diff --git a/effect_ae/action_items.py b/effect_ae/action_items.py
index 5d436e7..71ef147 100644
--- a/effect_ae/action_items.py
+++ b/effect_ae/action_items.py
@@ -1,8 +1,12 @@
 from django.apps import apps as django_apps
 from django.conf import settings
-from django.core.exceptions import MultipleObjectsReturned, ObjectDoesNotExist
+from django.core.exceptions import ObjectDoesNotExist
 from django.utils.html import format_html
 from edc_action_item import ActionWithNotification, site_action_items
+from edc_adverse_event.action_items import (
+    DeathReportTmgAction,
+    DeathReportTmgSecondAction,
+)
 from edc_adverse_event.constants import (
     AE_FOLLOWUP_ACTION,
     AE_INITIAL_ACTION,
@@ -226,80 +230,9 @@ def get_next_actions(self):
         return next_actions
 
 
-class DeathReportTmgAction(ActionWithNotification):
-    name = DEATH_REPORT_TMG_ACTION
-    display_name = "TMG Death Report pending"
-    notification_display_name = "TMG Death Report"
-    parent_action_names = [DEATH_REPORT_ACTION, DEATH_REPORT_TMG_ACTION]
-    reference_model = "effect_ae.deathreporttmg"
-    related_reference_model = "effect_ae.deathreport"
-    related_reference_fk_attr = "death_report"
-    priority = HIGH_PRIORITY
-    create_by_user = False
-    color_style = "info"
-    show_link_to_changelist = True
-    admin_site_name = "effect_ae_admin"
-    instructions = format_html("This report is to be completed by the TMG only.")
-
-    def reopen_action_item_on_change(self):
-        """Do not reopen if status is CLOSED."""
-        return self.reference_obj.report_status != CLOSED
-
-    @property
-    def matching_cause_of_death(self):
-        """Returns True if cause_of_death on TMG Death Report matches
-        cause_of_death on Death Report.
-        """
-        return (
-            self.reference_obj.death_report.cause_of_death == self.reference_obj.cause_of_death
-        )
-
-    def close_action_item_on_save(self):
-        if self.matching_cause_of_death:
-            self.delete_children_if_new(parent_action_item=self.action_item)
-        return self.reference_obj.report_status == CLOSED
-
-    def get_next_actions(self):
-        """Returns a second DeathReportTmgAction if the
-        submitted report does not match the cause of death
-        of the original death report.
-
-        Also, no more than two DeathReportTmgAction can exist.
-        """
-        next_actions = []
-        try:
-            self.action_item_model_cls().objects.get(
-                parent_action_item=self.related_action_item,
-                related_action_item=self.related_action_item,
-                action_type__name=self.name,
-            )
-        except ObjectDoesNotExist:
-            pass
-        except MultipleObjectsReturned:
-            # because more than one action item has the same
-            # parent_action_item and related_action_item. this
-            # only occurs for older data.
-            pass
-        else:
-            if (
-                self.action_item_model_cls()
-                .objects.filter(
-                    related_action_item=self.related_action_item,
-                    action_type__name=self.name,
-                )
-                .count()
-                < 2
-            ):
-                if (
-                    self.reference_obj.cause_of_death
-                    != self.related_action_item.reference_obj.cause_of_death
-                ):
-                    next_actions = ["self"]
-        return next_actions
-
-
 site_action_items.register(DeathReportAction)
 site_action_items.register(DeathReportTmgAction)
+site_action_items.register(DeathReportTmgSecondAction)
 site_action_items.register(AeFollowupAction)
 site_action_items.register(AeInitialAction)
 site_action_items.register(AeSusarAction)