Get Case Report Form Bioscience Angiography / Procedure - Ispm

This guide provides a clear and comprehensive overview of how to fill out the Case Report Form for Bioscience Angiography/Procedure - Ispm online. By following these instructions, users can ensure that all necessary information is accurately documented.

Follow the steps to complete the form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by entering the pseudonym of the patient in the designated field. This is essential for maintaining confidentiality.
3. Next, fill in the date of birth of the patient in the specified format (dd/mm/yyyy).
4. Enter the date of inclusion in the study, ensuring the correct format is followed.
5. Document the date and time of the present angiography and the catheter insertion, using the 24-hour format for accuracy.
6. Complete the section regarding total contrast administered, entering the volume in milliliters.
7. Provide the hospital name and physician's name where the procedure was conducted.
8. Indicate the reason for the current angiography/procedure by selecting 'yes' or 'no' for each option under section 1.
9. Fill in the indications for revascularization in section 2, specifying details like symptom onset times and classifications as required.
10. In section 3, record the procedural medications administered prior to and during the procedure.
11. For section 4, detail any lesions diagnosed, specifying artery and CASS number, especially for significant stenosis.
12. Once all sections are completed, review your entries for accuracy, and then you can save changes, download, print, or share the form as necessary.

Complete the CASE REPORT FORM BIOSCIENCE ANGIOGRAPHY / PROCEDURE - Ispm online now to ensure proper documentation.