DRM-FRM-002: Systemic drug monitoring and pregnancy prevention record

Standards › Standard 54 › Forms

Form · DRM-FRM-002 · Version 1.0 · Approved by the ASF Expert Committee

Supports: 54.4

Purpose

Records the pre-treatment tests, the pregnancy prevention plan, and each monitoring result.

How to complete

• Record the tests required before the first dose and their results.
• Record the pregnancy prevention plan and its review.
• Record each monitoring result and the action taken.

Checks

Check	Entry
Baseline tests done (yes or no)	Yes
Pregnancy prevention plan recorded (yes or no)	Yes
Monitoring test and result	Yes
Action taken	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

• Dermatology Safety & Accreditation Standards (AMB-17)

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)