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Revised case report form for Confirmed Novel Coronavirus COVID-19 (report to WHO within 48 hours of case identification) Date of reporting to national health authority: D / M / Y Y Y Y Reporting country:

How to fill out revised case report form

How to fill out revised case report form

1. Start by reviewing the instructions provided along with the revised case report form.
2. Familiarize yourself with the changes made in the form compared to the previous version.
3. Ensure you have all the necessary information and data needed to fill out the form accurately.
4. Begin by entering the patient's identification details, such as name, date of birth, and unique identifier.
5. Proceed to fill in the sections or fields that require information about the patient's medical history.
6. Provide details about the patient's current condition, including symptoms, diagnoses, and any treatments received.
7. If applicable, include information about any adverse events or side effects experienced by the patient.
8. Complete any additional sections or fields that are relevant to the specific case being reported.
9. Double-check all the entered information for accuracy and completeness.
10. Once you are confident that the form is correctly filled out, sign and date it to indicate your completion.
11. Submit the revised case report form as per the designated procedure or to the appropriate authority.

Who needs revised case report form?

1. The revised case report form is usually required by medical professionals, researchers, or institutions involved in clinical trials, medical studies, or patient monitoring programs.
2. It is used to collect and document essential information about an individual patient's specific case, which may contribute to research or evaluation of medical treatments.

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What is revised case report form?

A revised case report form is an updated document used to collect information about a specific case or subject in research or clinical settings, ensuring accuracy and compliance with regulatory standards.

Who is required to file revised case report form?

Individuals or organizations conducting clinical trials or research studies that need to report updated data or findings are required to file a revised case report form.

How to fill out revised case report form?

To fill out a revised case report form, one must accurately enter all required information, ensuring that any updates or changes to the original report are clearly documented, following established guidelines and protocols.

What is the purpose of revised case report form?

The purpose of a revised case report form is to ensure that any new or corrected information regarding a case is officially documented and reported, promoting transparency and integrity in research and regulatory processes.

What information must be reported on revised case report form?

The information that must be reported includes identification details of the subject or case, updated findings, demographic data, treatment outcomes, and any other relevant details that differ from the original report.