Marnie Levy (asker) Feb 21, 2015:

Disregard my discussion above, and thank you all for your help. I've sorted it out.

Marnie Levy (asker) Feb 21, 2015:

Thank you for the suggestions, in the link that Cinefil provided, the secretariat is part of an organization in the advanced medical care system as follows:先進医療制度における申請医療機関、調整医療機関、協力医療機関, while 調整医療機関 would be responsible for coordination and 協力医療機関 would be cooperating institutions, do you think that it would be more appropriate to say that 申請医療機関 would be responsible for notifications, or reporting? The more I think about it the more I get stuck in a rut! Thanks again.