# Process ADR intake and PV cases with Claude and Google Sheets: n8n workflow > Started by another system calling it, and works across Email and Google Sheets. It hands the judgement calls to Claude. Source: https://millionrounds.com/workflow/process-adr-intake-and-pv-cases-with-claude-and-google-sheet (Millionrounds; every figure on the page links to its filing or article) [Automation library](https://millionrounds.com/workflows) · [Data collection](https://millionrounds.com/workflows?category=Data+collection#library) # Process ADR intake and PV cases with Claude and Google Sheets Started by another system calling it, and works across Email and Google Sheets. It hands the judgement calls to Claude. 18 steps, 2 branches, 2 loops or waits: a working afternoon to understand properly. Medium Calls a model: Claude [Download free](https://millionrounds.com/login?next=%2Fapp%2Fworkflow%2Fprocess-adr-intake-and-pv-cases-with-claude-and-google-sheet) **18 steps** Medium: a working afternoon **2** Branches: places the flow splits **2** Loops or waits **2** Services it connects to ## The flow Starts it 2 Model 2 Logic 8 Service 6 The steps in the order they run, from what starts it. - 1 **Receive ADR Report** Webhook *Starts it* - 2 **Claude AI Model** Lm Chat Anthropic *Model* - 3 **Validate and Normalize ADR Intake** Code *Logic* - 4 **Claude AI Medical Coding and Causality Assessment** Agent *Model* - 5 **Wait, Deduplication Window (10 min)** Wait *Logic* - 6 **Parse AI Medical Coding Output** Code *Logic* - 7 **Check for Duplicate ADR Submission** Google Sheets *Service* - 8 **Is Duplicate, Skip or Proceed** If *Logic* - 9 **Signal Detection, Query Historical PV Database** Google Sheets *Service* - 10 **Compute Disproportionality Signal (PRR/ROR)** Code *Logic* - 11 **Wait, Regulatory Clock Confirmation (30 min)** Wait *Logic* - 12 **Persist PV Case to Database** Google Sheets *Service* - 13 **Expedited Report Required?** If *Logic* - 14 **Build Final PV Case Response** Code *Logic* - 15 **Alert PV Team, Expedited Report Required** Email Send *Service* - 16 **Acknowledge ADR Report to Reporter** Email Send *Service* - 17 **Write to Regulatory Audit Log** Google Sheets *Service* - 18 **Send PV Case Intake Response** Respond To Webhook *Starts it* ## How it's built - **Starts on:** Another system calling it - **Steps:** 18, with 2 branches, 2 loops or waits - **Size:** Medium: a working afternoon - **Connects to:** Email, Google Sheets - **Model:** Claude ## Questions What does it need to run? An n8n account, plus your own Email and Google Sheets accounts, and a key for Claude. You connect your own accounts after importing it; none are included. What starts it? It starts on another system calling it. Does it use AI? Yes. It calls Claude. Model calls are billed by the provider, not by n8n. How long does it take to set up? Plan an afternoon. 18 steps is enough that you should read each one before running it. How do I import it? Copy the workflow, open a new workflow in n8n and paste. The steps appear on the canvas, ready for your own accounts. **Before you run it** Nothing here has been tested by us. It is somebody's working automation, read and described from its own steps. Treat the connections it wants as a list of accounts it will touch, and read the 18 steps before you point it at anything that matters. ## Run it in n8n - **Create your n8n account** Free to start. n8n is where the workflow runs. [Create an n8n account ↗](https://millionrounds.com/n8n) - **Download the workflow** Free with a Millionrounds account. [Download free](https://millionrounds.com/login?next=%2Fapp%2Fworkflow%2Fprocess-adr-intake-and-pv-cases-with-claude-and-google-sheet) - **Paste it into n8n** Open a new workflow in n8n and paste. Then connect your own accounts. Stored with the author's traces removed: canvas notes, instance identifiers, saved credential names and any live document they had left behind. ## Connects to Each opens the other workflows that use it. 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