R e g i S C A R Case Record Form - INSERM - hotep lyon inserm 2025

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The document is a confidential case record form for the European Registry of Severe Cutaneous Adverse Reactions to Drugs (RegiSCAR). It collects detailed patient and hospital data related to severe skin reactions, including symptoms, diagnoses, medication history, and biological sample collection. The form aims to facilitate health research on drug-related skin adverse reactions.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the patient's data, including initials, date of birth, age, country of birth, and gender. Ensure accuracy as this information is crucial for identification.
Proceed to the hospital data section. Fill in the reporting hospital details, including hospital number and admission dates. If applicable, indicate any transfers between hospitals.
In the diagnoses and clinical course section, list admission diagnoses and clinical symptoms clearly. This helps in tracking the patient's condition effectively.
For cases of HSS/DRESS, provide detailed information on skin symptoms and mucosal symptoms. Use checkboxes for clarity and specify any additional details as needed.
Complete the medication history section by documenting all drugs taken within a month before hospitalization. Include dosage, application type, and any adverse reactions experienced.
Finally, review all entries for completeness and accuracy before saving or submitting your form through our platform.

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