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Global COVID-19 Clinical Platform NOVEL CORONAVIRUS (COVID-19) RAPID VERSIONDESIGN OF THIS CASE RECORD FORM (CRF) This CRF has 3 modules: Module 1 to be completed on the first day of admission to

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How to fill out core case report form

01

Begin by collecting all relevant information and data related to the case.

02

Fill in all patient demographics, including name, age, gender, and contact information.

03

Record the medical history of the patient, including any past illnesses, surgeries, or hospitalizations.

04

Document the current symptoms and complaints of the patient.

05

Include any medications or treatments that the patient is currently undergoing.

06

Provide a detailed description of the diagnosis and treatment plan for the patient.

07

Finally, review the completed form for accuracy and make any necessary corrections before submission.

Who needs core case report form?

01

Healthcare professionals such as doctors, nurses, and other medical staff who are involved in the care and treatment of patients may need to fill out core case report forms.

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What is core case report form?

The core case report form is a standardized document used to collect essential information about individual cases within a study or program.

Who is required to file core case report form?

The individuals or entities responsible for conducting the study or program are typically required to file the core case report form.

How to fill out core case report form?

The core case report form is usually completed by entering the required information into the designated fields on the document.

What is the purpose of core case report form?

The purpose of the core case report form is to ensure consistent and accurate data collection for analysis and reporting purposes.

What information must be reported on core case report form?

The core case report form typically requires information such as patient demographics, medical history, treatment details, and outcomes.

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