Standards › Standard 56 › Forms
Form · CAR-FRM-001 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 56.1
Purpose
Records the cardiac risk assessment before a procedure, the risk level, and the decision to proceed or defer.
How to complete
- Record the symptoms and the resting ECG result.
- Record the cardiovascular risk factors and the risk level.
- Record the decision, the reason, and the cardiologist’s signature.
Checks
| Check | Entry |
|---|---|
| Symptoms and resting ECG | Yes |
| Risk factors and risk level | Yes |
| Decision (proceed or defer) and reason | Yes |
| Senior review (yes or no) | Yes |
| Cardiologist signature and date | Yes |
Evidence
| Reference | Note |
|---|---|
| E-006 | ASF Policy Framework v1.2. Adapted. |
| E-009 | ASF Expert Committee consensus. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
E-learning for this document
- Cardiology & Cardiac Catheterization (AMB-14)
References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)