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Form · GYN-FRM-001 · Version 1.0 · Approved by the ASF Expert Committee
Supports: Standard 12 (Obstetrics and Gynaecology), criterion 12.11
Purpose
Records each gynaecological presentation, its urgency, the review time and any referral.
How to complete
- Record at the presentation.
- Record the urgency and the review time.
- Record any referral and its time.
Checks
| Check | Entry |
|---|---|
| Presentation and time | Yes |
| Urgency (urgent or routine) | Yes |
| Seen by and time | Yes |
| Referred (yes or no) and to whom | Yes |
| Referral time | Yes or N/A |
| Recorded by | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the WHO Managing complications in pregnancy and childbirth (2017) and ASF Expert Committee consensus. |
| 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 |
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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)