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BARBARA Short Baseline Form V3.1 17/07/2017Please use for preregistering patients in a new cohortPATIENT DETAILS I can confirm this patient is already registered with the BSRBRRABSRBRRA Patient ID

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How to fill out bsrbr-ra short baseline form

01

To fill out the bsrbr-ra short baseline form, follow these steps:

02

Begin by providing the date of assessment.

03

Fill in the patient's unique identifier or ID number.

04

Provide the patient's demographic details such as name, date of birth, gender, and ethnicity.

05

Enter the diagnosis code or description of the patient's condition.

06

Specify the disease duration and previous treatments received.

07

Provide information about the patient's most recent DAS28 score.

08

Include details of current medications the patient is taking.

09

Fill out the patient's smoking status.

10

Record any recent vaccinations or infections.

11

If applicable, note the presence of any comorbidities.

12

Finally, sign and date the form to validate the information provided.

Who needs bsrbr-ra short baseline form?

01

The bsrbr-ra short baseline form is needed by healthcare professionals or researchers studying rheumatoid arthritis (RA) patients. This form helps capture important baseline information about RA patients, including their demographic details, disease duration, treatments received, and current health status. It allows for better monitoring, research, and understanding of RA and its associated factors.

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What is bsrbr-ra short baseline form?

The bsrbr-ra short baseline form is a financial reporting form used to declare certain baseline financial information.

Who is required to file bsrbr-ra short baseline form?

Certain entities as specified by regulatory authorities may be required to file the bsrbr-ra short baseline form.

How to fill out bsrbr-ra short baseline form?

The bsrbr-ra short baseline form can typically be filled out electronically or manually following the provided instructions.

What is the purpose of bsrbr-ra short baseline form?

The purpose of the bsrbr-ra short baseline form is to provide accurate financial information for regulatory or compliance purposes.

What information must be reported on bsrbr-ra short baseline form?

The bsrbr-ra short baseline form may require details such as income, expenses, assets, liabilities, and other financial data.

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