entering-and-structuring-data-in-reports/documenting-causality-assessments.md).

# Documenting causality assessments

Casuality assessments can be documented using several different methods.

VigiFlow allows you to record causality assessment results using four different methods:

* WHO-UMC
* Naranjo
* French Method (Bégaud’s imputability method)
* WHO AEFI (for adverse events following immunisation)

{% hint style="success" %}
If your organisation uses a different method, you can write it in the *Comments* field at the bottom of the section.
{% endhint %}

To register an assessment, go to the “Assessment” section of the report:

<figure><img src="https://844234868-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2FD7MbxF2Gm1Bf1uqE3mOA%2Fuploads%2FCx0alN060zrp5ih1bbq3%2FCausality%20assessment.png?alt=media&amp;token=b30de403-2911-45dc-9f5c-57fcdde0c534" alt=""><figcaption></figcaption></figure>

Multiple assessments can be added, if required, using the plus sign. This is useful if the reporter or sender made their own causality assessment, but the national centre uses a different method or disagrees with the initial assessment.

{% hint style="info" %}
Refer to the VigiFlow Intermediate Course: “**ICSR processing and content**” section → “Assessment”

**Note**: VigiFlow online courses are only available to VigiFlow users. Check with your national regulatory authority for access.
{% endhint %}


---

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