This form is required if, on the AE Summary form, it is reported that relevant diagnostic tests or procedures were performed to assess the adverse event.
Indicate any relevant diagnostic tests or procedures
Indicate any relevant diagnostic tests or procedures performed to assess the adverse event. Report the following information:
- Diagnostic tests or procedure (up to 100 characters)
- Date performed (in DD/MMM/YYYY format)
- Results/comments (up to 100 characters)
If more than one diagnostic test or procedure was performed, add a new log line in the Rave application to capture each assessment.
| Diagnostic test or procedure | Date performed | Results/Comments |
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CCG v.4.0 | CRF v.3.0
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